Changes in diaper rash of newborn at the time of hospital discharge and one month checkup

Majima, Yuka; Kobayashi, Yasue

doi:10.3418/jjam.29.48

Cited by 5 publications

(5 citation statements)

References 15 publications

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“…The most frequently observed symptom of diaper dermatitis was only erythema, which was consistent with the findings of previous studies (Akin et al, 2001; Majima & Kobayashi, 2015). In the 1980s, other various symptoms, such as ulceration, oozing papules, or pustules, were included as observation items when evaluating diaper dermatitis (Davis et al, 1989; Jordan et al, 1986).…”

Section: Discussionsupporting

confidence: 92%

“…The areas where diaper dermatitis was mostly observed were the perianal area and then the inguinal area. Some studies have reported that diaper dermatitis commonly occurs in the perianal and intertriginous areas (Felter et al, 2017;Liu et al, 2011;Majima & Kobayashi, 2015;Visscher, Chatterjee, Munson, Bare, & Hoath, 2000); our results corroborated these prior findings.…”

Section: The Areas Of Diaper Dermatitissupporting

confidence: 92%

“…In this study, the prevalence of diaper dermatitis in infants evaluated by pediatricians was 58.4% (66/113). However, this prevalence was slightly higher than that in previous studies, which showed a 43.5% and 44.2% prevalence of diaper dermatitis in the first month after birth in Japanese infants (Majima & Kobayashi, 2015; Shimoyama et al, 1999). This difference was presumed to be because one study had fewer subjects and the other had fewer classifications of areas and items of symptom observations.…”

Section: Discussioncontrasting

confidence: 58%

“…Diaper dermatitis is characterized by acute eczema on an infant's skin that is covered by a diaper (Baer et al, 2006). Infants aged 1 month are naturally and particularly predisposed to developing diaper dermatitis, with approximately 25.0%-71.0% of infants experiencing diaper dermatitis once during the first month after birth (Majima & Kobayashi, 2015;Philipp et al, 1997;Visscher, Chatterjee, Munson, Pickens, & Hoath, 2000;Yonezawa et al, 2014Yonezawa et al, , 2017. This is because the skin of an infant aged 1 month is still immature and the skin covered by a diaper is constantly exposed to excretion (Matsufuji et al, 2007;Visscher, Chatterjee, Munson, Pickens, & Hoath, 2000).…”

Section: Introductionmentioning

confidence: 99%

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The factors related to recovery time of diaper dermatitis in infants: A prospective observational study

Yokoyama

Yonezawa

Matsubara

et al. 2022

Japan Journal Nursing Sci

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Aim: Prolonged diaper dermatitis may increase the risk of atopic dermatitis or infections. This prospective observational study aimed to investigate the prevalence, symptoms, areas, and recovery time of diaper dermatitis in infants aged 1 month and identify the factors related to recovery time.Methods: Diaper dermatitis was defined as the presence of erythema, papules, dryness, erosion, or ulceration in the diapered area. Recovery time was days between infant's 1-month medical check-up and disappearance of symptoms. Survival analysis was performed using the Kaplan-Meier method, and the logrank test was used to identify the factors related to recovery time. Results: Among 113 infants, 66 (58.4%) had diaper dermatitis, with erythema at the perianal area being the most common symptom. The median recovery time was 10 days. Four infants (6.1%) had diaper dermatitis for >5 weeks. Severity was not related to recovery time.Conclusions: A frequency of diaper changing of ≤10 times per day was a risk factor for recovery time. Our data showed recovery in approximately 10 days, regardless of severity at study enrollment. Health care professionals could inform parents of recovery time and recommended diaper changing frequency.

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Section: Discussionsupporting

confidence: 92%

Section: The Areas Of Diaper Dermatitissupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The factors related to recovery time of diaper dermatitis in infants: A prospective observational study

Yokoyama

Yonezawa

Matsubara

et al. 2022

Japan Journal Nursing Sci

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“…However, diaper dermatitis may develop on the buttocks, including the perianal area, during the process of adaptation to the environment after birth. At 4 days after birth, skin rashes, characterized by erythema and papules, have been observed on the buttocks and perianal area, 3 and skin care of the diapering area is important from early in life. One of the prevention or treatment measures for diaper dermatitis is the use of skin protectants, 4 which are expected to form a protective film on the skin, 5 reduce transepidermal water loss (TEWL) by occlusion, and maintain the hydration of the stratum corneum.…”

Section: Introductionmentioning

confidence: 99%

Comparison of perianal skin barrier function with moisturizer application in Japanese full‐term newborns

Majima

Kobayashi

2022

Pediatric Dermatology

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In full-term newborns, the skin has a structure and barrier function that allows it to adapt to extrauterine life. 1,2 However, diaper dermatitis may develop on the buttocks, including the perianal area, during the process of adaptation to the environment after birth. At 4 days after birth, skin rashes, characterized by erythema and papules, have been observed on the buttocks and perianal area, 3 and skin care of the diapering area is important from early in life. One of the prevention or treatment measures for diaper dermatitis is the use of skin protectants, 4 which are expected to form a protective film on the skin, 5 reduce transepidermal water loss (TEWL) by occlusion, and maintain the hydration of the stratum corneum. It has been reported that there was no significant difference in the incidence of diaper dermatitis in preterm infants treated with petroleum jelly 6 and that TEWL was significantly lower in infants aged 9-12 months who were treated with commercial diaper cream. 7 Human breast milk 8 and cream-to-powder products 9 have also been investigated, but there are limited studies on the use of skin protectants around the diaper area in newborns. 10 Moisturizers are commonly used in the skin care of newborns and have been shown to be effective in maintaining the general skin

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Prevalence and risk factors for skin problems among newborns

Yonezawa

Haruna

Matsuzaki

2017

J. Jpn. Acad. Midwif.

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Many newborns often have skin problems resulting in parents generally becoming anxious regarding these conditions. However, the risk factors for skin problems among newborns are not well understood. This study aims to determine the prevalence and such risk factors, especially those that may be potentially associated with diaper dermatitis, seborrheic eczema, and prickly heat among newborns. Methods This study combined data from two different researches. The first was an observational study conducted among parents, whose newborns were delivered in a single hospital between May and July 2012. The other was an interventional study related to skincare, which was conducted among parents and their newborns, who were born between March 2014 and February 2015. We analyzed the data of 325 parents. Both researches were conducted on parents of 1month-old infants, using a self-administered questionnaire. The questions included those related to the presence of skin problems in the newborns that were observed by their parents, including diaper dermatitis, seborrheic eczema, and prickly heat. In addition, data from medical records, including the newborn's sex, family history of atopic dermatitis, gestational age, birth weight, and external factors, which could lead to skin disorders like, season at birth, and frequency of stool, were included. The association between each skin problems (diaper dermatitis, seborrheic eczema, prickly heat) and characteristics of neonates was assessed using multiple logistic regression. Results The prevalence of skin problems was 65.5% (n=213), of the skin problems, diaper dermatitis was 33.5% (n=109), seborrheic eczema was 32.3% (n=105), prickly heat was 16.9% (n=55). The risk factors for diaper dermatitis in newborns were determined as high frequency of stool (AOR=1.19, 95% CI: 1.09-1.30) and male sex (AOR=1.70, 95% CI: 1.04-2.77). The risk factor for seborrheic eczema was a long gestational age (AOR=1.05, 95% CI: 1.02-1.08). Lastly, newborns who were born during spring (AOR=9.34, 95% CI: 1.17-74.90) and summer (AOR=18.97, 95% CI: 2.44-147.44) were at higher risk of prickly heat than those born in winter. In addition, weight gain in the first month after birth was also a risk factor of prickly heat (AOR=1.03, 95%Cl: 1.00-1.06). Conclusion We identified the risk factors for skin problems among newborns. These results can help in developing guidance for skincare, which needs to be individualized, depending on the risk factors.

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Changes in diaper rash of newborn at the time of hospital discharge and one month checkup

Cited by 5 publications

References 15 publications

The factors related to recovery time of diaper dermatitis in infants: A prospective observational study

The factors related to recovery time of diaper dermatitis in infants: A prospective observational study

Comparison of perianal skin barrier function with moisturizer application in Japanese full‐term newborns

Prevalence and risk factors for skin problems among newborns

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