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Updated: Apr 15, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
Disposable diapers decrease the incidence of neonatal infections compared to cloth diapers in a level II neonatal
M Chowdary Babu1, Baswaraj Tandur1, Deepak Sharma2
1Department of Pediatrics, Vijay Marie Hospital, Hyderabad 500029, Andhra Pradesh, India.
Disposable diapers significantly reduce the incidence of probable sepsis in neonatal intensive care units (NICUs) compared to cloth diapers. This study also found disposable diapers to be more cost-effective for infant care in the NICU.
Area of Science:
- Neonatal care
- Infectious disease prevention
- Healthcare economics
Background:
- Neonatal intensive care units (NICUs) face challenges in preventing infections among vulnerable infants.
- The choice of diapers may influence infection rates and healthcare costs within the NICU setting.
Purpose of the Study:
- To compare the incidence of neonatal infections between disposable and cloth diapers in a level II NICU.
- To evaluate the cost-effectiveness of disposable versus cloth diapers for neonates requiring extended NICU stays.
Main Methods:
- A study was conducted in a level II NICU, enrolling neonates with a stay exceeding 48 hours.
- Infection screening involved septic screens and/or blood cultures for infants exhibiting signs and symptoms of infection.
Main Results:
- The incidence of probable sepsis was 39.9% in the total study group.
- A statistically significant lower incidence of probable sepsis was observed in the disposable diaper group compared to the cloth diaper group (p=0.01).
- Disposable diapers were found to be more cost-effective, costing Rs. 162 per infant compared to Rs. 241 for cloth diapers over an average 6-day NICU stay.
Conclusions:
- Disposable diapers are associated with a decreased incidence of probable sepsis in NICU admissions.
- The use of disposable diapers in NICUs presents a more economical option for patient care.
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