以质量求发展，以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (6): 42-46.doi: 10.16460/j.issn1008-9969.2023.06.042

Previous Articles     Next Articles

Best evidence summary for prevention and management of diaper dermatitis

LUO Li, HE Jiao, ZHANG Juan, ZHANG Lan, Yang Xue-jiao   

  1. Dept. of Neonatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China
  • Received:2022-11-27 Online:2023-03-25 Published:2023-04-12

PDF (PC)

270

Like

Abstract: Objective To retrieve, evaluate and summarize the best evidence for the prevention and management of diaper dermatitis. Methods We searched databases of BMJ, UpToDate, GIN, NICE, NGC, JBI, Cochrane Library, PubMed, CBM, Yimaitong, CNKI,Wangfang,and VIP for eligible literature. Two researchers evaluated the literature independently and extract and summarize the evidence. Results Totally 9 articles, 2 evidence summaries, 2 clinical decision-making, 1 guideline, 2 systematic reviews, and 2 expert consensuses were collected. Twenty pieces of evidence were extracted from 6 aspects including evaluation, influencing factors, choice of materials, prevention and intervention measures, drug treatment and training. Conclusion It is recommended to follow the best evidence of the prevention and management of diaper dermatitis. Assessing the risk factors, grading the severity of diaper dermatitis, selecting appropriate materials, and taking corresponding preventive and nursing measures according to the severity of diaper dermatitis are conducive to improving the management and reducing the incidence of diaper dermatitis.

Key words: neonates, diaper dermatitis, evidence-based nursing, evidence summary

CLC Number: 

  • R473.72
[1] Klunk C, Domingues E, Wiss K.An update on diaper dermatitis[J].Clin Dermatol, 2014,32(4):477-487.DOI:10.1016/j.clindermatol.2014.02.003.
[2] Pogaar MI, Maver U,Varda NM,et al.Diagnosis and management of diaper dermatitis in infants with emphasis on skin microbiota in the Diaper Area[J]. Int J Dermatol,2018,57(3):265-275. DOI: 10.1111/ijd.13748.
[3] Thaman LA, Eichenfield LF.Diapering habits: a global perspective[J].Pediatr Dermatol, 2014, 31(1):15-18.DOI:10.1111/pde.12468.
[4] Scheinfeld N.Diaper dermatitis: a review and brief survey of eruptions of the Diaper Area[J]. Am J Clin Dermatol,2005,6(5):273-281.DOI:10.2165/00128071-200506050-00001.
[5] Sukhneewat C, Chaiyarit J, Techasatian L.Diaper dermatitis: a survey of risk factors in thai children aged under 24 months[J]. BMC Dermatology, 2019,19(1):7.DOI:10.1186/s12895-019-0089-1.
[6] Li C,Zhu Z,Dai Y.Diaper dermatitis: a survey of risk factors for children aged 1 -24 months in China[J].J Int Med Res,2012, 40(5):1752-1760.DOI:10.1177/030006051204000

[7] Blume-Peytavi U,Kanti V.Prevention and treatment of diaper dermatitis[J]. Pediatr Dermatol,2018, 35(1):s19-s23.DOI:10.1111/pde.13495.
[8] 乐琼,张岚,吴丽芬,等.新生儿尿布皮炎结构化管理流程的制订及应用[J].护理学报, 2019,374(19):27-31.DOI:10.16460/j.issn1008-9969.2019.19.022.
[9] 胡雁,郝玉芳.循证护理学[M].2版.北京:人民卫生出版社,2018.
[10] Alper BS, Haynes RB.EBHC pyramid 5.0 for accessing preappraised evidence and guidance[J]. Evid Based Med, 2016,21(4):123-125.DOI:10.1136/ebmed-2016-110447.
[11] Brouwers MC, Kho ME, Browman GP,et al.AGREE II:advancing guideline development,reporting,and evaluation in health care[J].Prev Med,2010,51(5):421-424.DOI:10.1016/j.ypmed.2010.08.005.
[12] 张方圆,沈傲梅,曾宪涛,等.系统评价方法学质量评价工具AMSTAR2解读[J].中国循证心血管医学杂志, 2018(1):14-18.DOI:10.3969/j.issn.1674-4055.2018.01.03.
[13] The Joanna Briggs Institute. Joanna briggs institute reviewers’ manual: 2016 edition[M]. Australia:The Joanna Briggs Institute,2016.
[14] 王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.DOI:10.16821/j.cnki.hsjx.2015.11.002.
[15] Saira M.Diaper dermatitis(ifants and preschool):management[EB/OL].(2021-06-15)[2022-04-10].https://ovidsp.dc2.ovid.com/ovid-b/ovidweb.cgi?&S=BOIHFPCAMBEBEEOBIPNJJFPFDLEIAA00&Complete+Reference=S.sh.14%7c1%7c1&Counter5=SS_view_found_complete%7cJBI1296%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI1296%7cjbi%7cjbidb%7cjbi.
[16] Lind SN,Deepak Kamat.Nappy rash[EB/OL]. (2021-02-04)[2022-04-10].http://bestpractice-bmj-com-443.webvpn.bjmu.keyan123.cn/topics/en-gb/676.
[17] Horii KA.Diaper dermatitis[EB/OL]. (2018-11-08)[2022-04-10].http://www-uptodate-com-443.webvpn.bjmu.keyan123.cn/contents/diaper-dermatitis?search=Diaper%20 Dermatitis&source=search_result&selectedTitle=1~107&usage_type=default&display_rank=1.
[18] Horii KA. Patient education: diaper rash in infants and children (beyond the basics) [EB/OL].(2019-09-10)[2022-04-10]. http://www-uptodate-com-443.webvpn.bjmu.keyan123.cn/contents/diaper-rash-in-infants-and-children-beyond-the-basics?search=Patient%20Education:%20Diaper%20Rash%20in%20Infants%20and%20Children%20&source=search_result&selectedTitle=1~107&usage_type=default&display_rank=1 .
[19] 万兴丽,李霞,胡艳玲,等.重症监护病房新生儿皮肤管理指南(2021)[J].中国当代儿科杂志,2021, 23(7):659-670.DOI:10.7499/j.issn.1008-8830.2106004.
[20] Blume-Peytavi U, Hauser M,Lünnemann L,et al.Prevention of diaper dermatitis in infants—a literature review[J]. Pediatr Dermatol, 2014, 31(4):413-429. DOI:10.1111/pde.12348.
[21] Behr JH,Wardell D,Rozmus CL,et al.Prevention strategiesfor neonatal skin injury in the NICU[J]. Neonatal Netw,2020,39(6):321-329.DOI:10.1891/0730-0832/11-T-623.
[22] 张琳琪,李杨,宋楠,等.婴幼儿尿布性皮炎护理实践专家共识[J].中华护理杂志, 2020,55(8):1-6.
[23] 杨童玲,王丽,张崇凡,等.新生儿医源性皮肤损伤的评估要点和预见性护理的专家共识[J].中国循证儿科杂志,2020,15(3):161-165.DOI:10.3969/j.issn.1673-5501.2020.03.001.
[24] Merrill L.Prevention, Treatment and parent education for diaper dermatitis[J]. Nurs Womens Health, 2015, 19(4):324-337. DOI:10.1111/1751-486X.12218.
[25] Šikić Pogačar M,Maver U,Mar un Varda N,et al.Diagnosis and management of diaper dermatitis in infants with emphasis on skin microbiota in the Diaper Area[J]. Int J Dermatol,2018,57(3):265-275.DOI:10.1111/ijd.13748.
[26] Nield LS, Kamat D.Prevention,diagnosis,and management of diaper dermatitis[J]. Clin Pediatr (Phila), 2007,46(6):480-486.DOI:10.1177/0009922806292409.
[27] Lavender T, Furber C, Campbell M, et al.Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies:assessor-blinded randomised controlled equivalence trial[J]. BMC Pediatr,2012,12:59.DOI:10.1186/1471-2431-12-59.
[28] Baer EL,Davies MW,Easterbrook KJ.Disposable nappies for preventing napkin dermatitis in infants[J].Cochrane Database Syst Rev, 2006, 3(3):CD004262.DOI:10.1002/14651858.CD004262.pub2.
[29] Coughlin CC, Eichenfield LF,Frieden IJ.Diaper dermatitis: clinical characteristics and differential diagnosis[J].Pediatr Dermatol,2014,31(1):19-24.DOI:10.1111/pde.12500.
[30] Buckley BS, Mantaring JB,Dofitas RB,et al.A new scale for assessing the severity of uncomplicated diaper dermatitis in infants: development and validation[J]. Pediatr Dermatol,2016,33(6):632-639. DOI:10.1111/pde.12988.
[31] 陈羽双,杨斯钰,黄玉婷,等.新生儿尿布皮炎的影响因素及预防进展[J].中国儿童保健杂志,2021, 29(3):277-280.DOI:10.11852/zgetbjzz2020-0964.
[32] Atherton DJ.Understanding irritant napkin dermatitis[J].Int J Dermatol,2016, 55(S1):7-9.DOI:10.1111/ijd.13334.
[33] 周英凤,黄娜,王凯蓉,等.ARCC循证实践模式的步骤及在护理实践中的应用[J].护理研究,2020,34(16):138-140.DOI:10.12102/j.issn.1009-6493.2020.16.027.
[1] LI Ruo-Yu, LIU Xin, LIN Ping, CHEN Dan, LIN Hua. Best evidence summary for medication safety management for discharged patients [J]. Journal of Nursing, 2025, 32(3): 50-55.
[2] YANG Xiao-juan, MAO Xiao-rong, WANG Jing, JIANG Hua, LI Rong, FAN Yu, WEN Qing, LI Lin-zhang, CHEN Xiao-rong. Best evidence summary for early enteral nutrition management in adults with severe burns [J]. Journal of Nursing, 2025, 32(3): 56-61.
[3] LIU Shuo-yi, XIONG Li-juan, LI Ling, WANG Yu-mei, HE Jia, LI Xin, YUAN Shi-lei, GUO Xue-qin, WANG Yang-jing, ZHANG Hui-juan. Quality evaluation and content analysis of clinical practice guidelines for prevention and management of frailty in elderly hospitalized patients [J]. Journal of Nursing, 2025, 32(2): 50-55.
[4] BI Ya-xin, DUAN Ye, HE Li-jun, XU Miao, GONG Rong-hua. Best evidence summary for prevention and management of osteoporosis after metabolic, bariatric surgery [J]. Journal of Nursing, 2025, 32(1): 44-49.
[5] CHEN Jie, MENG Qing-tong, LIU Jing-jin, WU Yan-ni. Development of guideline-based exercise rehabilitation handbook for patients with chronic heart failure [J]. Journal of Nursing, 2024, 31(9): 36-41.
[6] FU Lu-lu, XIE Yi-xuan, WANG Yue, WEI Wei, ZHANG Chuan-ying, ZHU Yu. Evidence summary for auditory stimulation intervention for procedural pain in neonates [J]. Journal of Nursing, 2024, 31(9): 42-47.
[7] JI Rui-ting, LIN Dan-na, LIU Xiao-cheng, LI Ting-ting, XIE Ying-mei, HU Bing, YING Wen-juan. Best evidence for colostrum as oral immune therapy in premature infants [J]. Journal of Nursing, 2024, 31(8): 37-42.
[8] ZHOU Yi-feng, YANG Ji-ping, HU Zheng-zhong, YUAN Hao. Evidence summary for target-oriented blood glucose monitoring in patients undergoing hepatocellular carcinoma resection [J]. Journal of Nursing, 2024, 31(7): 46-50.
[9] WANG Ling, QIN Fang, GAO Yu-lin, ZHEN Li, FENG Ri-xuan, LIU Bing, MA Zheng-wen, XU Xiao-yu, LI Guo-xin. Best evidence summary of transcutaneous electrical acupoint stimulation for postoperative pain [J]. Journal of Nursing, 2024, 31(6): 51-55.
[10] YANG Jian-guo, HE Xi-fei, YAN Jian-jun, ZHANG Meng, YANG Chun-zi, XU Rong, WANG Yan-fang. Best evidence summary for application and management of regional citrate anticoagulation in continuous renal replacement therapy [J]. Journal of Nursing, 2024, 31(4): 48-53.
[11] QI Shui-lin, LIN Hua, DENG Rui-ying, LI Rong-jie, LI Ruo-yu, WANG Feng-ting. Best evidence summary for non-pharmacological treatment of pruritus in elderly patients [J]. Journal of Nursing, 2024, 31(3): 46-50.
[12] YANG Li-na, HUANG Rong, YAO Mei-qi, WANG Zhu-qing, XU Yi-Ting, XIE Pei-min. Risk prediction models for postpartum breastfeeding behavior interruption: a systematic review [J]. Journal of Nursing, 2024, 31(23): 59-65.
[13] ZHANG Xing-xing, LI Rui-hua, ZHU Mu-lan, LIN Mei-yan, LI Ya-nan, GONG Li-hong, ZENG Hai-ting, ZHEN Li. Best evidence summary for prevention and management of high-output stoma in adult patients with enterostomy [J]. Journal of Nursing, 2024, 31(23): 73-78.
[14] ZHANG Zhuo-ya, GAO Wen-yuan, LI jing, GUAN Chun-yan, WANG Miao, MI Yuan-yuan, HUANG Hai-yan. Development of review indicators for perioperative voice rehabilitation in patients with organic vocal fold dysphonia and its obstacle factors [J]. Journal of Nursing, 2024, 31(22): 35-40.
[15] LI Jia-qi, YE Xiang-hong, ZUO Jun-tao, XU Yao, YAO Hong-lin. Qualitative research on nutritional support decision-making process for patients with end-stage disease: a Meta-synthesis [J]. Journal of Nursing, 2024, 31(2): 53-58.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!