Khon Kaen University, Khon Kaen, Thailand.
J Prim Care Community Health. 2020 Jan-Dec;11:2150132719898924. doi: 10.1177/2150132719898924.
Diaper dermatitis is uncommon in children older than 2 years because the majority of these children are diaper independent. However, diaper dermatitis still occurs, especially in children in daycare settings. This study attempted to determine the prevalence of diaper dermatitis and its associated factors among children aged 2 to 4 years attending daycare centers. Cross-sectional analysis and tests for correlation were conducted to determine the factors associated with diaper dermatitis among the study population. The prevalence of diaper dermatitis during the study period was 17.2%. Factors significantly correlated with the occurrence of diaper dermatitis were beginning toilet training later than 2 years of age (odds ratio [OR] = 2.84, 95% CI = 1.17-6.86, = .02) and the use of oral antibiotics (OR = 15.92, 95%CI = 3.57-70.94, < .001). Two major adjustable factors for preventing diaper dermatitis in the study population were toilet training before 2 years of age and avoiding the use of unnecessary oral antibiotics. These results may help in devising a preventive protocol for diaper dermatitis among this age group in the future.
尿布性皮炎在 2 岁以上的儿童中并不常见,因为这些儿童大多数已不再使用尿布。然而,尿布性皮炎仍会发生,尤其是在日托中心的儿童中。本研究试图确定在日托中心 2 至 4 岁儿童中尿布性皮炎的流行率及其相关因素。进行了横断面分析和相关性检验,以确定研究人群中与尿布性皮炎相关的因素。在研究期间,尿布性皮炎的患病率为 17.2%。与尿布性皮炎发生显著相关的因素是晚于 2 岁开始如厕训练(优势比[OR] = 2.84,95%置信区间[CI] = 1.17-6.86, =.02)和使用口服抗生素(OR = 15.92,95%CI = 3.57-70.94, <.001)。在研究人群中预防尿布性皮炎的两个主要可调节因素是在 2 岁之前进行如厕训练和避免使用不必要的口服抗生素。这些结果可能有助于制定针对该年龄段儿童未来尿布性皮炎的预防方案。