Dermatitis irritativa del pañal: revisión bibliográfica / Irritative diaper dermatitis: literature review

Objetivo: El objetivo de esta revisión es describir la clínica y el diagnóstico diferencial, la prevención y la educación sanitaria en la dermatitis irritativa del pañal (DIP). Método: Se realizó una revisión de las guías de práctica clínica de las diferentes sociedades científicas y grupos de trabajo relevantes, así como una búsqueda en bases de datos bibliográficas. Resultado: Los resultados de la revisión se estructuraron en las siguientes secciones: clínica y diagnóstico, prevención, productos protectores y efecto barrera, y educación sanitaria (papel de la matrona). Conclusión: El abordaje de la DIP debe ir orientado hacia la prevención y el tratamiento sintomático de las lesiones establecidas. La mejor estrategia es actuar sobre la prevención, con un buen asesoramiento a los padres sobre el cuidado de la piel del área del pañal, incidiendo principalmente en la higiene de ésta, la aplicación regular de productos protectores de la piel en cada cambio de pañal y el correcto uso del pañal

Objective: The objective of this review is to describe the clinical and differential diagnosis, prevention and health education in irritative diaper dermatitis. Method: A review of the clinical practice guidelines of the different scientific societies and relevant working groups and search in bibliographic databases were carried out. Result: The results of the review were structured in the following sections: clinical and diagnostic, prevention, protective products and barrier effect, and health education: role of the midwife. Conclusion: The approach should be oriented towards the prevention and symptomatic treatment of established lesions. The best strategy is to act on prevention, with good advice to parents on the skin care of the diaper area, focusing mainly on the hygiene of this, the regular application of skin protection products at each diaper change and the correct use of the diaper

Improving Diaper Performance for Extremely Low-Birth-Weight Infants.

BACKGROUND: Extremely low-birth-weight (ELBW) infants face significant diapering challenges compared with their full-term peers, due to immature musculature, nervous system, and skin development. Advances in medical care have increased an ELBW infant's rate of survival, which creates a growing need for diapers to better serve these infants. Aim of research. The objective of this study was to identify and confirm the requirements for optimal diaper performance from the neonatal intensive care unit nurses' perspective, as well as to assess in-hospital performance to determine if new features improved key developmental care parameters. METHOD: Two surveys were shared among nurses to address study objectives. Study 1 (N = 151) was designed for neonatal intensive care unit nurses to identify key requirements for ELBW diapers and rate the performance of existing ELBW diapers. Study 2 (N = 99) assessed in-hospital performance of the test diaper compared with the usual diaper, under normal usage conditions. Findings/results. The majority of nurses agreed that ELBW diapers must fit appropriately between the legs so that hips and legs are not spread apart and that ELBW diapers need to be flexible between the legs for positioning. Of the nurses-infant pair responses, 93% ( P < .0001) preferred the test ELBW diaper over their usual diaper. CONCLUSION: Findings suggest that nurses should be included in the product design process to ensure both their needs and the needs of an infant are being met. Nurses are considering how diaper features may affect both acute and long-term medical outcomes and this information provides necessary guidance to diaper manufacturers and designers when developing better-performing diapers.

Common Diaper Ingredient Questions: Modern Disposable Diaper Materials Are Safe and Extensively Tested.

Today's disposable diapers are high-performance and well-tested products, designed to keep skin dry and healthy. They are primarily made of biologically inert polymers, commonly used in fabrics and other materials that are in contact with skin, and in foods and cosmetics. Still, product safety and ingredients in everyday products can be a source of anxiety for new parents. This article provides the facts behind some commonly asked questions from consumers about diaper ingredients and safety, including myths and facts related to chlorine, latex, dyes, and chemical additives.

Determination of the solids retainment effectiveness of disposable swim diapers.

In light of recent and increasing incidences of pathogenic E. coli outbreaks at public bathing facilities attributable to non-toilet-trained infants and toddlers, many such facilities are restricting water contact for this age group. A number of manufacturers are now offering disposable "swim diapers," which claim to effectively retain fecal material under typical pool play conditions. The study reported here examined the solids retention effectiveness of three major brands of swim diapers as well as of conventional disposable diapers, under simulated water play conditions. Swim diapers of all three brands exhibited an approximately equal fine-solids retention capability of about 98 to 99 percent over 30 minutes of water immersion activity. Conventional disposable diapers invariably fell down or came apart during the experiments, resulting in very limited solids retention. This study indicates that commercially available swim diapers represent a vast improvement in reducing the potential for fecal material release in public pool facilities, but that some release will still generally occur with these products.