Summary of the best evidence summary on prevention strategies for diaper dermatitis in infants

doi:10.3969/j.issn.1674-8115.2022.03.014

Abstract

Abstract: Objective

·To search, appraise and retrieve the best evidence on prevention strategies for diaper dermatitis in infants, and provide evidence-based guidance for reducing the diaper dermatitis.

Methods

·BMJ Best Practice, UpToDate, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, Registered Nurses' Association of Ontario, Joanna Briggs Institute (JBI) Center of Evidence-Based Healthcare Database, Database of Abstracts of Reviews of Effectiveness, Cochrane Library, Campbell, Medline, PubMed, SinoMed, Chinese Nursing Association, and Chinese Pediatric Society, Chinese Medical Association were systematacially searched to collect relevant evidence on preventing diaper dermatitis in infants. The evidence including clinical decisions, guidelines, evidence summaries, systematic reviews and expert consensuses published from database construction to June 2021. Two researchers evaluated the quality of the literature, and extracted recommendations and research conclusions from the included literature.

Results

·Totally 8 articles were involved, including 2 clinical decisions, 1 evidence summary, 4 systematic reviews and 1 expert consensus. Finally, 26 pieces of best evidence about air, barrier, cleaning, diaper and education were summarized.

Conclusion

·Pediatric professionals should optimize the clinical process to prevent diaper dermatitis, which is on the basis of evidence, cultural characteristics, resource allocation and patient characteristics. Family education is also important, aiming at reducing the incidence rate of diaper dermatitis in infants.

Key words: infant, diaper dermatitis, prevention, evidence-based nursing

CLC Number:

LI Yan, JIANG Yan, KANG Qiongfang, LU Qunfeng. Summary of the best evidence summary on prevention strategies for diaper dermatitis in infants[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2022, 42(3): 357-363.

Figures/Tables 5

TrendMD

References 34

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Study	Year	Resource	Type	Theme
MATHEW^［15］	2021	JBI	Evidence summary	Management of diaper dermatitis in infants and preschool children
BAER^［16］	2006	Cochrane	Systematic review	Application of disposable diapers in prevention of infant diaper dermatitis
DAVIES^［17］	2005	Cochrane	Systematic review	Role of topical vitamin A or its derivatives in the treatment and prevention of infant diaper dermatitis
ROWE^［18］	2008	JBI	Systematic review	Effect of barrier preparation on prevention/treatment of diaper dermatitis in infants and preschool children
BLUME-PEYTAVI^［19］	2014	DARE	Systematic review	Prevention of diaper dermatitis in infant： a literature review
ZHANG^［20］	2020	Medlive	Consensus approach	Expert consensus on nursing practice of infant diaper dermatitis
HORII^［21］	2019	UptoDate	Clinical decision	Clinical decision making in the management of diaper dermatitis
BMJ^［22］	2018	Best Practice	Clinical decision	An overview of dermatitis

Study	Year	Resource	Type	Theme
MATHEW^［15］	2021	JBI	Evidence summary	Management of diaper dermatitis in infants and preschool children
BAER^［16］	2006	Cochrane	Systematic review	Application of disposable diapers in prevention of infant diaper dermatitis
DAVIES^［17］	2005	Cochrane	Systematic review	Role of topical vitamin A or its derivatives in the treatment and prevention of infant diaper dermatitis
ROWE^［18］	2008	JBI	Systematic review	Effect of barrier preparation on prevention/treatment of diaper dermatitis in infants and preschool children
BLUME-PEYTAVI^［19］	2014	DARE	Systematic review	Prevention of diaper dermatitis in infant： a literature review
ZHANG^［20］	2020	Medlive	Consensus approach	Expert consensus on nursing practice of infant diaper dermatitis
HORII^［21］	2019	UptoDate	Clinical decision	Clinical decision making in the management of diaper dermatitis
BMJ^［22］	2018	Best Practice	Clinical decision	An overview of dermatitis

Study	Q1	Q2	Q3	Q4	Q5	Q6	Q7	Q8	Q9	Q10	Q11	Q12	Q13	Q14	Q15	Q16
BAER^［16］	Y	Y	Y	Y	Y	Y	Y	P	Y	Y	Y	Y	Y	N	Y	Y
DAVIES^［17］	Y	Y	Y	Y	Y	Y	P	Y	Y	N	Y	Y	Y	N	Y	Y
ROWE^［18］	Y	Y	Y	Y	Y	Y	Y	Y	Y	N	Y	Y	Y	N	Y	Y
BLUME-PEYTAVI^［19］	Y	N	Y	Y	Y	N	Y	Y	Y	N	Y	Y	Y	N	N	N

Study	Q1	Q2	Q3	Q4	Q5	Q6	Q7	Q8	Q9	Q10	Q11	Q12	Q13	Q14	Q15	Q16
BAER^［16］	Y	Y	Y	Y	Y	Y	Y	P	Y	Y	Y	Y	Y	N	Y	Y
DAVIES^［17］	Y	Y	Y	Y	Y	Y	P	Y	Y	N	Y	Y	Y	N	Y	Y
ROWE^［18］	Y	Y	Y	Y	Y	Y	Y	Y	Y	N	Y	Y	Y	N	Y	Y
BLUME-PEYTAVI^［19］	Y	N	Y	Y	Y	N	Y	Y	Y	N	Y	Y	Y	N	N	N

Evaluation criterion	Result
Evaluation criterion	LI^［5］	ADALAT^［24］
1. Whether the inclusion criteria of the sample are clearly defined	Y	N
2. Whether the research object and the research site are described in detail	Y	Y
3. Whether the measurement method of exposure factors has reliability and validity	Y	N/C
4. Whether diseases or health problems are defined by objective and consistent criteria	Y	Y
5. Whether confounding factors are identified	N	N
6. Whether measures are taken to control confounding factors	N	N
7. Whether the measurement method of outcome index has reliability and validity	Y	Y
8. Whether the data analysis methods are appropriate	Y	Y