دورية أكاديمية
أعرض في EDS

Incidence of incontinence-associated dermatitis in hospitalised neonates. Adaptation and validation of a severity scale.

التفاصيل البيبلوغرافية
العنوان: Incidence of incontinence-associated dermatitis in hospitalised neonates. Adaptation and validation of a severity scale.
المؤلفون: Balaguer-López E; Servicio Pediatría, Hospital Clínico Universitario de Valencia, Departamento Enfermería. Universidad de Valencia, Valencia, Spain; Grupo Asociado de Investigación en Cuidados, Fundación INCLIVA, Valencia, Spain. Electronic address: escafran@uv.es., Estañ-Capell J; Servicio Pediatría, Hospital Clínico Universitario de Valencia, Departamento Pediatría, Universidad de Valencia, Valencia, Spain., Rodrígez Dolz MC; Servicio Pediatría, Hospital Clínico Universitario de Valencia, Departamento Enfermería. Universidad de Valencia, Valencia, Spain; Grupo Asociado de Investigación en Cuidados, Fundación INCLIVA, Valencia, Spain., Barberá Ventura MC; Servicio Preventiva y Calidad, Hospital Clínico Universitario de Valencia, Departamento Enfermería, Universidad de Valencia, Valencia, Spain; Grupo Asociado de Investigación en Cuidados, Fundación INCLIVA, Valencia, Spain., Ruescas López M; Servicio Dermatología, Hospital Clínico Universitario de Valencia, Valencia, Spain; Grupo Asociado de Investigación en Cuidados, Fundación INCLIVA, Valencia, Spain., García-Molina P; Servicio Pediatría, Hospital Clínico Universitario de Valencia, Departamento Enfermería. Universidad de Valencia, Valencia, Spain; Grupo Asociado de Investigación en Cuidados, Fundación INCLIVA, Valencia, Spain; Unidad Enfermera de Úlceras y Heridas Compleja, Hospital Clínico Universitario de Valencia, Valencia, Spain.
المصدر: Anales de pediatria [An Pediatr (Engl Ed)] 2024 Jun; Vol. 100 (6), pp. 420-427. Date of Electronic Publication: 2024 Jun 03.
نوع المنشور: Journal Article; Observational Study; Multicenter Study; Validation Study
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Spain NLM ID: 101765626 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2341-2879 (Electronic) Linking ISSN: 23412879 NLM ISO Abbreviation: An Pediatr (Engl Ed) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Barcelona] : Elsevier
مواضيع طبية MeSH: 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, Humans ; Infant, Newborn ; Prospective Studies ; Incidence ; Male ; Female ; Spain/epidemiology ; Hospitalization
مستخلص: 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.
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.
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.
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.
(Copyright © 2024 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.)
فهرسة مساهمة: Keywords: Clinical score; Dermatitis del pañal; Diaper dermatitis; Escala clínica; Incidence; Incidencia; Neonatal hospitalization; Neonatos hospitalizados; Piel; Skin
تواريخ الأحداث: Date Created: 20240604 Date Completed: 20240626 Latest Revision: 20240626
رمز التحديث: 20240627
DOI: 10.1016/j.anpede.2024.04.015
PMID: 38834435
قاعدة البيانات: MEDLINE
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