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Incidence of incontinence-associated dermatitis in hospitalised neonates. Adaptation and validation of a severity scale.
- Source :
-
Anales de pediatria [An Pediatr (Engl Ed)] 2024 Jun; Vol. 100 (6), pp. 420-427. Date of Electronic Publication: 2024 Jun 03. - Publication Year :
- 2024
-
Abstract
- Introduction: Up to 60% of hospitalised neonates may develop incontinence-associated dermatitis (IAD). Our aim was to adapt the Clinical Evaluation Scale for Characterization of the Severity of Diaper Dermatitis to the Spanish population and to find out the nationwide frequency of IAD in hospitalized neonates.<br />Methods: Cross-cultural adaptation and assessment of content validity of the scale. We carried out a prospective, multicentre observational study of the incidence of nappy rash in postnatal wards and neonatal intensive care units in 6 Spanish hospitals.<br />Results: We obtained a content validity index of 0.869 for the total scale (95% CI, 0.742-0.939). The sample included 196 neonates. The cumulative incidence of IAD was 32.1% (9.1% mild-moderate, 8% moderate and 1.6% severe). The incidence rate was 2.2 IAD cases per 100 patient days. A stool pH of less than 5.5, a greater number of bowel movements a day, a greater daily urine output and the use of oral drugs were among the factors associated with the development of IAD.<br />Conclusion: The Spanish version of the Clinical Evaluation Scale for Characterization of the Severity of Diaper Dermatitis had an adequate content validity for the assessment of DAI in the hospitalised neonatal population. Mixed feeding, treatment with oral drugs and the use of medical devices in the perianal area were associated with an increased risk of nappy dermatitis in infants.<br /> (Copyright © 2024 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.)
- Subjects :
- Humans
Infant, Newborn
Prospective Studies
Incidence
Male
Female
Spain epidemiology
Hospitalization
Fecal Incontinence epidemiology
Fecal Incontinence diagnosis
Fecal Incontinence complications
Severity of Illness Index
Diaper Rash epidemiology
Diaper Rash diagnosis
Urinary Incontinence epidemiology
Urinary Incontinence diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 2341-2879
- Volume :
- 100
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Anales de pediatria
- Publication Type :
- Academic Journal
- Accession number :
- 38834435
- Full Text :
- https://doi.org/10.1016/j.anpede.2024.04.015