Diaper dermatitis | Page 4

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October 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Sabrina MacDuff, Joanne Sun, Derek E Bell, Christoper W Lentz, Steven A Kahn
OBJECTIVE: The purpose of this study was to present a case report and review the relevant literature on laxative-induced dermatitis being mistaken for scald injury and child abuse. CASE: A 33-month-old girl presented with partial thickness burn to the buttocks and perineum, which were suspected to be caused by child abuse. On further investigation, the parents had been administering large doses of laxatives to the child for chronic constipation. DISCUSSION: Child abuse by burning has characteristic physical examination findings, which differ from the pattern of laxative-induced dermatitis that has been reported in the literature...
August 2016: Pediatric Emergency Care
Abdollah Keshavarz, Ali Akbar Zeinaloo, Manoochehr Mahram, Navid Mohammadi, Omid Sadeghpour, Mohammad Reza Maleki
BACKGROUND: Diaper dermatitis (DD) is a common inflammatory disorder in infants, including newborns. OBJECTIVES: This study aimed to compare the effects of a traditional medicine product (containing natural henna oil 25%) and hydrocortisone 1% cream on DD in infants. PATIENTS AND METHODS: In a triple-blind, randomized trial, 82 children aged two years or less were randomly divided into two groups of 41 children each to receive either hydrocortisone ointment or henna medicinal product...
May 2016: Iranian Red Crescent Medical Journal
Dirk Van Gysel
Diaper dermatitis is a common condition that often prompts parents to seek medical attention. Irritant diaper dermatitis is by far the most common cause, but numerous potentially serious diseases can present with changes of the skin in the diaper area. The differential diagnosis can include psoriasis, metabolic disorders, rare immune diseases and infection. Clinical examination can be helpful in distinguishing the underlying cause. General screening laboratory tests, as well as select testing when a specific condition is suspected, can be used to challenge or confirm the putative diagnosis...
July 2016: International Journal of Dermatology
David J Atherton
Irritant napkin dermatitis (IND, often referred to as irritant diaper dermatitis) is an exceedingly common problem in the first 2 years of life. It is now established that a number of factors are considered important in the etiology of IND. The principal irritants are fecal enzymes, which damage infant skin and are further amplified by a number of factors, including skin maceration and friction, high pH, the presence of urine, and the duration of contact with feces. In recent years, the decreasing incidence and severity of IND reflects improvements in the design and performance of diapers, diaper skin care products, and overall awareness about maintaining infant skin health...
July 2016: International Journal of Dermatology
Bernice Krafchik
For centuries, diapering has been a global practice. Most cultures around the world have historically implemented mechanisms to cover the genital area, both for privacy and to contain waste. The latest and most important innovation was the advent of the disposable diaper in the mid-twentieth century. Modern disposable diapers have considerably decreased the incidence of irritant diaper dermatitis through their design and construction. Disposable diaper use continues to grow globally. This article reviews the history of diaper practices worldwide...
July 2016: International Journal of Dermatology
Alexandro Bonifaz, Rubí Rojas, Andrés Tirado-Sánchez, Dinora Chávez-López, Carlos Mena, Luz Calderón, Ponce-Olivera Rosa María
Diapers create particular conditions of moisture and friction, and with urine and feces come increased pH and irritating enzymes (lipases and proteases). Fungi can take advantage of all these factors. Candida yeasts, especially C. albicans, are responsible for the most frequent secondary infections and are isolated in more than 80 % of cases. Correct diagnosis is important for ensuring the correct prescription of topical antimycotics. Nystatin, imidazoles and ciclopirox are effective. It is important to realize there are resistant strains...
October 2016: Mycopathologia
JiaDe Yu, James Treat, Keri Chaney, Bruce Brod
BACKGROUND: Allergic contact dermatitis in young children may be an under-recognized cause of perineal dermatitis. The diapered infant skin is uniquely susceptible to allergic contact dermatitis because of more permeable neonatal skin, a moist environment, frequent contact with irritants and resultant skin barrier breakdown, and exposure to topical products such as diaper wipes, diaper preparations, and disposable diapers. To our knowledge, potential allergens in these products have not been thoroughly catalogued or studied...
May 2016: Dermatitis
Sibel Ersoy-Evans, Hande Akıncı, Sibel Doğan, Nilgün Atakan
BACKGROUND/OBJECTIVE: Diaper dermatitis (DD) is a common infantile dermatosis with a highly variable prevalence and incidence. This study aimed to present the demographic and clinical features of babies with DD. METHODS: Data, including demographic and clinical features, obtained from DD patient forms were retrospectively analyzed. RESULTS: The study included 63 babies with DD (female: n = 35 [55.6%]; male: n = 28 [44.4%]; mean age 11.6 mos)...
May 2016: Pediatric Dermatology
Seyyed Mohammad-Kazem Nourbakhsh, Hojjatollah Rouhi-Boroujeni, Maryam Kheiri, Mahmoud Mobasheri, Majid Shirani, Saeedeh Ahrani, Javad Karami, Zahra Keivani Hafshejani
INTRODUCTION: Diaper dermatitis is referred to the inflammation in outer layers of the skin in the perineal area, lower abdomen, and inner thighs. The lesions are maculopapular and usually itchy, which could cause bacterial or candida infection, and predispose the infants to penis or vaginal and urinary infection and lead to discomfort, irritability, and restlessness. The drugs which have been so far administered for this disease (topical steroids) cause special complications for the sensitive skin in this area...
January 2016: Journal of Clinical and Diagnostic Research: JCDR
Mansoreh Mahmoudi, Mohsen Adib-Hajbaghery, Mahdi Mashaiekhi
BACKGROUND & OBJECTIVES: Infantile diaper dermatitis is a common, acute inflammatory reaction of the skin around diaper among infants. This study was undertaken to compare the effect of topical application of Bentonite and Calendula creams on the improvement of infantile diaper dermatitis. METHODS: This double blind randomized controlled trial was undertaken on 100 patients of infantile diaper dermatitis. The 100 participants were randomly assigned into two groups of 50 each, and were prescribed the coded medicine...
December 2015: Indian Journal of Medical Research
Abhijit Dutta, Manjula Dutta, Shankha Subhra Nag
No abstract text is available yet for this article.
December 2015: Indian Pediatrics
Tsutomu Fujimura, Mayumi Makino, Miyuki Takagi, Kumiko Maki, Emiko Murakami, Yoshiko Tasaka, Noriko Sato, Shunichi Akiba, Mitsuyuki Hotta, Takashi Kitahara, Kikue Ando
BACKGROUND: The mechanisms of skin breakdown induced by incontinence have been proposed from a variety of experimental studies. However, studies on the influence of skin properties caused by incontinence of bedridden subjects are very limited. OBJECTIVE: This work was conducted to reveal how incontinence influences skin properties by comparing bedridden incontinent elderly subjects with age-matched healthy continent elderly and middle-aged subjects. METHODS: Bedridden incontinent elderly subjects (n = 35, 83...
May 2016: International Journal of Dermatology
Tsai-Rung Lin, Miin-Rong Hwang, Hui-Hsien Nien, Chia-Chi Liu, Pei-Shan Shie, Sue-Huei Chen
BACKGROUND & PROBLEMS: Incontinence associated dermatitis (IAD) is a common skin disorder in critical patients who suffer from fecal incontinence. Symptoms of IAD include pain, redness, swelling, and, in some cases, secondary infections. IAD is thus a major problem faced in critical nursing care. The incidence of incontinence associated dermatitis averaged 34.72% at the intensive care unit in our hospital from October to December 2013. The factors that we identified as associated with IAD included: (1) Nurses: incorrect nursing care and insufficient IAD-related knowledge among nurses; (2) DEVICES: lack of skin barrier products and the use of diapers with poor air ventilation; (3) Regulations: lack of IAD care standards and lack of auditing oversight; (4) Patient problems: skin edema, incontinence, and medication use...
December 2015: Hu Li za Zhi the Journal of Nursing
Volkmar Küppers, Michael Kemper, Christoph Abels
Inadequate hygiene, aggressive cleansing, and chafing skin folds, as well as urine, feces, and sweat may trigger irritative contact dermatitis in the anogenital area. Serious recommendations for protection of the skin toward irritants include hygienic aspects and the use of appropriate skin care. Furthermore, preventing an accumulation of irritants on unprotected skin is mandatory. An intraindividual comparison study with 30 participants (17 female, 13 male; age: 44.2±8.3 years) was performed to evaluate the properties of a newly developed water-in-oil (W/O) balm on artificial sodium dodecyl sulfate-damaged epidermal barrier...
2015: Clinical, Cosmetic and Investigational Dermatology
Mary Brucker, Stephanie McGuire, Lisa Merrill, Francine Rossing, Kammi Sayaseng
Diaper dermatitis in infants is commonly seen by clinicians in both primary care and acute care settings. The condition can cause significant discomfort for infants and distress for their parents and caregivers. Nursing for Women's Health convened a group of nursing clinicians who work in a variety of settings to discuss the issues and challenges related to preventing and treating diaper dermatitis in both healthy term newborns and premature newborns.
October 2015: Nursing for Women's Health
Sinead Clarke-OʼNeill, Anne Farbrot, Marie-Louise Lagerstedt, Alan Cottenden, Mandy Fader
PURPOSE: The primary aim of this study was to determine whether the severity of incontinence-associated dermatitis (IAD) among nursing home-based incontinence pad users varies between pad designs. A second aim was to examine the utility of a simple method for reporting skin health problems in which healthcare assistants were asked to record basic observational data at each pad change. STUDY DESIGN: Randomized, multiple crossover, observational, exploratory. SUBJECTS AND SETTING: Twenty-one men and 57 women using absorbent continence products to contain urinary and/or fecal incontinence were recruited from 10 nursing homes in London and the south of England...
November 2015: Journal of Wound, Ostomy, and Continence Nursing
Lisa Merrill
Diaper dermatitis is a common cutaneous condition characterized by an acute inflammatory eruption of the skin in the diaper area of an infant. Although this condition is relatively common, it can cause considerable pain and stress for infants and can be troublesome for their caregivers. In the United States, the frequency of diaper dermatitis is substantial and accounts for a high number of visits to health care providers. The three most common types of diaper dermatitis are chafing dermatitis, irritant contact dermatitis and diaper candidiasis...
August 2015: Nursing for Women's Health
Yalçın Tüzün, Ronni Wolf, Süleyman Bağlam, Burhan Engin
Diaper (napkin) dermatitis is an acutely presenting inflammatory irritant contact dermatitis of the diaper region. It is one of the most common dermatologic diseases in infants and children. In the past, the disease was thought to be caused by ammonia; however, a number of factors, such as friction, wetness, inappropriate skin care, microorganisms, antibiotics, and nutritional defects, are important. Diaper dermatitis commonly affects the lower parts of the abdomen, thighs, and diaper area. Involvement of skin fold regions is typical with diaper dermatitis...
July 2015: Clinics in Dermatology
Semra Kayaoglu, Ilknur Kivanc-Altunay, Sezgi Sarikaya
OBJECTIVE: To determine infant diaper dermatitis (DD) at pediatrics health center; its relation to socio-demographic factors and infant care. METHODS: The study included 113 infants aged 0-24 mo. Data on infants' age, sex, weight, mothers' education, nutrition, diaper change frequency, cleaning methods and prophylactic cream use were recorded. Infants with minimum one time rash, were accepted to have DD. RESULTS: Seventy six (67.3 %) infants had DD [32 girls (42...
October 2015: Indian Journal of Pediatrics
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