Development of Diaper Rash in the Newborn

Abstract

Diaper rash is a common infant malady. This study documents the earliest stages of rash in a cohort of 31 healthy term newborns over the first 28 days of life. The diaper area was evaluated using a standardized diaper rash grading scale. The anal, buttock, genital, intertriginous, waistband, and leg areas were assessed separately. At birth the average grade was 0.1 and none of the infants had specific features of advanced rash. Nineteen percent had dryness and/or slight redness. By day 7, 71% of infants had some features of skin compromise, giving rise to an overall grade of 0.6. Both the frequency and overall grade increased during postnatal weeks 2 and 3. Overall scores for days 21 and 28 were the same (1.1). The perianal area had the highest overall regional rash grade. Gender differences were present for the genital area only. These findings indicate that epidermal barrier breakdown is an uncommon finding at birth. Clinical signs of irritated skin in the diaper area develop progressively over the first postnatal month. A better understanding of the mechanisms conferring epidermal barrier protection at birth may be important for developing skin care products and practices to extend this protection later into life.

Infantile Eczema at One Month of Age Is Associated with Cord Blood Eosinophilia and Subsequent Development of Atopic Dermatitis and Wheezing Illness until Two Years of Age

“…Hypersecretion of sweat and sebum may facilitate infection with Staphylococcus aureus [2] , Streptococcus [3] and fungi [4] and participate in the pathogenesis of intertrigo. Frequent urination and bowel movements as well as the use of diapers are causative for the onset of diaper dermatitis [5,6] . In contrast, the association of these skin eruptions with the subsequent development of atopic dermatitis is still under discussion [10][11][12][13]26] .…”

“…Physiological and pathological skin eruptions including infantile eczema [1] , seborrheic dermatitis, intertrigo [2][3][4] and diaper dermatitis [5,6] are common in neonates and are often presented to the general practitioner as either a primary or incidental problem at consultation [7] . Some of these skin disorders are improved naturally or upon treatment, but some persist for a long time with a repetitive cycle of minor relapse and improvement.…”

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

“…2015 Munson, et al, 2000, pp.53-54 Odio, O'Connor, Sarbaugh, et al, 2000, pp.232-235 Kosemund, Schlatter, Ochsenhirt, et al, 2009 pH Visscher, Odio, Taylor, et al, 2009, pp.229-232 pH Lavender, Furber, Campbell, et al, 2012, pp.4-8 Voegeli , …”

Uso de indicador de qualidade para fundamentar programa de capacitação de profissionais de enfermagem

“…These factors include changes in the environmental temperature, alterations in drying and humidity of the skin surface and intermittent contact with the friction of clothes, blankets and diapers (13) .…”