Bebek Bezi (Napkin) Dermatitinin Teşhis, Önlenme ve Tedavisi
Yıl 2023,
Cilt: 2 Sayı: 4, 213 - 218, 25.12.2023
Mehmet Semih Demirtaş
,
Nihal Yaman Artunc
,
Nurettin Alıcı
,
Huzeyfe Kulu
Öz
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.
Kaynakça
- 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
Yıl 2023,
Cilt: 2 Sayı: 4, 213 - 218, 25.12.2023
Mehmet Semih Demirtaş
,
Nihal Yaman Artunc
,
Nurettin Alıcı
,
Huzeyfe Kulu
Öz
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.
Kaynakça
- 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.