Ersoy-Evans S, Akıncı H, Doğan S, Atakan N, et al.
Pediatric dermatology. Date of publication 2016 May 1;volume 33(3):332-6.
1. Pediatr Dermatol. 2016 May;33(3):332-6. doi: 10.1111/pde.12860. Epub 2016 Apr
4.
Diaper Dermatitis: A Review of 63 Children.
Ersoy-Evans S(1), Akıncı H(1), Doğan S(1), Atakan N(1).
Author information:
(1)Department of Dermatology, Hacettepe University, School of Medicine, Ankara,
Turkey.
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). Most of the patients (43.5%) were 0 to 6 months
of age. In all, 76.3% were breastfed, of whom 31.7% were exclusively breastfed.
The number of previous episodes of DD was significantly lower in breastfed
babies. The most common diaper area cleansing method was wet wipes (54.1%).
Diaper creams were used in 86.2% of patients. DD was severe in 22.2% of
patients, moderate in 57.4%, and mild in 20.4%. Candida infection was noted in
77.4% of patients. The median number of previous episodes of DD was
significantly higher in patients with Candida infection than in those without (p
= 0.02). Treatment yielded greater than 50% improvement (complete and moderate
response) in 59.4% of patients at the first follow-up visit (3-5 days) and 82.6%
at the second follow-up visit (10 days).
CONCLUSION: Most babies with DD were 0 to 6 months of age. Breastfed babies had
fewer previous episodes of DD, so mothers should be encouraged to breastfeed
their babies to reduce the incidence of DD. Candida infection was common;
clinicians should be aware of its association with DD.
© 2016 Wiley Periodicals, Inc.
DOI: 10.1111/pde.12860
PMID: 27040137 [Indexed for MEDLINE]
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