Diaper dermatitis: a survey of risk factors in Thai children aged under 24 months.
Baby talcum powder
Dermatitis
Diaper dermatitis
Risk factor
Journal
BMC dermatology
ISSN: 1471-5945
Titre abrégé: BMC Dermatol
Pays: England
ID NLM: 100968541
Informations de publication
Date de publication:
02 07 2019
02 07 2019
Historique:
received:
14
01
2019
accepted:
22
05
2019
entrez:
3
7
2019
pubmed:
3
7
2019
medline:
15
2
2020
Statut:
epublish
Résumé
To identify the prevalence and risk factors associated with diaper dermatitis in Thai children aged 1-24 months. This was a cross-sectional study of 1153 participants using structural questionnaires, which was conducted at Khon Kaen University Faculty of Medicine Pediatric department in Thailand. Univariate and multivariate logistic regression analyses were used to test the association between diaper dermatitis and its possible risk factors. The prevalence of diaper dermatitis among the study population was 36.1%, a rate which significantly decreased with age. The highest prevalence was found in subjects who were one to six months old. Risk factors that had a statistically significant association with diaper dermatitis in both univariate and multivariate analysis were i) diaper changing fewer than three times/night, ii) previous episodes of diaper rash, iii) using cloth diapers, and iv) topical application of baby talcum powder to the diaper area. Frequent diaper changings during the daytime do not compensate for fewer changings during the night. Moreover, the use of baby talcum powder on the diaper area significantly increased the risk of diaper dermatitis among the study population. These findings should be applied in future preventive strategies for diaper dermatitis in this age group.
Sections du résumé
BACKGROUND
To identify the prevalence and risk factors associated with diaper dermatitis in Thai children aged 1-24 months.
METHODS
This was a cross-sectional study of 1153 participants using structural questionnaires, which was conducted at Khon Kaen University Faculty of Medicine Pediatric department in Thailand. Univariate and multivariate logistic regression analyses were used to test the association between diaper dermatitis and its possible risk factors.
RESULTS
The prevalence of diaper dermatitis among the study population was 36.1%, a rate which significantly decreased with age. The highest prevalence was found in subjects who were one to six months old. Risk factors that had a statistically significant association with diaper dermatitis in both univariate and multivariate analysis were i) diaper changing fewer than three times/night, ii) previous episodes of diaper rash, iii) using cloth diapers, and iv) topical application of baby talcum powder to the diaper area.
CONCLUSIONS
Frequent diaper changings during the daytime do not compensate for fewer changings during the night. Moreover, the use of baby talcum powder on the diaper area significantly increased the risk of diaper dermatitis among the study population. These findings should be applied in future preventive strategies for diaper dermatitis in this age group.
Identifiants
pubmed: 31262288
doi: 10.1186/s12895-019-0089-1
pii: 10.1186/s12895-019-0089-1
pmc: PMC6604136
doi:
Substances chimiques
Talc
14807-96-6
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
7Références
Curr Opin Pediatr. 2012 Aug;24(4):472-9
pubmed: 22790100
Curr Opin Pediatr. 2000 Aug;12(4):342-6
pubmed: 10943814
Pediatr Dermatol. 2014 Nov;31 Suppl 1:15-8
pubmed: 25403934
Am J Clin Dermatol. 2005;6(5):273-81
pubmed: 16252927
Indian J Pediatr. 2003 Aug;70(8):635-7
pubmed: 14510084
Br J Nurs. 2016 Apr 28-May 11;25(8):432-9
pubmed: 27126752
Ital J Pediatr. 2011 Sep 27;37:47
pubmed: 21951993
Arch Pediatr Adolesc Med. 2000 Sep;154(9):943-6
pubmed: 10980800
Am J Clin Dermatol. 2002;3(6):427-33
pubmed: 12113650
Pediatr Dermatol. 2014 Nov;31 Suppl 1:9-14
pubmed: 25403933
J Int Med Res. 2012;40(5):1752-60
pubmed: 23206457
J Dermatolog Treat. 2002 Dec;13(4):173-8
pubmed: 19753737
Pediatr Dermatol. 2019 Jan;36(1):31-35
pubmed: 30506880
Pediatr Rev. 1995 Apr;16(4):142-7
pubmed: 7731909
Pediatr Dermatol. 2014 Nov;31 Suppl 1:1-4
pubmed: 25403931
J Med Assoc Thai. 2006 Oct;89(10):1654-8
pubmed: 17128840
Pediatr Dermatol. 2007 Sep-Oct;24(5):483-8
pubmed: 17958792
Cochrane Database Syst Rev. 2006 Jul 19;(3):CD004262
pubmed: 16856040
Pediatr Clin North Am. 2014 Apr;61(2):367-82
pubmed: 24636651
Skin Therapy Lett. 2006 Sep;11(7):1-6
pubmed: 17021645
Adv Dermatol. 1988;3:75-98
pubmed: 3152829
Pediatr Dermatol. 2014 Nov-Dec;31(6):683-91
pubmed: 25424209
Int J Toxicol. 2015 Jul-Aug;34(1 Suppl):66S-129S
pubmed: 26227892
Pediatr Dermatol. 2014 Jul-Aug;31(4):413-29
pubmed: 24890321
Can Med Assoc J. 1978 Aug 26;119(4):354-5
pubmed: 688127
Clin Dermatol. 2014 Jul-Aug;32(4):477-87
pubmed: 25017459
Curr Med Res Opin. 2004 May;20(5):645-9
pubmed: 15140329