Diaper Dermatitis: Etiology,

Manifestations,
Prevention, and Management
Georgios N. Stamatas, Ph.D.,* and Neena K. Tierney, Ph.D.
*Johnson & Johnson Sante Beaute France, Issy les Moulineaux, France, Johnson
& Johnson Consumer Companies
Inc., Skillman, New Jersey

M.Fourta Lasocto 2007730077

PEMBIMBING:
Dr. Bowo wahyudi Sp.KK

KEPANITERAAN KLINIK ILMU KULIT DAN KELAMIN

RSUD BANJAR
JANUARY 2016

introduction
Generally Diaper dermatitis is a skin disease
that commonly affects children in some areas
during the early months and
years after birth .
erythematou
Faktor : Friction and hydration
s lesions
> high pH
contamination with feces containing the
enzyme u/ skin irritation
Impact : frequent crying and restless changes in
eating and sleeping patterns

Manifestasi and Etiologi

The most frequent form Irritant contact

dermatitis
Buttocks area skin inflammation resembling
erythematous dermatitis , especially the
inguinal
The most Buttocks ,
common perianal ,inner
thighs
areas
Genitals and
waist
Efflorese Eritema
Papul,pustula
nsi
Erosi kulit
(Fase kronis)

Etiologi
Excessive friction and Hydration
PH high
Often contaminated with feces containing

the enzyme has high potential to irritate

the skin
common complications Candidiasis ,
clinical picture : erythematous patches,
plaque dan Scale

For proper diagnosis needs to pay attention

to other forms of skin disorders with
symptoms such as erythema and lesions in
the diaper area
(mis: intertrigo,dermatitis seboroik,
psoriasis)
Diaper dermatitis is a severe form requires
medical attention because the patient
showed serious conditions such as
malnutrition , intestinal malabsorption
syndrome , gastrointestinal tract disorders
bottom or toxic reactions

Sedikit

Ringan

Sedang

SedangBerat

Berat

Study Description
Results of the evaluation of the latest study

states the percentage of children with

Diaper Dermatitis ranging from 16 % - 70 %
Reports from a study of the different
variations of the maximum age , with a
peak of 9 to 12 months and 12 to 24
months
Clinical signs of Diaper Dermatitis at birth
appear and will appear at the beginning of
the first month after birth
According to one study , the incidence of
Diaper Dermatitis at the age of 4 weeks
ranges from 25 %

Prevention and treatment

Key of Diaper Dermatitis treatment lies in

prevention.
Prevention :
Routine change diapers
Reduce friction and exposure of the wet diaper
Replacement diaper 2 hours during the day

and for children older every 3-4 hours

Gently cleaning the buttocks area and using
creams
Routine bathing with warm water ( 37 - 40
C)

Treatment
The use of creams or ointments may protect from

contact with moisture and irritation

Use a material containing zinc oxide ( ZnO ) ,
petrolatum (petroleum jelly ) to the skin that is
irritated
Cleaning and drying the buttocks area affected by
gently patting and not rubbed
In some European countries using a solution of eosin 2
% after a diaper change
Other Ingredients : cod liver oil , dimethicone and aloe
barbadensis dexpanthenol
Lack of protective cream use and lack fekuensi diaper
change can lead to relapse

In the case of more severe if it fails treated with STEP 2

described above, it should be considered a topical

treatment (corticosteroids and anti-fungal)
Antifungal drugs : nystatin , clotrimazole , ketoconazole
The use of anti-fungal medications to control the growth
of fungi when candida infection is suspected
Topical corticosteroids are used is hydrocortisone to
reduce inflammation
DD Combination Treatment in the United States and antifungal topical corticosteroids(nistatin triamcinolone,
clotrimazole-betamethasone dipropionat)
If secondary bacterial infection required a topical
antibiotic

Conclusion
Diaper dermatitis is a common skin disease

in newborns and young infants. Occlusion

in diapers create an environment conducive
to the irritation of the skin. Begins with
damage to the outermost layer of the skin
caused by the components of urine and
feces.
The outer skin care cream and diaper
changing routine is an effective prevention
strategy

THANK YOU