Authors (including presenting author) :
Chik YM (1), Chan YL (1), Young MW (1), Yau CM (1), Tse LN (1)
Affiliation :
(1) Department of Paediatrics and Adolescent Medicine, United Christian Hospital, HA.
Introduction :
Diaper dermatitis (DD) is an inflamed skin and lesions of the diaper area involving the lower abdomen, buttocks, and perianal and perineal areas. Reported incidence in the first month of life was as high as 25% among Neonatal Intensive Care Unit (NICU) infants. Around 34% of infants with DD had at least one incidence of severe perineal erythema. In a regional NICU setting, 47% of NICU infants had DD in 4Q of 2023. Clinically, infants with DD often display emotional and physical distress, also affect parents’ perceived quality of the NICU care their infants received.
Objectives :
Implement evidence-based guidelines for DD prevention and treatment including the availability of products, to reduce the incidence of DD in NICU in 6-months period, while introducing Electronic Clinical Reminders to increase compliance rate of consistent assessment for early identify risk and perineal skin care of DD in 6-months period.
Methodology :
Primary outcome was an incidence rate of DD, and the process compliance was also monitored. Outcome measures were analyzed with statistical process control charts and plotted on X-mR charts. Independent Sample t-test used to determine if the significant difference between pre and post implementation.
Result & Outcome :
Between March 2024 to September 2024, 174 infants were admitted NICU. After guidelines and Electronic Clinical Reminders were implemented, the incidence of DD decreased by 20% and the compliance rate of consistent assessment increased to 68.5%.
