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Do baby wet wipes change periurethral aerobic flora?
Dursun A Senses1, C Elif Oztürk, Neşe Ersöz Yar
1Department of Pediatrics, Duzce University School of Medicine, Duzce, Turkey. sensesdali@yahoo.com
Insights
Baby wet wipes and water/napkins show similar safety for infant periurethral flora. This study found no significant difference in bacterial colonization when cleaning babies after diaper soiling.
Area of Science:
- Microbiology
- Pediatrics
- Dermatology
Background:
- Infants experience significant enteric bacterial colonization in the periurethral area.
- Fecal soiling is a primary cause of this bacterial colonization.
- Concerns exist regarding chemical cleansing compounds in baby wet wipes potentially contributing to colonization.
Purpose of the Study:
- To compare the effect of baby wet wipes versus water and napkins on periurethral flora.
- To investigate the potential role of wet wipes in bacterial colonization.
- To assess the safety of different infant cleaning methods.
Main Methods:
- Periurethral culture samples were collected from 173 infants.
- Infants were divided into two groups: those cleaned with baby wet wipes (Group A) and those cleaned with water and napkins (Group B).
- Colonization patterns of uropathogens and skin flora were analyzed and compared between groups.
Main Results:
- No statistically significant differences in periurethral flora colonization were observed between the wet wipe group and the water/napkin group (P > 0.05).
- Rates for uropathogen only, uropathogen and skin flora, and skin flora only/no growth were comparable across both cleaning methods.
- There was no significant difference in uropathogen isolation frequency between males and females.
Conclusions:
- Baby wet wipes are as safe as water and napkins for cleaning infants after diaper soiling.
- Current evidence suggests wet wipes do not adversely affect periurethral bacterial colonization compared to traditional methods.
- Further research may explore long-term implications, but initial findings support the safety of wet wipe usage.
Abstract:
There is massive enteric bacterial colonization in the periurethral region during infancy. Fecal soiling is considered to be responsible for this colonization. We hypothesized that baby wet wipes containing chemical cleansing compounds, which are used for the cleaning of babies after diaper soiling, could be a contributing factor in this colonization. Thus, the effect on periurethral flora of two different methods of baby cleaning was compared. Periurethral culture samples were obtained from 173 infants who were cleaned with baby wet wipes (Group A, n = 96) or water and napkins (Group B, n = 77) after diaper soiling. The colonization of uropathogens and the presence of flora were analyzed. The results of the periurethral cultures were similar in both groups. The rates of uropathogen colonization only, uropathogen and skin flora colonization, and skin flora only or no growth in Groups A and B were 18.7, 61.5, and 19.8%, and 14.3, 66.2, and 19.5, respectively. The differences between the groups were statistically insignificant (P > 0.05); however, there was no significant difference in the frequency of uropathogen isolation between males and females. We therefore concluded that baby wet wipes are as safe as water for the cleaning of babies after diaper soiling.
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