title: Diaper Dermatitis: A Review of 63 Children.
abstract: OBJECTIVE
  Diaper dermatitis (DD) is a common infantile dermatosis with a highly variable prevalence and incidence. This study aimed to present the demographic and clinical features of babies with DD.
  
  
  METHODS
  Data, including demographic and clinical features, obtained from DD patient forms were retrospectively analyzed.
  
  
  RESULTS
  The study included 63 babies with DD (female: n = 35 [55.6%]; male: n = 28 [44.4%]; mean age 11.6 mos). Most of the patients (43.5%) were 0 to 6 months of age. In all, 76.3% were breastfed, of whom 31.7% were exclusively breastfed. The number of previous episodes of DD was significantly lower in breastfed babies. The most common diaper area cleansing method was wet wipes (54.1%). Diaper creams were used in 86.2% of patients. DD was severe in 22.2% of patients, moderate in 57.4%, and mild in 20.4%. Candida infection was noted in 77.4% of patients. The median number of previous episodes of DD was significantly higher in patients with Candida infection than in those without (p = 0.02). Treatment yielded greater than 50% improvement (complete and moderate response) in 59.4% of patients at the first follow-up visit (3-5 days) and 82.6% at the second follow-up visit (10 days).
  
  
  CONCLUSIONS
  Most babies with DD were 0 to 6 months of age. Breastfed babies had fewer previous episodes of DD, so mothers should be encouraged to breastfeed their babies to reduce the incidence of DD. Candida infection was common; clinicians should be aware of its association with DD.
authors.affiliation: Department of Dermatology, Hacettepe University, School of Medicine, Ankara, Turkey.
authors.forename: Sibel
authors.initials: S
authors.lastname: Ersoy-Evans
authors.affiliation: Department of Dermatology, Hacettepe University, School of Medicine, Ankara, Turkey.
authors.forename: Hande
authors.initials: H
authors.lastname: Akıncı
authors.affiliation: Department of Dermatology, Hacettepe University, School of Medicine, Ankara, Turkey.
authors.forename: Sibel
authors.initials: S
authors.lastname: Doğan
authors.affiliation: Department of Dermatology, Hacettepe University, School of Medicine, Ankara, Turkey.
authors.forename: Nilgün
authors.initials: N
authors.lastname: Atakan
mesh_terms: D000287:Administration, Topical; D000935:Antifungal Agents / Q000627:therapeutic use; D016009:Chi-Square Distribution; D016208:Databases, Factual; D017453:Dermatitis, Irritant / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology; D003879:Dermatologic Agents / Q000627:therapeutic use*; D003963:Diaper Rash / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D017592:Skin Care / Q000379:methods*; D018709:Statistics, Nonparametric; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents; D003879:Dermatologic Agents; D011239:Prednisolone