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Diagnosis and management of diaper dermatitis in infants with emphasis on skin microbiota in the diaper area.
Int J Dermatol. 2018 Mar; 57(3):265-275.IJ

Abstract

Diaper dermatitis is the most common inflammatory skin eruption within the diaper area in infants and toddlers. Although it rarely causes problems for prolonged periods of time, it causes considerable distress for both infants and parents. Diapered skin is exposed to friction, excessive hydration, varying pH, and is in constant contact with urine and feces, both of which are highly irritant to the skin. The three most common types of diaper dermatitis include chaffing dermatitis, irritant contact dermatitis, and diaper candidiasis. However, a variety of other skin conditions may manifest in the diaper area. Candida albicans and Staphylococcus aureus are most frequently isolated from the affected area and are thought to have a predominant role in diaper dermatitis. The review includes an overview of the epidemiology, etiology, and common skin microbiota in the diaper area. State-of-the-art strategies for diagnosis, management, and prevention of diaper dermatitis are also included. Appropriate skin care can help in the prevention of diaper dermatitis and can aid the reparation of the skin. This review discusses common causes, skin microbiota within the diapered area, differential diagnosis, and finally possible prevention and treatment recommendations. Recent findings have proven that the key to efficient eradication of irritant diaper dermatitis lies in its prevention.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Šikić Pogačar M
Faculty of Medicine, Department of Pediatrics, University of Maribor, Maribor, Slovenia.
Maver U
Faculty of Medicine, Institute of Biomedical Sciences and Department of Pharmacology, University of Maribor, Maribor, Slovenia.
Marčun Varda N
Pediatric Clinic, University Medical Center Maribor, Maribor, Slovenia.
Mičetić-Turk D
Faculty of Medicine, Department of Pediatrics, University of Maribor, Maribor, Slovenia.

MeSH

Child, PreschoolDiagnosis, DifferentialDiaper RashHumansInfantInfant, NewbornMicrobiotaSkin

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28986935

Clinical Trial Links

Effect Of Using Oxygen On The Diaper Dermatitis In Infants

Citation

Šikić Pogačar, Maja, et al. "Diagnosis and Management of Diaper Dermatitis in Infants With Emphasis On Skin Microbiota in the Diaper Area." International Journal of Dermatology, vol. 57, no. 3, 2018, pp. 265-275.
Šikić Pogačar M, Maver U, Marčun Varda N, et al. Diagnosis and management of diaper dermatitis in infants with emphasis on skin microbiota in the diaper area. Int J Dermatol. 2018;57(3):265-275.
Šikić Pogačar, M., Maver, U., Marčun Varda, N., & Mičetić-Turk, D. (2018). Diagnosis and management of diaper dermatitis in infants with emphasis on skin microbiota in the diaper area. International Journal of Dermatology, 57(3), 265-275. https://doi.org/10.1111/ijd.13748
Šikić Pogačar M, et al. Diagnosis and Management of Diaper Dermatitis in Infants With Emphasis On Skin Microbiota in the Diaper Area. Int J Dermatol. 2018;57(3):265-275. PubMed PMID: 28986935.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis and management of diaper dermatitis in infants with emphasis on skin microbiota in the diaper area. AU - Šikić Pogačar,Maja, AU - Maver,Uroš, AU - Marčun Varda,Nataša, AU - Mičetić-Turk,Dušanka, Y1 - 2017/10/06/ PY - 2017/03/16/received PY - 2017/08/02/revised PY - 2017/08/14/accepted PY - 2017/10/8/pubmed PY - 2018/9/19/medline PY - 2017/10/8/entrez SP - 265 EP - 275 JF - International journal of dermatology JO - Int J Dermatol VL - 57 IS - 3 N2 - Diaper dermatitis is the most common inflammatory skin eruption within the diaper area in infants and toddlers. Although it rarely causes problems for prolonged periods of time, it causes considerable distress for both infants and parents. Diapered skin is exposed to friction, excessive hydration, varying pH, and is in constant contact with urine and feces, both of which are highly irritant to the skin. The three most common types of diaper dermatitis include chaffing dermatitis, irritant contact dermatitis, and diaper candidiasis. However, a variety of other skin conditions may manifest in the diaper area. Candida albicans and Staphylococcus aureus are most frequently isolated from the affected area and are thought to have a predominant role in diaper dermatitis. The review includes an overview of the epidemiology, etiology, and common skin microbiota in the diaper area. State-of-the-art strategies for diagnosis, management, and prevention of diaper dermatitis are also included. Appropriate skin care can help in the prevention of diaper dermatitis and can aid the reparation of the skin. This review discusses common causes, skin microbiota within the diapered area, differential diagnosis, and finally possible prevention and treatment recommendations. Recent findings have proven that the key to efficient eradication of irritant diaper dermatitis lies in its prevention. SN - 1365-4632 UR - https://www.unboundmedicine.com/medline/citation/28986935/Diagnosis_and_management_of_diaper_dermatitis_in_infants_with_emphasis_on_skin_microbiota_in_the_diaper_area_ DB - PRIME DP - Unbound Medicine ER -