Women's and Children's Services, NICU, University of Utah Hospital, Salt Lake City, Utah (Mss Rogers, Thomas, and Henderson); and Neonatology Division (Dr Chan) and Clinical Data Analysis and Implementation Divison (Mr Hinckley), Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Adv Neonatal Care. 2021 Jun 1;21(3):189-197. doi: 10.1097/ANC.0000000000000795.
Diaper dermatitis (DD) causes discomfort and emotional distress and creates possible sources of infection among newborn intensive care unit infants. Diaper dermatitis remains prevalent despite studies documenting an understanding of prevention and treatment modalities. Standardizing perineal skin care guidelines could reduce DD.
Implement perineal skin care guidelines, while introducing novel diaper wipes, to decrease the incidence of DD by 20% within a 1-year period.
Our unit reviewed evidence-based literature to develop a standardized perineal care guideline for prevention and treatment, encompassing the use of novel, preservative-free diaper wipes with grapefruit seed extract. The outcome measures were the incidence and duration of DD. Process compliances were monitored. The balancing measure was the rate of fungal skin infection while using preservative-free wipes.
Between July 2017 and March 2019, 1070 infants were admitted for 1 or more days, with 11% of those being born at less than 30 weeks of gestational age. After guideline implementation in January 2018, the incidence of DD decreased by 16.7%. The incidence of severe cases dropped by 34.9%, with 3.5 days per 100 patient-days shortened duration. Process compliance was achieved. Neonates tolerated the novel wipes without increased fungal skin infection.
The Perineal Skin Care Guidelines could reduce the rate and duration of DD. Newborn intensive care unit infants tolerated the novel diaper wipes.
Additional research on wipes containing other types of extracts or ingredients.
尿布皮炎（DD）会给新生儿重症监护病房的婴儿带来不适和情绪困扰，并可能成为感染源。尽管有研究记录了预防和治疗方法，但尿布皮炎仍然很普遍。标准化的会阴皮肤护理指南可以减少 DD 的发生。
实施会阴皮肤护理指南，同时引入新型尿布湿巾，在 1 年内将 DD 的发病率降低 20%。
我们部门回顾了循证文献，制定了预防和治疗的标准化会阴护理指南，包括使用含有柚籽提取物的新型无防腐剂尿布湿巾。结果测量是 DD 的发生率和持续时间。监测流程合规性。使用无防腐剂湿巾时，真菌性皮肤感染的比率是平衡措施。
2017 年 7 月至 2019 年 3 月，有 1070 名婴儿入住 1 天或以上，其中 11%的婴儿出生时胎龄不足 30 周。2018 年 1 月实施指南后，DD 的发病率下降了 16.7%。严重病例的发病率下降了 34.9%，每 100 个患者日缩短了 3.5 天。达到了流程合规性。新生儿耐受新型湿巾，无真菌性皮肤感染增加。
会阴皮肤护理指南可以降低 DD 的发生率和持续时间。新生儿重症监护病房的婴儿耐受新型尿布湿巾。
对含有其他类型提取物或成分的湿巾进行更多研究。
