title: Diaper Dermatitis in Infants Admitted to Social Pediatrics Health Center: Role of Socio-demographic Factors and Infant Care.
abstract: OBJECTIVE
  To determine infant diaper dermatitis (DD) at pediatrics health center; its relation to socio-demographic factors and infant care.
  
  
  METHODS
  The study included 113 infants aged 0-24 mo. Data on infants' age, sex, weight, mothers' education, nutrition, diaper change frequency, cleaning methods and prophylactic cream use were recorded. Infants with minimum one time rash, were accepted to have DD.
  
  
  RESULTS
  Seventy six (67.3 %) infants had DD [32 girls (42.1 %), 44 boys (57 %), mean age: 6.5 mo]. Infants with DD had significantly higher age than those without (p 0.001). DD frequency in infants ≥4.5 mo-old was 5.8(2.4-13.7) times more than in infants ≤4.5 mo. Cleaning material types did not affect DD frequency. No significant difference was observed in DD with diaper change of ≤3 times and ≥4 times. Significant difference in DD increase was observed with supplementary food intake vs. without it (p 0.000). DD frequency in infants with supplementary food intake was 6.4 times (2.4-17.1) more than in those without it. Human milk intake was statistically significant in causing less occurrence of DD as shown in univariate model (p < 0.05). Rash incidence was significantly lower with cream use compared to without its use (p < 0.001). DD prevalence was decreased 0.203 (0.087-0.477) times by cream usage.
  
  
  CONCLUSIONS
  Age, supplementary food intake and lack of cream use seem to be accountable for DD whereas human milk intake lessened the occurrence of DD. Mothers should be informed on dermatitis care and encouraged for breastfeeding.
authors.affiliation: Nisantasi Family Medicine Center, Speciality in Family Medicine, 19 Mayıs mah. Dr Sevket bey sok. Tellioglu apt.no:7 A Blok Daire:14, Sisli, Istanbul, 34360, Turkey. semrakayaoglu@hotmail.com.
authors.forename: Semra
authors.initials: S
authors.lastname: Kayaoglu
authors.affiliation: Department of Dermatology, Sisli Etfal Teaching and Research Hospital, Sisli, Istanbul, Turkey.
authors.forename: Ilknur
authors.initials: I
authors.lastname: Kivanc-Altunay
authors.affiliation: Department of Dermatology, Sisli Etfal Teaching and Research Hospital, Sisli, Istanbul, Turkey.
authors.forename: Sezgi
authors.initials: S
authors.lastname: Sarikaya
mesh_terms: D002675:Child, Preschool; D003963:Diaper Rash / Q000453:epidemiology* / Q000628:therapy; D005260:Female; D006760:Hospitalization; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D007224:Infant Care / Q000379:methods* / Q000706:statistics & numerical data; D007231:Infant, Newborn; D008297:Male; D015995:Prevalence
keywords: Breastfeeding; Diaper dermatitis; Infant; Napkin; Skin; Supplementary food