Odio M R, O'Connor R J, Sarbaugh F, Baldwin S
Procter & Gamble Co., Cincinnati, Ohio 45242, USA.
Dermatology. 2000;200(3):232-7. doi: 10.1159/000018365.
Cutaneous problems are commonly associated with the use of diapers. Aiming to help reduce them, we have explored the use of the inner layer of diapers as a means to deliver to the skin dermatological formulations intended to help protect it from overhydration and irritation.
To determine the feasibility of using the inner layer of the diaper as a vehicle for topical delivery of a petrolatum-based formulation and to determine its impact on skin surface microtopography.
Two independent, blinded, randomized clinical trials were conducted, on children 16-24 months of age. All comparisons were done versus a control diaper, identical to the test product except for the absence of the petrolatum formulation. The studies determined the effects of the novel diaper on transfer of formulation to the skin and skin surface microtopography.
During normal diaper use, formulation transfer from the diaper to the skin occurred in a cumulative, time-dependent manner and use of the formulation-treated diaper was associated with significant reductions in skin surface roughness compared to the control diaper.
The results demonstrated the feasibility and skin surface benefits associated with continuous topical administration of a petrolatum-based formulation by this novel diaper. This unprecedented dosimetric approach offers new avenues to reduce further the dermatological problems commonly associated with diaper use.
皮肤问题通常与使用尿布有关。为了帮助减少这些问题,我们探索了将尿布内层用作递送旨在帮助保护皮肤免受过度水合和刺激的皮肤病学制剂的一种手段。
确定使用尿布内层作为基于凡士林制剂的局部递送载体的可行性,并确定其对皮肤表面微观形貌的影响。
对16 - 24个月大的儿童进行了两项独立、盲法、随机临床试验。所有比较均与对照尿布进行,对照尿布与测试产品相同,只是不含凡士林制剂。研究确定了新型尿布对制剂向皮肤转移和皮肤表面微观形貌的影响。
在正常使用尿布期间,制剂从尿布向皮肤的转移以累积、时间依赖性方式发生,与对照尿布相比,使用经制剂处理的尿布可使皮肤表面粗糙度显著降低。
结果证明了通过这种新型尿布持续局部施用基于凡士林的制剂的可行性和对皮肤表面的益处。这种前所未有的剂量测定方法为进一步减少通常与使用尿布相关的皮肤病学问题提供了新途径。