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Diaper dermatitis

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https://www.readbyqxmd.com/read/28523895/skin-ph-and-transepidermal-water-loss-values-in-children-with-diaper-dermatitis-in-ibadan-nigeria
#1
Adewale Owa, Regina Oladokun, Kikelomo Osinusi
BACKGROUND/OBJECTIVES: Diaper dermatitis (DD) is one of the most common skin conditions in infants and young children. Among the factors associated with greater frequency of DD are high skin pH and transepidermal water loss (TEWL). This study examined the prevalence of DD in healthy black children in Nigeria and evaluated the association between skin surface pH, TEWL, and DD in this population. METHODS: The study was cross-sectional in design and involved children younger than 2 years attending eight immunization clinics in Ibadan, Nigeria (N = 424)...
May 2017: Pediatric Dermatology
https://www.readbyqxmd.com/read/28438923/reduced-concentration-clavulanate-for-young-children-with-acute-otitis-media
#2
Alejandro Hoberman, Jack L Paradise, Howard E Rockette, Jong-Hyeon Jeong, Diana H Kearney, Sonika Bhatnagar, Timothy R Shope, Gysella Muñiz, Judith M Martin, Marcia Kurs-Lasky, Mary Ann Haralam, Marcia A Pope, Jennifer P Nagg, Wenchen Zhao, Mohammad Kowser Miah, Jan Beumer, Raman Venkataramanan, Nader Shaikh
Amoxicillin/clavulanate (A/C), is currently the most effective oral antimicrobial in treating children with acute otitis media (AOM), but standard dosage of 90/6.4 mg/kg/day commonly causes diarrhea. We examined whether an A/C formulation containing lower concentrations of clavulanate would result in less diarrhea, while maintaining plasma levels of amoxicillin and clavulanate adequate to eradicate middle-ear pathogens and achieve clinical success. We conducted an open-label study in children aged 6 to 23 months with AOM...
April 24, 2017: Antimicrobial Agents and Chemotherapy
https://www.readbyqxmd.com/read/28420253/myths-on-chemical-burns-in-the-diaper-area
#3
Kara Shah
Over the past several years, a number of articles and online posts have circulated on the Internet associating use of disposable and cloth diapers with chemical burns on babies' skin. Because both mild chemical burns and diaper dermatitis (diaper rash) can cause skin redness and peeling, it is not surprising that some confusion has arisen regarding the association between these two conditions. However, diapers cannot cause chemical burns because they are made of inert materials. Diaper rash and chemical burns are distinct conditions that require different evaluation and treatment, which is why it is important for pediatricians to help parents understand the difference...
May 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28420252/diaper-dermatitis-facts-and-misinformation
#4
Russell W Steele
No abstract text is available yet for this article.
May 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28420251/differential-diagnosis-of-diaper-dermatitis
#5
Bernard Cohen
Mild diaper dermatitis often occurs in children before toilet training is complete, particularly from 9 to 12 months of age, and the most common presentation is an irritant contact dermatitis. Diaper dermatitis may account for up to 25% of dermatology visits to health care providers during the first year of life. Fortunately, since the introduction of hypoallergenic, superabsorbent modern disposable diapers, the incidence and severity of irritant and allergic contact dermatitis has decreased dramatically. Diaper dermatitis broadly refers to skin disorders that occur in the diaper area, such as skin eruptions triggered by diapers, rashes exacerbated by the diaper, and other events that occur in the diaper area...
May 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28300437/botanicals-with-dermatologic-properties-derived-from-first-nations-healing
#6
Sophia Colantonio, Jason K Rivers
INTRODUCTION: Plants and algae have played a central role in the treatment of skin conditions in both traditional First Nations healing and in modern dermatology. The objective of this study was to examine the evidence supporting the dermatological use of seaweed, witch hazel, bearberry, and mayapple. METHODS: Four plants and algae used in traditional First Nations treatments of skin disease were selected based on expert recommendations. Several databases were searched to identify relevant citations without language restrictions...
December 1, 2016: Journal of Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/28196316/common-skin-conditions-in-children-neonatal-skin-lesions
#7
Brian Z Rayala, Dean S Morrell
Skin findings during the initial month of life are ubiquitous. One study estimated that more than 95% of newborns have cutaneous findings, which often are distressing to parents but frequently are benign and self-limited. Among them are milia, cutis marmorata, congenital dermal melanocytosis, and the benign neonatal pustular eruptions (eg, benign cephalic pustulosis, erythema toxicum neonatorum, transient neonatal pustular melanosis). Clinicians need to recognize these benign skin conditions and differentiate them from more serious conditions, such as infectious pustular eruptions from bacterial, viral, and fungal causes, and inflammatory conditions, such as Langerhans cell histiocytosis...
February 2017: FP Essentials
https://www.readbyqxmd.com/read/28166618/jacquet-erosive-diaper-dermatitis-with-stenotrophomonas-maltophilia-colonization
#8
Roberto Cecchi, Laura Bartoli, Luigi Brunetti, Giovanni Troiano
No abstract text is available yet for this article.
April 2017: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
https://www.readbyqxmd.com/read/28002234/patch-test-series-for-allergic-perineal-dermatitis-in-the-diapered-infant
#9
JiaDe Yu, James Treat, Bruce Brod
BACKGROUND: Allergic perineal dermatitis (PD) due to diaper wipes, topical medicaments, or diapers has been reported. Although patch testing is the criterion standard for detection of allergic contact dermatitis in children, this is limited by body surface area, decreased tolerance of the patch testing procedure, and increased false-positive rates due to irritant reactions. Therefore, a targeted patch testing series is necessary to better screen diapered infants for possible allergic PD...
January 2017: Dermatitis
https://www.readbyqxmd.com/read/27878785/lesions-requiring-wound-management-in-a-central-tertiary-neonatal-intensive-care-unit
#10
Angéla Meszes, Gyula Tálosi, Krisztina Máder, Hajnalka Orvos, Lajos Kemény, Zsanett Renáta Csoma
BACKGROUND: Most of the skin disorders that occur in neonatal intensive care units are due in part to the immaturity and vulnerability of the neonatal skin. Various iatrogenic diagnostic and therapeutic procedures are also conducive to iatrogenic damage. This study was to review the neonates admitted to our neonatal intensive care unit who needed wound management, and to assess the most common skin injuries and wounds, and their aetiology. METHODS: Data were extracted from medical records of neonates who needed wound management in our Neonatal Intensive Care Unit between January 31, 2012 and January 31, 2013...
November 23, 2016: World Journal of Pediatrics: WJP
https://www.readbyqxmd.com/read/27676112/infant-skin-care-products-what-are-the-issues
#11
Joanne McManus Kuller
BACKGROUND: Infant skin is susceptible to dryness and irritation from external factors, including topical skin care products not formulated for the infant's skin. This may increase the risk of contact dermatitis. Parents frequently express concern regarding potential harm from ingredients in skin care products and seek information. This is complicated by several skin care myths. PURPOSE: The purpose of this literature review was to provide evidence-based information to educate parents on the use of products for preterm and term infants...
October 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27676110/diaper-dermatitis-what-do-we-do-next
#12
Media Esser
Diaper dermatitis is a major issue among hospitalized infants, leading to increased medical costs, pain, risk for infection, and distress among patients and caregivers. An evidence-based algorithm for prevention and treatment of diaper dermatitis was developed and introduced in a level IV neonatal intensive care unit (NICU). Two cases are discussed as examples of severe diaper dermatitis. The first case demonstrates the final case of severe diaper dermatitis since the introduction of the algorithm. The second case demonstrates a less severe, but equally frustrating, case of diaper dermatitis that occurred after the practice of using the algorithm was established...
October 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27676107/skin-care-special-issue-diaper-dermatitis-and-extremely-preterm-infant-skin-care
#13
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27490728/accidental-burn-by-intentional-laxative-use
#14
Sabrina MacDuff, Joanne Sun, Derek E Bell, Christoper W Lentz, Steven A Kahn
OBJECTIVE: The purpose of this study was to present a case report and review the relevant literature on laxative-induced dermatitis being mistaken for scald injury and child abuse. CASE: A 33-month-old girl presented with partial thickness burn to the buttocks and perineum, which were suspected to be caused by child abuse. On further investigation, the parents had been administering large doses of laxatives to the child for chronic constipation. DISCUSSION: Child abuse by burning has characteristic physical examination findings, which differ from the pattern of laxative-induced dermatitis that has been reported in the literature...
August 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27478628/efficacy-of-traditional-medicine-product-henna-and-hydrocortisone-on-diaper-dermatitis-in-infants
#15
Abdollah Keshavarz, Ali Akbar Zeinaloo, Manoochehr Mahram, Navid Mohammadi, Omid Sadeghpour, Mohammad Reza Maleki
BACKGROUND: Diaper dermatitis (DD) is a common inflammatory disorder in infants, including newborns. OBJECTIVES: This study aimed to compare the effects of a traditional medicine product (containing natural henna oil 25%) and hydrocortisone 1% cream on DD in infants. PATIENTS AND METHODS: In a triple-blind, randomized trial, 82 children aged two years or less were randomly divided into two groups of 41 children each to receive either hydrocortisone ointment or henna medicinal product...
May 2016: Iranian Red Crescent Medical Journal
https://www.readbyqxmd.com/read/27311780/infections-and-skin-diseases-mimicking-diaper-dermatitis
#16
REVIEW
Dirk Van Gysel
Diaper dermatitis is a common condition that often prompts parents to seek medical attention. Irritant diaper dermatitis is by far the most common cause, but numerous potentially serious diseases can present with changes of the skin in the diaper area. The differential diagnosis can include psoriasis, metabolic disorders, rare immune diseases and infection. Clinical examination can be helpful in distinguishing the underlying cause. General screening laboratory tests, as well as select testing when a specific condition is suspected, can be used to challenge or confirm the putative diagnosis...
July 2016: International Journal of Dermatology
https://www.readbyqxmd.com/read/27311779/understanding-irritant-napkin-dermatitis
#17
REVIEW
David J Atherton
Irritant napkin dermatitis (IND, often referred to as irritant diaper dermatitis) is an exceedingly common problem in the first 2 years of life. It is now established that a number of factors are considered important in the etiology of IND. The principal irritants are fecal enzymes, which damage infant skin and are further amplified by a number of factors, including skin maceration and friction, high pH, the presence of urine, and the duration of contact with feces. In recent years, the decreasing incidence and severity of IND reflects improvements in the design and performance of diapers, diaper skin care products, and overall awareness about maintaining infant skin health...
July 2016: International Journal of Dermatology
https://www.readbyqxmd.com/read/27311778/history-of-diapers-and-diapering
#18
REVIEW
Bernice Krafchik
For centuries, diapering has been a global practice. Most cultures around the world have historically implemented mechanisms to cover the genital area, both for privacy and to contain waste. The latest and most important innovation was the advent of the disposable diaper in the mid-twentieth century. Modern disposable diapers have considerably decreased the incidence of irritant diaper dermatitis through their design and construction. Disposable diaper use continues to grow globally. This article reviews the history of diaper practices worldwide...
July 2016: International Journal of Dermatology
https://www.readbyqxmd.com/read/27193417/superficial-mycoses-associated-with-diaper-dermatitis
#19
REVIEW
Alexandro Bonifaz, Rubí Rojas, Andrés Tirado-Sánchez, Dinora Chávez-López, Carlos Mena, Luz Calderón, Ponce-Olivera Rosa María
Diapers create particular conditions of moisture and friction, and with urine and feces come increased pH and irritating enzymes (lipases and proteases). Fungi can take advantage of all these factors. Candida yeasts, especially C. albicans, are responsible for the most frequent secondary infections and are isolated in more than 80 % of cases. Correct diagnosis is important for ensuring the correct prescription of topical antimycotics. Nystatin, imidazoles and ciclopirox are effective. It is important to realize there are resistant strains...
October 2016: Mycopathologia
https://www.readbyqxmd.com/read/27172304/potential-allergens-in-disposable-diaper-wipes-topical-diaper-preparations-and-disposable-diapers-under-recognized-etiology-of-pediatric-perineal-dermatitis
#20
JiaDe Yu, James Treat, Keri Chaney, Bruce Brod
BACKGROUND: Allergic contact dermatitis in young children may be an under-recognized cause of perineal dermatitis. The diapered infant skin is uniquely susceptible to allergic contact dermatitis because of more permeable neonatal skin, a moist environment, frequent contact with irritants and resultant skin barrier breakdown, and exposure to topical products such as diaper wipes, diaper preparations, and disposable diapers. To our knowledge, potential allergens in these products have not been thoroughly catalogued or studied...
May 2016: Dermatitis
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