SKIN CARE IN INFANTS
https://doi.org/10.15690/vsp.v13i2.978
Abstract
Human skin is a complex organ in its structure. Numerous functions of the skin may be impaired in its pathology. Anatomical and physiological characteristics of the skin in children predispose to common diseases of the skin. Diaper dermatitis is one of the most common skin diseases during infancy and childhood. Diapered skin is exposed to friction and excessive hydration, has a higher pH than nondiapered skin, and is repeatedly soiled with feces that contains enzymes with high irritation potential for the skin. Diaper dermatitis may vary in clinical severity and course. Therapeutically, frequent diaper changes and adequate skin care are most important. Appropriate skin care can help to prevent the occurrence of diaper dermatitis and to speed up the healing of affected skin. This includes frequent diaper changes and aeration, gentle cleansing, and the use of a barrier cream. For the treatment of diaper dermatitis agents selected depending on the presence and severity of complications. For prevention and treatment of uncomplicated diaper dermatitis effective means of containing dexpantenol.
About the Authors
I. N. Zakharova
Russian Medical Academy of Post-Graduate Education, Moscow
Russian Federation
Russian Federation
Irina Zakharova, Doctor of Medical Science, professor, honored doctor of the Russian Federation, head of chair of pediatrics of the Russian Medical Academy of Post-Graduate Education, chief pediatrician of the Central federal district of the Russian Federation
E. B. Machneva
Russian Medical Academy of Post-Graduate Education, Moscow
Russian Federation
Russian Federation
References
1. Noble W. C. Mikrobiologiya kozhi cheloveka [Microbiology of Human Skin]. Transl. from Eng. М.: Meditsina. 1986. 496 p.
2. Kuznetsov S. L., Mushkambarov N. N., Goryachkina V. L. Atlas gistologii, tsitologii i embriologii [Atlas of Histology, Cytology and Embryology]. М.: MIA. 2002. 374 p.
3. Tortora G. J., Derrickson B. Principles of anatomy and physiology. 11th ed. Hoboken, N. J. John Wiley & Sons. 2006. 1264 p.
4. Gillman T. The dermis. In: An Introduction to the Biology of the Skin. R. H. Champion, T. Gillman, A. J. Rook, R. T. Smith (eds). Philadelphia, Pa: FA Davis Co Publishers. 1970.
5. Vorontsov I. M., Mazurin A. V. Propedevtika detskikh bolezney [Propaedeutics of Children Diseases]. SPb.: Foliant. 2009. 1008 p.: fig.
6. Zver'kova F. A. Bolezni kozhi detey rannego vozrasta [Skin Diseases of Children of Early Age]. SPb.: Sotis. 1994. 236 p.
7. Odland G. F., Short J. M. Structure of the skin. In: Dermatology in General Medicine. T. B. Fitzpatrick (ed.). New York: McGraw-Hill, Inc. 1971. P. 39–40.
8. Krafchik B. R. Eczematous disorders. Dans: Textbook of Neonatal Dermatology. L. F. Eichenfield, I. J. Frieden, N. B. Esterly (eds). Philadelphia: WB Saunders Co. 2001. P. 241–259.
9. Geppe N. A., Belousova N. A., Pakhomova O. A., Im V. V. Consilium Medicum. 2002; Appendix: 33–35.
10. Adaskevich V. P., Kozin V. M. Kozhnyye i venericheskiye bolezni [Skin and Venereal Diseases]. М.: Med. lit. 2006. 672 p.
11. Afanas'yev Yu. I., Yurina N. A., Kotovskiy Ye. F. and others. Gistologiya: Uchebnik [Histology: Textbook]. The 5th ed., rev. and enl. М.: Meditsina. 2002. 744 p.: fig.
12. Korovina N. A., Zaplatnikov A. L., Zakharova I. N. Posobiye dlya vrachey. Novyye razrabotki po ukhodu za kozhey detey rannego vozrasta [Guide For Doctors. New Development on Skin Care of Children of Early Age]. М. 1998.
13. Stamatas G. N., Tierney N. K. Diaper dermatitis: Etiology, manifestations, prevention, and management. Pediatr. Dermatol. 2014; 31 (1): 1–7.
14. Berg R. W. Etiology and pathophysiology of diaper dermatitis. Adv. Dermatol. 1988; 3: 75–98.
15. Adalat S., Wall D., Goodyear H. Diaper dermatitis — frequency and contributory factors in hospital attending children. Pediatr. Dermatol. 2007; 4: 483–488.
16. Liu N., Wang X., Odio M. Frequency and severity of diaper dermatitis with use of traditional Chinese cloth diapers: observations in 3- to 9-month-old children. Pediatr. Dermatol. 2011; 28: 380–386.
17. Hermoso F. Evolution of nappy dermatitis in the general infant population. Submitted. 1998.
18. Brown W. M., Berg J. E., Li Q. et al. A clinical study to evaluate the efficacy of two marketed zinc oxide-based diaper rash ointments in children with diaper dermatitis. Clin. Dermatol. Conf. Las Vegas, NV. 2006.
19. Shin H.T. Diaper dermatitis that does not quit. Dermatol. Ther. 2005; 18: 124–135.
20. Wolf R., Wolf D., Tuzun B. et al. Diaper dermatitis. Clin. Dermatol. 2000; 18: 657–660.
21. Lund C. H., Kuller J., Raines D. A. et al. Neonatal skin care — evidence-based clinical practice guideline. 2nd edn. Washington, DC: Association of Women's Health, Obstetric and Neonatal Nurses and the National Association of Neonatal Nurses. 2007.
22. Blume-Peytavi U., Cork M. J., Faergemann J. et al. Bathing and cleansing in newborns from day 1 to first year of life: recommendations from a European round table meeting. J. Eur. Acad. Dermatol. Venereol. 2009; 23: 751–759.
23. Jordan W. E., Lawson K. D., Berg R. W. et al. Diaper dermatitis: frequency and severity among a general infant population. Pediatr. Dermatol. 1986; 3: 198–207.
24. Benjamin L. Clinical correlates with diaper dermatitis. Pediatrician. 1987; 14 (Suppl. 1): 21–26.
25. Berg R. W., Buckingham K. W., Stewart R. L. Etiologic factors in diaper dermatitis: the role of urine. Pediatr. Dermatol. 1986; 3: 102–106.
26. Korovina N. A., Zakharova I. N., Ovsyannikova Ye. M. RMZh — Russian Medical Journal. 2004; 18: 1041–1047.
27. Xhauflaire-Uhoda E., Henry F., Pierard-Franchimont C. et al. Electrometric assessment of the effect of a zinc oxide paste in diaper dermatitis. Int. J. Cosmet. Sci. 2009; 31: 369–374.
28. Adam R. Skin care of the diaper area. Pediatr. Dermatol. 2008; 25: 427–433.
29. Ebner F., Heller A., Rippke F., Tausch I. Topical use of dexpanthenol in skin disorders. Am. J. Clin. Dermatol. 2002; 3 (6): 427–433.
30. Prasad H., Srivastava P., Verma K. Diaper dermatitis — an overview. Indian J. Pediatr. 2003; 70: 635–637.
31. Registr lekarstvennykh sredstv Rossii [Register of Medicines of Russia]. RLS-2013.21 (Electronic Encyclopedia of Drugs). М.: RLS-Patent. 2013.
Review
For citations:
Zakharova I.N., Machneva E.B. SKIN CARE IN INFANTS. Current Pediatrics. 2014;13(2):95-100. (In Russ.) https://doi.org/10.15690/vsp.v13i2.978
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