Balaguer-López E, Estañ-Capell J, Rodrígez Dolz MC, Barberá Ventura MC, Ruescas López M, García-Molina P, et al.
Anales de pediatria. Date of publication 2024 Jun 1;volume 100(6):420-427.
1. An Pediatr (Engl Ed). 2024 Jun;100(6):420-427. doi:
10.1016/j.anpede.2024.04.015. Epub 2024 Jun 3.
Incidence of incontinence-associated dermatitis in hospitalised neonates.
Adaptation and validation of a severity scale.
Balaguer-López E(1), Estañ-Capell J(2), Rodrígez Dolz MC(3), Barberá Ventura
MC(4), Ruescas López M(5), García-Molina P(6).
Author information:
(1)Servicio Pediatría, Hospital Clínico Universitario de Valencia, Departamento
Enfermería. Universidad de Valencia, Valencia, Spain; Grupo Asociado de
Investigación en Cuidados, Fundación INCLIVA, Valencia, Spain. Electronic
address: escafran@uv.es.
(2)Servicio Pediatría, Hospital Clínico Universitario de Valencia, Departamento
Pediatría, Universidad de Valencia, Valencia, Spain.
(3)Servicio Pediatría, Hospital Clínico Universitario de Valencia, Departamento
Enfermería. Universidad de Valencia, Valencia, Spain; Grupo Asociado de
Investigación en Cuidados, Fundación INCLIVA, Valencia, Spain.
(4)Servicio Preventiva y Calidad, Hospital Clínico Universitario de Valencia,
Departamento Enfermería, Universidad de Valencia, Valencia, Spain; Grupo
Asociado de Investigación en Cuidados, Fundación INCLIVA, Valencia, Spain.
(5)Servicio Dermatología, Hospital Clínico Universitario de Valencia, Valencia,
Spain; Grupo Asociado de Investigación en Cuidados, Fundación INCLIVA, Valencia,
Spain.
(6)Servicio Pediatría, Hospital Clínico Universitario de Valencia, Departamento
Enfermería. Universidad de Valencia, Valencia, Spain; Grupo Asociado de
Investigación en Cuidados, Fundación INCLIVA, Valencia, Spain; Unidad Enfermera
de Úlceras y Heridas Compleja, Hospital Clínico Universitario de Valencia,
Valencia, Spain.
INTRODUCTION: Up to 60% of hospitalised neonates may develop
incontinence-associated dermatitis (IAD). Our aim was to adapt the Clinical
Evaluation Scale for Characterization of the Severity of Diaper Dermatitis to
the Spanish population and to find out the nationwide frequency of IAD in
hospitalized neonates.
METHODS: Cross-cultural adaptation and assessment of content validity of the
scale. We carried out a prospective, multicentre observational study of the
incidence of nappy rash in postnatal wards and neonatal intensive care units in
6 Spanish hospitals.
RESULTS: We obtained a content validity index of 0.869 for the total scale (95%
CI, 0.742-0.939). The sample included 196 neonates. The cumulative incidence of
IAD was 32.1% (9.1% mild-moderate, 8% moderate and 1.6% severe). The incidence
rate was 2.2 IAD cases per 100 patient days. A stool pH of less than 5.5, a
greater number of bowel movements a day, a greater daily urine output and the
use of oral drugs were among the factors associated with the development of IAD.
CONCLUSION: The Spanish version of the Clinical Evaluation Scale for
Characterization of the Severity of Diaper Dermatitis had an adequate content
validity for the assessment of DAI in the hospitalised neonatal population.
Mixed feeding, treatment with oral drugs and the use of medical devices in the
perianal area were associated with an increased risk of nappy dermatitis in
infants.
Copyright © 2024 Asociación Española de Pediatría. Published by Elsevier España,
S.L.U. All rights reserved.
DOI: 10.1016/j.anpede.2024.04.015
PMID: 38834435 [Indexed for MEDLINE]
