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Diaper Dermatitis: Prevalence and Associated Factors in 2 University Daycare Centers
Porntipa Suebsarakam1, Jitjira Chaiyarit1, Leelawadee Techasatian1
1Khon Kaen University, Khon Kaen, Thailand.
Insights
Diaper dermatitis affects 17.2% of children aged 2-4 in daycare. Key prevention factors include starting toilet training before age 2 and avoiding unnecessary oral antibiotics.
Area of Science:
- Pediatrics
- Dermatology
- Public Health
Background:
- Diaper dermatitis is typically uncommon in children over 2 years old.
- However, it can still occur in this age group, particularly in daycare settings.
Purpose of the Study:
- To determine the prevalence of diaper dermatitis in children aged 2-4 years attending daycare.
- To identify factors associated with diaper dermatitis in this population.
Main Methods:
- Cross-sectional analysis was employed.
- Correlation tests were used to identify associated factors.
Main Results:
- The prevalence of diaper dermatitis was 17.2%.
- Later toilet training (after 2 years) was significantly correlated (OR=2.84, P=.02).
- Oral antibiotic use showed a strong correlation (OR=15.92, P<.001).
Conclusions:
- Starting toilet training before age 2 is a key adjustable factor for prevention.
- Avoiding unnecessary oral antibiotic use is crucial for preventing diaper dermatitis.
- Findings can inform future preventive protocols for this age group.
Abstract:
Purpose: Diaper dermatitis is uncommon in children older than 2 years because the majority of these children are diaper independent. However, diaper dermatitis still occurs, especially in children in daycare settings. This study attempted to determine the prevalence of diaper dermatitis and its associated factors among children aged 2 to 4 years attending daycare centers. Cross-sectional analysis and tests for correlation were conducted to determine the factors associated with diaper dermatitis among the study population. Results: The prevalence of diaper dermatitis during the study period was 17.2%. Factors significantly correlated with the occurrence of diaper dermatitis were beginning toilet training later than 2 years of age (odds ratio [OR] = 2.84, 95% CI = 1.17-6.86, P = .02) and the use of oral antibiotics (OR = 15.92, 95%CI = 3.57-70.94, P < .001). Conclusion: Two major adjustable factors for preventing diaper dermatitis in the study population were toilet training before 2 years of age and avoiding the use of unnecessary oral antibiotics. These results may help in devising a preventive protocol for diaper dermatitis among this age group in the future.
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