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Bebek Bezi (Napkin) Dermatitinin Teşhis, Önlenme ve Tedavisi

Year 2023, Volume: 2 Issue: 4, 213 - 218, 25.12.2023
https://doi.org/10.57221/izmirtip.1280466

Abstract

Bebek bezi dermatiti (DD), infant ve çocuklarda en sık görülen cilt hastalığı olup, çocuklarda huzursuzluk, ağrı ve uyku bozuklukları gibi sorunlara neden olabilir. Çocuğun huzursuzluğu ve hastalığı nedeniyle ebeveynler ve bakıcılar üzerinde stres gelişebilir. DD'nin klinik bulgularının bilinmesi ve hastalığın ilerlemeden tedavi edilmesi önemlidir. Bu derlemede DD'de etki eden faktörler, klinik bulgular, tanı, komplikasyonlar, korunma ölçütleri ve yeni tedavi yöntemleri değerlendirilmiştir. Teknoloji ve tıptaki gelişmeler sonucunda DD için alternatif tedavi yöntemleri ve tedavi stratejileri geliştirilmektedir. Koruyucu ve önleyici yöntemler DD'de ilk yaklaşım stratejisi olup, ebeveynlere doğum öncesi ve doğum sonrası eğitim verilmesinin etkili olacağını düşünmekteyiz.

References

  • References 1.Celiksoy MH, Topal E, Haziroglu OZ, Alatas C, Demirtas MS. Characteristics of persistent diaper dermatitis in children with food allergy. Pediatr Dermatol. 2019;36:602-6.
  • 2.Benitez Ojeda AB, Mendez MD. Diaper dermatitis. in: statpearls [internet]. treasure island (fl): statpearls publishing; 2023 jan. https://www.ncbi.nlm.nih.gov/books/NBK559067/
  • 3.Klunk C, Domingues E, Wiss K. An update on diaper dermatitis.Clin Dermatol. 2014;32:477-87.
  • 4.Dall'oglio F, Musumeci Ml, Puglisi DF, Micali G. A novel Treatment of diaper dermatitis in children and adults.J Cosmet Dermatol. 2021;20:1-4.
  • 5.Esser M. Diaper dermatitis: what do we do next? Adv Neonatal Care. 2016;16 suppl 5s:s21-s5.
  • 6.Datta D, Sarkar R, Podder I. Parental stress and quality of life in chronic childhood dermatoses: a review. J Clin Aesthet Dermatol. 2021;14:19-23.
  • 7.Blume-Peytavi U, Kanti V. Prevention and treatment of diaper dermatitis. Pediatr Dermatol. 2018 mar;35 suppl 1:19-23.
  • 8.Demirtaş MS: The pathogenesis of congenital anomalies: roles of teratogens and infections. In: Verma RP, (ed). Congenital anomalies in newborn infants-clinical and etiopathological perspectives. First ed. London, intechopen; 2020. p.15-41.
  • 9.Sikic Pogacar M, Maver U, Marcun Varda N, Micetic-Turk D. Diagnosis and management of diaper dermatitis in infants with emphasis on skin microbiota in the diaper area. Int J Dermatol. 2018;57:265-75.
  • 10.Counts J, Weisbrod A, Yin S. Common diaper ingredient questions: modern disposable diaper materials are safe and extensively tested. Clin Pediatr (Phila). 2017;56:23-7.
  • 11.Atherton DJ. Understanding irritant napkin dermatitis.Int J Dermatol. 2016;55:7-9.
  • 12.Friedlander S, Eichenfield L, Leyden J, Shu J, Spellman M. Diaper dermatitis: appropriate evaluation and optimal management strategies. Medisys Health Communications. 2009:1-16.
  • 13.Cohen B. Differential diagnosis of diaper dermatitis. Clin Pediatr (Phila). 2017;56:16-22.
  • 14.Folster HR. Differential diagnoses of diaper dermatitis. Pediatr Dermatol. 2018;35:10-8.
  • 15.Ficara M, Pietrella E, Spada C, Della Casa Muttini E, Lucaccioni L, Iughetti L, et al. Changes of intestinal microbiota in early life. J Matern Fetal Neonatal Med. 2020;33(6):1036-43.
  • 16.Demirtas MS, Yalcin SS. The use of human milk for therapeutic purposes other than nutrition. Turk Arch Pediatr. 2022;57:255-66.
  • 17.Li CH, Zhu ZH, Dai YH. Diaper dermatitis: a survey of risk factors for children aged 1-24 months in china. J İnt Med Res. 2012;40:1752-60.
  • 18.El-Hodhod MA, Hamdy AM, El-Deeb MT, Elmaraghy MO. Cow's milk allergy is a major contributor in recurrent perianal dermatitis of infants. ISRN Pediatr. 2012:2012:408769.
  • 19.Topal E, Arga M, Celiksoy MH, Kaynak MS, Duman Y, Demirtas S, et al. Demographics and clinical characteristic of patients diagnosed with hen’s egg allergy. Annals of Medical Research. 2019;26:1-4.
  • 20.Topal E, Celiksoy MH, Arga M, Kaynak MS, Duman Y, Demirtas S, et al. Independent predictive factors for the persistence and tolerance of cow's milk allergy. Int Forum Allergy Rhinol. 2019;9:67-71.
  • 21.Stamatas GN, Tierney NK. Diaper dermatitis: etiology, manifestations, prevention, and management. Pediatr Dermatol. 2014;31:1-7.
  • 22.Tuzun Y, Wolf R, Baglam S, Engin B. Diaper (napkin) dermatitis: a fold (intertriginous) dermatosis. Clin Dermatol. 2015;33:477-82.
  • 23.Demirtaş MS. Aksaray ilindeki ebeveynlerin 1-5 yaş arası çocuklarda görülebilen ev kazalarındaki güvenlik önlemleri konusunda bilgi düzeyleri. Aksaray University Journal of Sport and Health Researches. 2022;3:1-12.
  • 24.Merrill L. Prevention, treatment and parent education for diaper dermatitis. Nurs Womens Health. 2015;19:324-36; quiz 37.
  • 25.Shin HT. Diagnosis and management of diaper dermatitis. Pediatr Clin North Am. 2014;61:367-82.
  • 26.Coughlin CC, Frieden IJ, Eichenfield LF. Clinical approaches to skin cleansing of the diaper area: practice and challenges. Pediatr Dermatol. 2014;31:1-4.
  • 27.Lavender T, Furber C, Campbell M, Victor S, Roberts I, Bedwell C, et al. Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies: assessor-blinded randomised controlled equivalence trial. BMC Pediatr. 2012;12:59.
  • 28.Arıkan D, Alemdar DK. Çocuklarda bez dermatiti görülme sıklığının ve yapıland uygulamaların incelenmesi. TAF Preventive Medicine Bulletin. 2013;12:409-16.
  • 29.Heimall LM, Storey B, Stellar JJ, Davis KF. Beginning at the bottom: evidence-based care of diaper dermatitis. Am J Matern Child Nurs. 2012;37:10-6.
  • 30.Carr AN, Dewitt T, Cork MJ, Eichenfield LF, Folster-Holst R, Hohl D, et al. Diaper dermatitis prevalence and severity: global perspective on the impact of caregiver behavior. Pediatr Dermatol. 2020;37:130-6.
  • 31.Chaithirayanon S. Comparative study between talcum and zinc oxide cream for the prevention of irritant contact diaper dermatitis in infants. J Med Assoc Thai. 2016;99:1-6.
  • 32.Alonso C, Larburu I, Bon E, Gonzalez MM, Iglesias MT, Urreta I, et al. Efficacy of petrolatum jelly for the prevention of diaper rash: a randomized clinical trial. J Spec Pediatr Nurs. 2013;18:123-32.
  • 33.Proksch E, Nissen HP, Bremgartner M, Urquhart C. Bathing in a magnesium-rich dead sea salt solution improves skin barrier function, enhances skin hydration, and reduces inflammation in atopic dry skin. Int J Dermatol. 2005;44:151-7.
  • 34.Nourbakhsh SM, Rouhi-Boroujeni H, Kheiri M, Mobasheri M, Shirani M, Ahrani S, et al. Effect of topical application of the cream containing magnesium 2% on treatment of diaper dermatitis and diaper rash in children a clinical trial study. J Clin Diagn Res. 2016;10:wc04-6.
  • 35. Sharifi-Heris Z, Farahani LA, Haghani H, Abdoli-Oskouee S, Hasanpoor-Azghady SB. Comparison the effects of topical application of olive and calendula ointments on children's diaper dermatitis: a triple-blind randomized clinical trial. Dermatol Ther. 2018;31:e12731.
  • 36.Demirtaş MS, Erdal H. Sources used to obtain information and their impact on the mothers' complementary feeding practices. Annals Clin Analyt Med. 2021:1-5.
  • 37.Yalcin SS, Demirtas MS, Yalcin S. Breastfeeding while pregnant: a country-wide population study. Breastfeed Med. 2021;16(10):827-34.

Diagnosis, Prevention and Management of Diaper (Napkin) Dermatitis

Year 2023, Volume: 2 Issue: 4, 213 - 218, 25.12.2023
https://doi.org/10.57221/izmirtip.1280466

Abstract

Diaper Dermatitis (DD) is the most common skin disease in infants and children, and may cause problems such as restless, pain and sleep disorders. Stress can also develop on parents and caregivers due to their child's restlessness and illness. It is important to know the clinical findings of DD and to treat the disease before it progresses. In this review, factors, clinical findings, diagnosis, complications, prevention measurement and new treatment methods in DD was evaluated. Alternative treatment methods and treatment strategies are being developed for DD as a result of advances in technology and medicine. Protective and preventive methods are the first approach strategy in DD, and we think that it will be effective to provide training to parents before and after birth.

References

  • References 1.Celiksoy MH, Topal E, Haziroglu OZ, Alatas C, Demirtas MS. Characteristics of persistent diaper dermatitis in children with food allergy. Pediatr Dermatol. 2019;36:602-6.
  • 2.Benitez Ojeda AB, Mendez MD. Diaper dermatitis. in: statpearls [internet]. treasure island (fl): statpearls publishing; 2023 jan. https://www.ncbi.nlm.nih.gov/books/NBK559067/
  • 3.Klunk C, Domingues E, Wiss K. An update on diaper dermatitis.Clin Dermatol. 2014;32:477-87.
  • 4.Dall'oglio F, Musumeci Ml, Puglisi DF, Micali G. A novel Treatment of diaper dermatitis in children and adults.J Cosmet Dermatol. 2021;20:1-4.
  • 5.Esser M. Diaper dermatitis: what do we do next? Adv Neonatal Care. 2016;16 suppl 5s:s21-s5.
  • 6.Datta D, Sarkar R, Podder I. Parental stress and quality of life in chronic childhood dermatoses: a review. J Clin Aesthet Dermatol. 2021;14:19-23.
  • 7.Blume-Peytavi U, Kanti V. Prevention and treatment of diaper dermatitis. Pediatr Dermatol. 2018 mar;35 suppl 1:19-23.
  • 8.Demirtaş MS: The pathogenesis of congenital anomalies: roles of teratogens and infections. In: Verma RP, (ed). Congenital anomalies in newborn infants-clinical and etiopathological perspectives. First ed. London, intechopen; 2020. p.15-41.
  • 9.Sikic Pogacar M, Maver U, Marcun Varda N, Micetic-Turk D. Diagnosis and management of diaper dermatitis in infants with emphasis on skin microbiota in the diaper area. Int J Dermatol. 2018;57:265-75.
  • 10.Counts J, Weisbrod A, Yin S. Common diaper ingredient questions: modern disposable diaper materials are safe and extensively tested. Clin Pediatr (Phila). 2017;56:23-7.
  • 11.Atherton DJ. Understanding irritant napkin dermatitis.Int J Dermatol. 2016;55:7-9.
  • 12.Friedlander S, Eichenfield L, Leyden J, Shu J, Spellman M. Diaper dermatitis: appropriate evaluation and optimal management strategies. Medisys Health Communications. 2009:1-16.
  • 13.Cohen B. Differential diagnosis of diaper dermatitis. Clin Pediatr (Phila). 2017;56:16-22.
  • 14.Folster HR. Differential diagnoses of diaper dermatitis. Pediatr Dermatol. 2018;35:10-8.
  • 15.Ficara M, Pietrella E, Spada C, Della Casa Muttini E, Lucaccioni L, Iughetti L, et al. Changes of intestinal microbiota in early life. J Matern Fetal Neonatal Med. 2020;33(6):1036-43.
  • 16.Demirtas MS, Yalcin SS. The use of human milk for therapeutic purposes other than nutrition. Turk Arch Pediatr. 2022;57:255-66.
  • 17.Li CH, Zhu ZH, Dai YH. Diaper dermatitis: a survey of risk factors for children aged 1-24 months in china. J İnt Med Res. 2012;40:1752-60.
  • 18.El-Hodhod MA, Hamdy AM, El-Deeb MT, Elmaraghy MO. Cow's milk allergy is a major contributor in recurrent perianal dermatitis of infants. ISRN Pediatr. 2012:2012:408769.
  • 19.Topal E, Arga M, Celiksoy MH, Kaynak MS, Duman Y, Demirtas S, et al. Demographics and clinical characteristic of patients diagnosed with hen’s egg allergy. Annals of Medical Research. 2019;26:1-4.
  • 20.Topal E, Celiksoy MH, Arga M, Kaynak MS, Duman Y, Demirtas S, et al. Independent predictive factors for the persistence and tolerance of cow's milk allergy. Int Forum Allergy Rhinol. 2019;9:67-71.
  • 21.Stamatas GN, Tierney NK. Diaper dermatitis: etiology, manifestations, prevention, and management. Pediatr Dermatol. 2014;31:1-7.
  • 22.Tuzun Y, Wolf R, Baglam S, Engin B. Diaper (napkin) dermatitis: a fold (intertriginous) dermatosis. Clin Dermatol. 2015;33:477-82.
  • 23.Demirtaş MS. Aksaray ilindeki ebeveynlerin 1-5 yaş arası çocuklarda görülebilen ev kazalarındaki güvenlik önlemleri konusunda bilgi düzeyleri. Aksaray University Journal of Sport and Health Researches. 2022;3:1-12.
  • 24.Merrill L. Prevention, treatment and parent education for diaper dermatitis. Nurs Womens Health. 2015;19:324-36; quiz 37.
  • 25.Shin HT. Diagnosis and management of diaper dermatitis. Pediatr Clin North Am. 2014;61:367-82.
  • 26.Coughlin CC, Frieden IJ, Eichenfield LF. Clinical approaches to skin cleansing of the diaper area: practice and challenges. Pediatr Dermatol. 2014;31:1-4.
  • 27.Lavender T, Furber C, Campbell M, Victor S, Roberts I, Bedwell C, et al. Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies: assessor-blinded randomised controlled equivalence trial. BMC Pediatr. 2012;12:59.
  • 28.Arıkan D, Alemdar DK. Çocuklarda bez dermatiti görülme sıklığının ve yapıland uygulamaların incelenmesi. TAF Preventive Medicine Bulletin. 2013;12:409-16.
  • 29.Heimall LM, Storey B, Stellar JJ, Davis KF. Beginning at the bottom: evidence-based care of diaper dermatitis. Am J Matern Child Nurs. 2012;37:10-6.
  • 30.Carr AN, Dewitt T, Cork MJ, Eichenfield LF, Folster-Holst R, Hohl D, et al. Diaper dermatitis prevalence and severity: global perspective on the impact of caregiver behavior. Pediatr Dermatol. 2020;37:130-6.
  • 31.Chaithirayanon S. Comparative study between talcum and zinc oxide cream for the prevention of irritant contact diaper dermatitis in infants. J Med Assoc Thai. 2016;99:1-6.
  • 32.Alonso C, Larburu I, Bon E, Gonzalez MM, Iglesias MT, Urreta I, et al. Efficacy of petrolatum jelly for the prevention of diaper rash: a randomized clinical trial. J Spec Pediatr Nurs. 2013;18:123-32.
  • 33.Proksch E, Nissen HP, Bremgartner M, Urquhart C. Bathing in a magnesium-rich dead sea salt solution improves skin barrier function, enhances skin hydration, and reduces inflammation in atopic dry skin. Int J Dermatol. 2005;44:151-7.
  • 34.Nourbakhsh SM, Rouhi-Boroujeni H, Kheiri M, Mobasheri M, Shirani M, Ahrani S, et al. Effect of topical application of the cream containing magnesium 2% on treatment of diaper dermatitis and diaper rash in children a clinical trial study. J Clin Diagn Res. 2016;10:wc04-6.
  • 35. Sharifi-Heris Z, Farahani LA, Haghani H, Abdoli-Oskouee S, Hasanpoor-Azghady SB. Comparison the effects of topical application of olive and calendula ointments on children's diaper dermatitis: a triple-blind randomized clinical trial. Dermatol Ther. 2018;31:e12731.
  • 36.Demirtaş MS, Erdal H. Sources used to obtain information and their impact on the mothers' complementary feeding practices. Annals Clin Analyt Med. 2021:1-5.
  • 37.Yalcin SS, Demirtas MS, Yalcin S. Breastfeeding while pregnant: a country-wide population study. Breastfeed Med. 2021;16(10):827-34.
There are 37 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Reviews
Authors

Mehmet Semih Demirtaş 0000-0003-2965-1811

Nihal Yaman Artunc 0000-0002-0118-6439

Nurettin Alıcı 0000-0002-5333-5280

Huzeyfe Kulu 0000-0002-5293-0037

Publication Date December 25, 2023
Submission Date April 11, 2023
Published in Issue Year 2023 Volume: 2 Issue: 4

Cite

APA Demirtaş, M. S., Artunc, N. Y., Alıcı, N., Kulu, H. (2023). Diagnosis, Prevention and Management of Diaper (Napkin) Dermatitis. İzmir Tıp Fakültesi Dergisi, 2(4), 213-218. https://doi.org/10.57221/izmirtip.1280466
AMA Demirtaş MS, Artunc NY, Alıcı N, Kulu H. Diagnosis, Prevention and Management of Diaper (Napkin) Dermatitis. Journal of Izmir Med. Faculty. December 2023;2(4):213-218. doi:10.57221/izmirtip.1280466
Chicago Demirtaş, Mehmet Semih, Nihal Yaman Artunc, Nurettin Alıcı, and Huzeyfe Kulu. “Diagnosis, Prevention and Management of Diaper (Napkin) Dermatitis”. İzmir Tıp Fakültesi Dergisi 2, no. 4 (December 2023): 213-18. https://doi.org/10.57221/izmirtip.1280466.
EndNote Demirtaş MS, Artunc NY, Alıcı N, Kulu H (December 1, 2023) Diagnosis, Prevention and Management of Diaper (Napkin) Dermatitis. İzmir Tıp Fakültesi Dergisi 2 4 213–218.
IEEE M. S. Demirtaş, N. Y. Artunc, N. Alıcı, and H. Kulu, “Diagnosis, Prevention and Management of Diaper (Napkin) Dermatitis”, Journal of Izmir Med. Faculty, vol. 2, no. 4, pp. 213–218, 2023, doi: 10.57221/izmirtip.1280466.
ISNAD Demirtaş, Mehmet Semih et al. “Diagnosis, Prevention and Management of Diaper (Napkin) Dermatitis”. İzmir Tıp Fakültesi Dergisi 2/4 (December 2023), 213-218. https://doi.org/10.57221/izmirtip.1280466.
JAMA Demirtaş MS, Artunc NY, Alıcı N, Kulu H. Diagnosis, Prevention and Management of Diaper (Napkin) Dermatitis. Journal of Izmir Med. Faculty. 2023;2:213–218.
MLA Demirtaş, Mehmet Semih et al. “Diagnosis, Prevention and Management of Diaper (Napkin) Dermatitis”. İzmir Tıp Fakültesi Dergisi, vol. 2, no. 4, 2023, pp. 213-8, doi:10.57221/izmirtip.1280466.
Vancouver Demirtaş MS, Artunc NY, Alıcı N, Kulu H. Diagnosis, Prevention and Management of Diaper (Napkin) Dermatitis. Journal of Izmir Med. Faculty. 2023;2(4):213-8.