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Медицинский Совет

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Пеленочный дерматит: ответы на вопросы педиатров и родителей в свете современных мировых тенденций

https://doi.org/10.21518/2079-701X-2019-11-127-134

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Аннотация

В обзорной статье приводятся современные данные по вопросам терминологии, распространенности, этиопатогенеза, клиники и дифференциальной диагностики дерматита подгузников (ДП). Особое внимание уделено подходам к предупреждению и лечению ДП. Современные смягчающие и увлажняющие средства, технологии производства и возможности суперпоглощающих подгузников позволили значительно облегчить уход за кожей у новорожденных и младенцев, уменьшить частоту и тяжесть клинических проявлений данного заболевания. Повышение осведомленности родителей и обучение их навыкам ухода за кожей ребенка являются залогом успешной профилактики ДП.

Об авторе

Е. Н. Саверская
Федеральное государственное бюджетное образовательное учреждение высшего образования «Московский государственный университет пищевых производств», Медицинский институт непрерывного образования
Россия

Саверская Елена Николаевна – доктор медицинских наук, врач-дерматовенеролог, клинический фармаколог, профессор кафедры фармации Медицинского института непрерывного образования

125080, г. Москва, Волоколамское ш., д. 11



Список литературы

1. Adalat S., Wall D., Goodyear H. Diaper dermatitisfrequency and con-tributory factors in hospital attending children. Pediatr Dermatol. 2007;24:483-488.

2. Adam R. Skin care of the diaper area. Pediatr Dermatol. 2008;25:427‐433.

3. Andersen P.H., Bucher A.P., Saeed I. et al. Faecal enzymes: in vivo human skin irritation. Contact Dermatitis. 1994;30:152–158.

4. Atherton D.J. The aetiology and management of irritant diaper dermatitis. J Eur Acad Dermatol Venereol. 2001;15(Suppl 1):1–4.

5. Atherton D.J. A review of the pathophysiology, prevention and treat-ment of irritant diaper dermatitis. Curr Med Res Opin. 2004;20:645-649.

6. Atherton D.J. Understanding irritant napkin dermatitis. Int J Dermatol. 2016;55(suppl 1):7‐9.

7. Bender J.K., Faergemann J., Skold M. Skin health connected to the use of absorbent hygiene products: a review. Dermatol Ther (Heidelb). 2017;7:319‐330.

8. Berg R.W., Buckingham K.W., Stewart R.L. Etiologic factors in diaper dermatitis: the role of urine. Pediatr Dermatol. 1986;3:102–106.

9. Bewley A., Dermatology Working Group. Expert consensus: time for a change in the way we advise our patients to use topical corticosteroids. Br J Dermatol. 2008;158:917‐920.

10. Blanco D., van Rossem K. A prospective twoyear assessment of miconazole resistance in Candida spp. with repeated treatment with 0.25% miconazole nitrate ointment in neonates and infants with moderate to severe diaper dermatitis complicated by cutaneous candidiasis. Pediatr Dermatol. 2013;30:717‐724.

11. Blume-Peytavi U., Hauser M., Lunnemann L., et al. Prevention of dia-per dermatitis in infants–a literature review. Pediatr Dermatol. 2014;31:413-429.

12. Blume‐Peytavi U., Lavender T., Jenerowicz D., et al. Recommendations from a European roundtable meeting on best practice healthy infant skin care. Pediatr Dermatol. 2016;33:311‐321.

13. Blume-Peytavi U., Kanti V. Prevention and treatment of diaper dermatitis. Pediatric Dermatology. 2018;35:s19–s23.

14. Boiko S. Treatment of diaper dermatitis. Dermatologic Clinics. 1999;17(1):235–240.

15. Bonifaz A., Rojas R., Tirado‐Sanchez A., et al. Superficial mycoses associated with diaper dermatitis. Mycopathologia. 2016;181:671‐679.

16. Buckingham K.W., Berg R.W. Etiologic factors in diaper dermatitis: the role of feces. Pediatr Dermatol. 1986;3:107–112.

17. Brook I. Microbiology of secondarily infected diaper dermatitis. Int J Dermatol. 1992;31:700–702.

18. Brown W.M., Berg J.E., Li Q. et al. A clinical study to evaluate the efficacy of two marketed zinc oxide-based diaper rash ointments in children with diaper dermatitis. Clinical Dermatology Conference. Las Vegas, NV, 2006.

19. Coughlin C.C., Eichenfield L.F., Frieden I.J. Diaper dermatitis: clinical characteristics and differential diagnosis. Pediatr Dermatol. 2014;31(Suppl 1):19‐24.

20. Counts J., Weisbrod A., Yin S. Common Diaper Ingredient Questions: Modern Disposable Diaper Materials Are Safe and Extensively Tested. Clinical Pediatrics. 2017;56(5S):23S–27S.

21. Dyer D. Seven decades of disposable diapers: a record of continuous innovation and expanding benefit. http://www.edana.org/docs/defaultsource/default-document-library/seven-decadesofdisposable-diapers.pdf?sfvrsn=2.Published August 2005. Accessed February 8, 2017.

22. Ferrazzini G., Kaiser R.R., Hirsig Cheng S.K. et al. Microbiological aspects of diaper dermatitis. Dermatology. 2003;206:136–141.

23. Folster-Holst R., Buchner M., Proksch E. Diaper dermatitis. Hautarzt. 2011;62:699-708.

24. Folster-Holst R. Differential diagnoses of diaper dermatitis. Pediatr Dermatol. 2018 Mar;35(Suppl 1):s10-s18. doi: 10.1111/pde.13484.

25. Fluhr J.W., Darlenski R., Lachmann N., Baudouin C., Msika P., De Belilovsky C. & Hachem J.P. Infant epidermal skin physiology: Adaptation aft er birth. British Journal of Dermatology. 2012;166(3): 483–490. doi:10.1111/j.1365-2133.2011.10659.х.

26. Jordan W.E., Lawson K.D., Berg R.W., et al. Diaper dermatitis: fre-quency and severity among a general infant population. Pediatr Dermatol. 1986;3:198-207.

27. Georgios N.S., Neena K.T. Diaper Dermatitis: Etiology, Manifestations, Prevention, and Management. Pediatric Dermatology. 2014;31(1):1–7.

28. Gupta A.K., Skinner A.R. Management of diaper dermatitis. Int J Dermatol. 2004;43:830‐834.

29. Hoeger P.H., & Enzmann C.C. Skin physiology of the neonate and young infant: A prospective study of functional skin parameters during early infancy. Pediatric Dermatology. 2002;19(3):256–262.

30. Humphrey S., Bergman J.N., Au S. Practical management strategies for diaper dermatitis. Skin Therapy Lett. 2006;11:1‐6.

31. Kalia Y.N., Nonato L.B., Lund C.H. & Guy R.H. Development of skin barrier function in premature infants. Journal of Investigative Dermatology. 1998;111(2):320–326. doi: 10.1046/j.1523-1747.1998.00289.x.

32. Klunk C., Domingues E., Wiss K. An update on diaper dermatitis. Clin Dermatol. 2014;32:477‐487.

33. Kosemund K., Schlatter H., Ochsenhirt J., Krause E., Marsman D., Erasala G. Safety evaluation of superabsorbent baby diapers. Regul Toxicol Pharmacol. 2008;53:81-89.

34. Lavender T., Furber C., Campbell M., et al. Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies: assessorblinded randomised controlled equivalence trial. BMC Pediatr. 2012;12:59.

35. Liu N., Wang X., Odio M. Frequency and severity of diaper dermatitis with use of traditional Chinese cloth diapers: observations in 3to 9-month-old children. Pediatr Dermatol. 2011;28:380–386.

36. Mancini A.J. Skin. Pediatrics. 2004;113:1114–1119.

37. Merrill L. Prevention, Treatment and Parent Education for Diaper Dermatitis. Nursing for Women’s Health. 2015;19(Issue 4):326-337.

38. Nield L.S., Kamat D. Prevention, diagnosis, and management of diaper dermatitis. Clinical Pediatrics. 2007;46(6):480–486.

39. Nikolovski J., Stamatas G.N., Kollias N. & Wiegand B.C. Barrier function and water-holding and transport properties of infant stratum corneum are diff erent from adult and continue to develop through the fi rst year of life. Journal of Investigative Dermatology. 2008;128(7):1728– 1736. doi:10.1038/sj.jid.5701239.

40. Odio M.R., O’Connor R.J., Sarbaugh F., et al. Continuous topical administration of a petrolatum formulation by a novel disposable diaper. 2. Effect on skin condition. Dermatology. 2000;200:238‐243.

41. Odio M., Thaman L. Diapering, diaper technology, and diaper area skin health. Pediatr Dermatol. 2014;31(suppl 1):9‐14.

42. Odio M., Friedlander S.F. Diaper dermatitis and advances in diaper technology. Curr Opin Pediatr. 2000;12:342‐346.

43. Odio M., O’Connor R., Sarbaugh F., Baldwin S. Continuous topical administration of a petrolatum formulation by a novel disposable diaper. 2. Effect on skin condition. Dermatology. 2000;200:238-243.

44. Sikic Pogacar M., Maver U., Marcun Varda N., et al. Diagnosis andmanagement of diaper dermatitis in infants with emphasis on skinmicrobiota in the diaper area. Int J Dermatol. 2017;57:265-275.

45. Schmidt N.A. Salivary cortisol testing in children. Issues Compr Pediatr Nurs. 1998;20:183–190.

46. Scheinfeld N. Diaper dermatitis: a review and brief survey of eruptions of the diaper area. Am J Clin Dermatol. 2005;6:273‐281.

47. Stamatas G.N., Tierney N.K. Diaper dermatitis: etiology, manifestations, prevention, and management. Pediatr Dermatol. 2014;31:1‐7.

48. van Gysel D., Kenneally D., Hatzopoulos I. Skin care and sustainability improvements with baby diaper developments. Eur Obstet Gynaecol Suppl. 2012;7(suppl 1):31‐34.

49. Visscher M.O., Chatterjee R., Munson K.A. et al. Changes in diapered and nondiapered infant skin over the first month of life. Pediatr Dermatol. 2000;17:45–51.

50. Visscher M.O., Adam R., Brink S., Odio M. Newborn infant skin: physiology, development, and care. Clin Dermatol. 2015 May-Jun;33(3):271-80. doi: 10.1016/j.clindermatol.2014.12.003.


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