title: Association between the frequency of disposable diaper changing and urinary tract infection in infants.
abstract: BACKGROUND
  Often diapers are not changed after infants pass urine.
  
  
  OBJECTIVE
  To define the association between the frequency of changing diapers and urinary tract infection (UTI) in infants.
  
  
  METHODS
  Urine samples were tested in 131 infants (aged from 2 months to 2.5 years) who had a temperature > or =38 degrees C. The authors investigated the number of times diapers were changed daily. A total of 128 infants, excluding 3 cases, were divided into 2 groups: group A, without UTI (n = 96); group B, with UTI (n = 32). The number of times diapers were changed was compared between the groups.
  
  
  RESULTS
  In group A and group B, the number of times diapers were changed daily were 7.5 +/- 1.4 and 4.7 +/- 1.4, respectively. The number of times diapers were changed was significantly lower (P < .0001) in group B than in group A.
  
  
  CONCLUSIONS
  Among infants wearing disposable diapers, there is an increased risk of UTI as the frequency of changing diapers decreases.
authors.affiliation: Sugimura Children's Medical Clinic, Ghikugo, Japan. sugimura@kurume.ktarn.or.jp
authors.forename: Tetsu
authors.initials: T
authors.lastname: Sugimura
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Tananari
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Ozaki
authors.forename: Yasuki
authors.initials: Y
authors.lastname: Maeno
authors.forename: Seiji
authors.initials: S
authors.lastname: Tanaka
authors.forename: Shinichi
authors.initials: S
authors.lastname: Ito
authors.forename: Keiko
authors.initials: K
authors.lastname: Kawano
authors.forename: Kumiko
authors.initials: K
authors.lastname: Masunaga
mesh_terms: D002675:Child, Preschool; D041381:Diapers, Infant; D004209:Disposable Equipment; D006801:Humans; D007223:Infant; D007224:Infant Care; D014552:Urinary Tract Infections / Q000209:etiology*