Preview

Meditsinskiy sovet = Medical Council

Advanced search

Prevention of diaper rash in newborns and children under 1 year old: results of a clinical study

https://doi.org/10.21518/ms2024-286

Abstract

Introduction. Modern preventive measures of skin diseases aim to maintain the protective skin barrier. The area that comes in direct contact with the diaper becomes excessively wet, the corneous layer is damaged, which results in a weakened barrier function of the epidermis and the occurrence of an inflammatory process, diaper dermatitis.

Aim. To study the clinical efficacy and safety of the use of disposable diapers and pull up pants in full-term and premature infants from birth to 1 year of age to prevent diaper dermatitis.

Materials and methods. A total of 45 full-term and premature children under 1 year old with various diseases, including skin eruptions in the area covered by the diaper were included in the study. The proposed care products were used for 14 days on the strict condition that they would be reapplied after defecation and during hygiene procedures in a timely manner. The skin status was assessed visually by a paediatrician from Day 1 to 14 of the study using the M. Odio skin assessment scale.

Results. The M. Odio scale evaluation of the skin around waist, buttocks, genitals, anal region, and inguinal folds in all children on Days 1, 7 and 14 showed 0 scores. No adverse events were reported during assessment of the skin status over 14 days of the use of care products.

Discussion. The observations were consistent with the previously published data demonstrating that maintenance of the functional characteristics of the skin in the area covered by the diaper and exposed to faecal and urinary enzymes, elevated temperature and humidity prevented the development of diaper dermatitis and skin diseases.

Conclusion. No signs of diaper dermatitis were detected in all 45 full-term and premature children under 1 year old, including children with various diseases, during 2 weeks of application of disposable Tanoshi Premium diapers and pull up pants in clinical practice. This fact proves the safety and good tolerance of disposable diapers by children under 1 year old provided that the skin care requirements were met. Tanoshi Premium diapers and pull up pants can be recommended for babies of different ages and body weights, including those with diaper dermatitis.

About the Authors

I. I. Ryumina
Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology
Russian Federation

Irina I. Ryumina, Dr. Sci. (Med.), Professor, Head of Department of Pathology of Newborns and Premature Babies

4, Academician Oparin St., Moscow, 117997



N. I. Zakharova
Research Clinical Institute of Childhood
Russian Federation

Nina I. Zakharova, Dr. Sci. (Med.), Professor, Chief of the Department

24A, Bldg. 1, Kominterna St., Mytishchi, Moscow Region, 115093



References

1. Keshinyan ES. Anatomical and physiological features of the skin structure in childhood. Meditsinskiy Sovet. 2008;(1-2):57–60. (In Russ.) Available at: https://www.elibrary.ru/item.asp?id=14775599.

2. Oranges T, Dini V, Romanelli M. Skin Physiology of the Neonate and Infant: Clinical Implications. Adv Wound Care (New Rochelle). 2015;4(10):587–595. https://doi.org/10.1089/wound.2015.0642.

3. Stamatas GN, Nikolovski J, Luedtke MA, Kollias N, Wiegand BC. Infant skin microstructure assessed in vivo differs from adult skin in organization and at the cellular level. Pediatr Dermatol. 2010;27(2):125–131. https://doi.org/10.1111/j.1525-1470.2009.00973.x.

4. Zaitseva SV, Zastrozhina AK, Murtazaeva OA. Skin barrier of young children. Prevention of dermatitis. Meditsinskiy Sovet. 2015;(6):18–23. (In Russ.) Available at: https://www.med-sovet.pro/jour/article/view/186.

5. Saverskaya EN. Diaper Dermatitis: answers to questions most frequently asked by pediatricians and parents in the light of recent global trends. Meditsinskiy Sovet. 2019;(11):127–134. (In Russ.) https://doi.org/10.21518/2079-701X-2019-11-127-134.

6. Murashkin NN, Kruglova LS, Materikin AI, Ambarchian ET, Epishev RV. Problems of Prevention and Treatment of Diaper Dermatitis in Children within the Current Concepts of the Disease Pathogenesis. Pediatric Pharmacology. 2018;15(1):86–89. (In Russ.) https://doi.org/10.15690/pf.v15i1.1847.

7. Keshishyan ES, Sakharova ES, Afanasyeva NV. Diaper dermatitis. The role of a nurse in the care of a baby with diaper dermatitis. Meditsinskiy Sovet. 2019;(2):33–37. (In Russ.) https://doi.org/10.21518/2079-701X-2019-2-33-37.

8. Keshishian ES, Sakharova ЕS, Afanasieva NV. The liaison nurse’s role in the newborn period. Meditsinskiy Sovet. 2019;(11):34–40. (In Russ.) https://doi.org/10.21518/2079-701X-2019-11-34-40.

9. Zakharova IN, Pshenichnikova II, Tvorogova TM. Diaper dermatitis: differential diagnosis and prevention issues. Meditsinskiy Sovet. 2021;(1):14–19. (In Russ.) https://doi.org/10.21518/2079-701X-2021-1-14-19.

10. Visscher MO. Recent advances in diaper dermatitis: Etiology and treatment. Pediatric Health. 2009;3(1):81–98. https://doi.org/10.2217/17455111.3.1.81.

11. Sharova NM. Approaches to treatment and prevention of diaper dermatitis. Meditsinskiy Sovet. 2018;(11):27–30. (In Russ.) https://doi.org/10.21518/2079-701X-2018-11-27-30.

12. Stamatas GN, Tierney NK. Diaper dermatitis: etiology, manifestations, prevention, and management. Pediatr Dermatol. 2014;31(1):1–7. https://doi.org/10.1111/pde.12245.

13. Tamrazova OB, Stadnikova AS. New ideas about the etiopathogenesis of atopic dermatitis and tactics of patients. Pediatrics. Consilium Medicum. 2015;(1):64–69. (In Russ.) Available at: https://omnidoctor.ru/library/izdaniya-dlya-vrachey/pediatriya-consilium-medicum/ped2015/ped2015_1/novye-predstavleniya-ob-etiopatogeneze-atopicheskogodermatita-i-taktike-vedeniya-bolnykh/.

14. Zakharova NI, Yakornova GV, Leonova IA. Epidermal protection. StatusPraesens (Pediatrics and Neonatology). 2019;1(56):64–72. (In Russ.) Available at: https://www.elibrary.ru/item.asp?edn=wiglne.

15. Koryukina EB, Selivanov DI. Diaper dermatitis in infants: problems of treatment. Klinicheskaya Dermatologiya i Venerologiya. 2017;16(2):107–111. (In Russ.) Available at: https://elibrary.ru/ytdnqj.

16. Burdall O, Willgress L, Goad N. Neonatal skin care: developments in care to maintain neonatal barrier function and prevention of diaper dermatitis. Pediatr. Dermatol. 2019;36(1):31–35. https://doi.org/10.1111/pde.13714.

17. Coughlin CC, Eichenfield LF, Frieden IJ. Diaper dermatitis: clinical characteristics and differential diagnosis. Pediatric Dermatology. 2014;31(1):19–24. https://doi.org/10.1111/pde.12500.

18. Keshishian ES. Disposable diapers: pros and cons. Lechaschi Vrach. 2007;(1). (In Russ.) Available at: https://www.lvrach.ru/2007/01/4534609.

19. Molokova GV, Bukina EV. Diaper dermatitis in infants with sensitive skin. Pediatrics. Consilium Medicum. 2019;(1):116–118. (In Russ.) Available at: https://omnidoctor.ru/upload/iblock/c75/c7555229ac6c90843ffbda13c7c22573.pdf.

20. Odio M, Thaman L. Diapering, diaper technology, and diaper area skin health. Pediatr Dermatol. 2014;31(1 Suppl):9–14. https://doi.org/10.1111/pde.12501.

21. Ryumina II. Prevention and treatment of diaper dermatitis in neonatal care hospital. Current Pediatrics. 2015;14(2):298–299. (In Russ.) https://doi.org/10.15690/vsp.v14i2.1302.

22. Vishneva EA, Namazova LS, Ivardava ME. Using disposable diapers as possible way to prevent infant diaper dermatitis. Pediatric Pharmacology. 2008;5(1):87–89. (In Russ.) Available at: https://elibrary.ru/jsikxb.

23. Zakharova NI, Odinaev ND, Gryzunova AS, Shvedova MA. Possible use of disposable nappies for the prevention of diaper dermatitis in newborns and babies under 2 years of age. 2023;22(3):76–80. Doktor.Ru. (In Russ.) https://doi.org/10.31550/1727-2378-2023-22-3-76-80.


Review

For citations:


Ryumina II, Zakharova NI. Prevention of diaper rash in newborns and children under 1 year old: results of a clinical study. Meditsinskiy sovet = Medical Council. 2024;(11):18–23. (In Russ.) https://doi.org/10.21518/ms2024-286

Views: 225


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2079-701X (Print)
ISSN 2658-5790 (Online)