Uber Marjorie, Imoto Renata R, Carvalho Vânia O
Universidade Federal do Paraná (UFPR), Departamento de Pediatria, Divisão de Dermatologia Pediátrica, Curitiba, Brazil.
Universidade Federal do Paraná (UFPR), Departamento de Pediatria, Divisão de Dermatologia Pediátrica, Curitiba, Brazil.
J Pediatr (Rio J). 2025 Mar-Apr;101(2):276-281. doi: 10.1016/j.jped.2024.10.008. Epub 2024 Dec 9.
To describe features and habits of diaper area care and compare the frequency of diaper dermatitis in infants using cloth diapers with those using disposable diapers.
Questionnaires were administered to families with infants who had not started potty training, to assess the frequency of diaper rash in two groups: babies who use exclusively cloth diapers (CD), and others with exclusively disposable diapers (DD). The hygiene methods of the perineal region and the skin lesions frequency were evaluated. The study was approved by the Ethics Committee.
1389 participants were included, 53 % male, with a median age of 16 (7-24) months, 1269 (91.4 %) in DD and 120 (8.6 %) in CD. Mild diaper rash occurred a few times a year in 47.0 % and 47.5 % in the DD and CD groups, respectively (p = 0.47). Severe diaper rash occurred a few times a year in 13 % and 10.7 % in the DD and CD groups, respectively (p = 0.66). In the DD, the most used hygiene method was wet wipes (61.5 %), whereas in the CD it was cotton/cloth with water (62.2 %; p < 0.001).
Disposable diapers continue to be more used; hygiene habits differ between the groups and the use of cloth diapers did not increase the frequency of diaper dermatitis when compared to the use of disposable diapers.
描述尿布区域护理的特点和习惯，并比较使用布尿布的婴儿与使用一次性尿布的婴儿患尿布皮炎的频率。
对尚未开始如厕训练的婴儿家庭进行问卷调查，以评估两组婴儿尿布疹的发生频率：仅使用布尿布（CD）的婴儿和仅使用一次性尿布（DD）的婴儿。评估会阴区域的卫生方法和皮肤病变频率。该研究经伦理委员会批准。
共纳入1389名参与者，其中53%为男性，中位年龄为16（7 - 24）个月，1269名（91.4%）使用一次性尿布，120名（8.6%）使用布尿布。轻度尿布疹在一次性尿布组和布尿布组中每年发生几次的比例分别为47.0%和47.5%（p = 0.47）。重度尿布疹在一次性尿布组和布尿布组中每年发生几次的比例分别为13%和10.7%（p = 0.66）。在使用一次性尿布的人群中，最常用的卫生方法是湿纸巾（61.5%），而在使用布尿布的人群中是用水清洗的棉/布（62.2%；p < 0.001）。
一次性尿布的使用仍然更为普遍；两组的卫生习惯不同，与使用一次性尿布相比，使用布尿布并未增加尿布皮炎的发生频率。
