Diaper dermatit is among the widely seen inflamatory skin diseases in neonatals and small 0 - 18 month old children. Control of causative agents as well as providing good genital care may prevent or reduce the risk of the disease. The aim of this study is find out the effect of protective genital care on reducing the diaper dermatit development in 0 - 18 months old inpatient 0 - 18 month old children who are using antibiotic. The study was conducted as prospective half-experimetal using control-experimental groups. Our samples comprise of 0 - 18 month old children admitted at Dokuz Eylul University Practical and Research Hospital, pediatric clinic between January and May 2009, 41 0 - 18 month old children as a control group were not under protective genital care, and 42 0 - 18 month old children as an experimental group were under the protecion and using vaseline. The mothers of the experimental group 0 - 18 month old children were given education. All 0 - 18 month old children were followed-up 3 - 7 days and the collected data were evaluated in computer using Pearson’s chisquare, Fisher’s exact chi-square and Yatest-corrected chi-square tests. The diaper dermatit develop- ment ratio was 34.1% in the control group and 7.1% in the experimental group (p < 0.05). The rash disease in most of the control group 0 - 18 month old children developed in 2 - 3 days earlier than those in experimental group which appeared after the fourth day of study. All the 0 - 18 month old children with diaper dermatit in the experimental group were found to be with first grade diaper dermatit while those with diaper dermatit in the control group were found to be with second and third grade diaper dermatit. The Diaper dermatit development ratio between the experiment group who were given the protective genital care and vaseline was meaningfully low in comparison to the control group who were not given any care. And those who acquired diaper dermatit disease among experiment group 0 - 18 month old children the disease appeared in late days and was rather mild. As the diaper dermatit was found to be more frequent in 0 - 18 month old children on antibiotics, to prevent the occurence of the disease proper protective genital care, vaseline use whenever the diaper is changed and giving education to mothers on the subject concerned is advised.
Adalat, S., Wall, D. and Goodyear, H. (2007) Diaper dermatitis-frequency and contributory factors in hospital attending 0 18 month old children. Pediatric Dermatology, 24, 483-488. doi:10.1111/j.1525-1470.2007.00499.x
Akin, F., Spraker, M., Aly, R., Leyden, J., Raynor, W. and Landin, W. (2001) Effects of breathable disposable diapers: Reduced prevalence of candida and common diaper dermatitis. Pediatric Dermatology, 18, 282-290.
Al-Waili, N.S. (2005) Clinical and mycological benefits of topical application of honey, olive oil and beeswax in diaper dermatitis. Clinical Microbiology and Infection, 11, 141-163. doi:10.1111/j.1469-0691.2004.01013.x
Baldwin, S., Odio, M.R., Haines, S.L., Connor, R.J., Englehart, J.S. and Lane, A.T. (2001) Skin benefits from continuous topical administration of a zincoxide/petrolatum formulation by a novel disposable diaper. Journal of the European Academy of Dermatology and Venereology, 15, 5-11. doi:10.1046/j.0926-9959.2001.00002.x
Campell, R.L., Bartlett, A.F., Sarbaugh, F.C. and Pickering, L.K. (1988) Effects of diaper types on diaper dermatitis associated with diarrhea and antibiotic use in 0 18 month old children in day-care centers (Abstract). Petiatric Dermatology, 5, 83-87.
Concannon, P., Gisoldi, E., Phillips, S. and Grossman, R. (2001) Diaper dermatitis: A therapeutic dilemma. Results of a double-blind placebo controlled trial of miconazole nitrate 0.25%. Pediatric Dermatology, 18, 149-155.
?imen, S., Aslan, G. and Yaprak, E. (2007) Hastanede yatan 0 24 ayl?k bebeklerde pi?ik g?rülme durumu ve etkileyen etmenlerin incelenmesi. Ege University School of Nursing Pediatric Nursing 1st National Congress Abstract Book, 100.
Ehretsmann, C., Schaefer, P. and Adam, R. (2001) Cutaneous tolerance of baby wipes by infants with atopic dermatitis, and comparison of the mildness of baby wipe and water in infant skin. Journal of the European Academy of Dermatology and Venereology, 5, 16-21.
G?rak G. (2002) Yenido?an?n deri hastal?klar?. In: Türkan Da?o?lu, T. and G?rak, G., Eds., Temel Neonataloji ve Hem?irelik ?lkeleri, Nobel T?p Kitabevleri, 3rd Edition, Nobel Matbaac?l?k, ?stanbul, 649-650.
Odio, M.R., Oconnor, R.J., Sarbaugh, F. and Baldwin, S. (2000) Continous topical administration of a petrolatum formulation by a novel disposable diaper. Dermatology, 200, 238-243. doi:10.1159/000018366
Longhi, F., Garlucc?, G., Bellucci, R., G?rolamo, D.I. and Palumbo, G. (1992) Amer?o P. Diaper dermatitis: A study of contributing factor. Contact Dermatitis, 26, 248-252.
Mandleco, B.L. (2002) Theoretical approaches to the growth and development of 0 18 month old children. In: Micki, L.P., Ed., Pediatric Nursing Caring for 0 18 Month Old Children and Their Families, 4th Edition, Delmar Thomson Learning, Albany, 182.