Baden, Feuchtigkeitspflege und Pflege des Windelbereichs

Die Hautpflege bei Neugeborenen und Säuglingen ist ein wichtiges Thema in der Beratung junger Eltern. Angewandte Pflegeroutinen basieren oft auf Traditionen und Erfahrungen. So hat sich eine Vielfalt an Empfehlungen herausgebildet, die Eltern bisweilen überfordert. Auf Basis wissenschaftlicher Untersuchungen von Pflegeroutinen lassen sich Empfehlungen abgeben. Teil 2 der Artikelserie beleuchtet, worauf beim Baden, bei der Feuchtigkeitspflege und bei der Pflege des Windelbereichs zu achten ist.

• Literatur

• 1 Anderson GC, Lane AE, Chang HP. Axillary temperature in transitional newborn infants before and after tub bath. Appl Nurs Res 1995; 8: 123-128
• 2 AWHONN. Neonatal Skin Care Evidence-Based Clinical Practice Guideline. 3. rd ed. Washington DC, USA: 2013. ISBN 978-1-938299-03–2
• 3 Blume-Peytavi U, Cork MJ, Faergemann J. et al. Bathing and cleansing in newborns from day 1 to first year of life: recommendations from a European round table meeting. J Eur Acad Der-mata! Venereol 2009; 23: 751-759
• 4 Blume-Peytavi U, Hauser M, Stamatas GN. et al. Skin care practices for newborns and infants: review of the clinical evidence for best practices. Pediatr Dermatol 2012; 29: 1-14
• 5 Bryantonj Walsh D, Barrett M. et al. Tub bathing versus traditional sponge bathing for the newborn. J Obstet Gynecol Neonatal Nurs 2004; 33: 704-712
• 6 Darmstadt GL, Dinulos JG. Neonatal skincare. Pediatr Clin North Am 2000; 47: 757-782
• 7 Dizon MV, Galzote C, Estanislao R. et al. Tolerance of baby cleansers in infants: a randomized controlled trial. Indian Pediatr 2010; 47: 959-963
• 8 Garcia Bartels N, Mleczko A, Schink T. et al. Influence of bathing or washing on skin barrier function in newborns during the first four weeks of life. Skin Pharmacol Physiol 2009; 22: 248-257
• 9 Garcia Bartels N, Scheufele R, Prosch F. et al. Effect of standardized skin care regimens on neonatal skin barrier function in different body areas. Pediatr Dermatol 2010; 27: 1-8
• 10 Gfatter R, Hackl P, Braun F. Effects of soap and detergents on skin surface pH, stratum corneum hydration and fat content in infants. Dermatology 1997; 195: 258-262
• 11 Ghadially R, Halkier-Sorensen L, Elias PM. Effects of petrolatum an stratum corneum structure and function. J Am Acad Dermatol 1992; 26: 387-396
• 12 Henningsson A, Nystrom B, Tunnell R. Bathing or washing babies after birth? Lancet 1981; 2: 1401-1403
• 13 Lavender T, Bedwell C, O’Brien E. et al. Infant skin-cleansing product versus water: a pilot randomized, assessor-blinded controlled trial. BMC Pediatr 2011; 11: 35
• 14 Lavender T, Bedwell C, Roberts SA. et al. Randomized controlled trial evaluating a baby wash product on skin barrier function in healthy, term neonates. J Obstet Gynecol Neonatal Nurs 2013; 42: 203-214
• 15 Medves JM, O’Brien B. The effect of bather and location of first bath on maintaining thermal stability in newborns. J Obstet Gynecol Neonatal Nurs 2004; 33: 175-182
• 16 Nako Y, Harigaya A, Tomomasa T. et al. Effects of bathing immediately after birth on early neonatal adaptation and morbidity: a prospective randomized comparative study. Pediatr lnt 2000; 42: 517-522
• 17 Penny-MacGillivray T. A newborn’s first bath: when? J Obstet Gynecol Neonatal Nurs 1996; 25: 481-487
• 18 Blume-Peytavi U, Cork MJ, Faergemann J. et al. Bathing and cleansing in newborns from day 1 to first year of life: recommendations from a European round table meeting. J Eur Acad Der-matol Venereol 2009; 23: 751-759
• 19 Danby SG, Bedwell C, Cork M. Neonatal Skincare and Toxicology, Ch. 5. In: Eichenfield LF, Frieden IJ, Mathes EF, Zaenglein AL. , eds. Neonatal and Infant Dermatology, 3. rd ed. Philadelphia: Saunders; 2015: 46-56 . ISBN 978-1-4557-2638–7
• 20 Darmstadt CL, Badrawi N, Law PA. et al. Topically applied sunflower seed oil prevents invasive bacterial infections in preterm infants in Egypt: a randomized, controlled clinical trial. Pediatr Infect Dis J 2004; 23: 719-725
• 21 Darmstadt CL, Saha SK, Ahmed AS. et al. Effect of skin barrier therapy on neonatal mortality rates in preterm infants in Bangladesh: a randomized, controlled, clinical trial. Pediatrics 2008; 121: 522-529
• 22 Darmstadt CL, Saha SK, Ahmed AS. et al. Effect of topical treatment with skin barrier-enhancing emollients on nosocomial infections in preterm infants in Bangladesh: a randomised controlled trial. Lancet 2005; 365: 1039-1045
• 23 Denda M. Epidermal proliferative response induced by sodium dodecyl sulphate varies with environmental humidity. Br J Dermatol 2001; 145: 252-257
• 24 Garcia Bartels N, Rosler S, Martus P. et al. Effect of baby swimming and baby lotion on the skin barrier of infants aged 3-6 months. J Dtsch Dermatol Ges 2011; 9: 1018-1025
• 25 Garcia Bartels N, Scheufele R, Prosch F. et al. Effect of standardized skin care regimens on neonatal skin barrier function in different body areas. Pediatr Dermatol 2010; 27: 1-8
• 26 Iarkowski LE, Tierney NK, Horowitz P. Tolerance of skin care regimen in healthy, full-term neonates. Clin Cosmet Investig Dermatol 2013; 6: 137-144
• 27 Schurer N, Schliep V, Williams ML. Differential utilization of linoleic and arachidonic acid by cultured human keratinocytes. Skin Pharmacol 1995; 8: 30-40
• 28 Telofski LS, Morello AP. 3 rd, Mack Correa MC. et al. The infant skin barrier: can we preserve, protect, and enhance the barrier? Dermatol Res Pract 2012; 2012: 198789
• 29 Tsai TF, Maibach HI. How irritant is water? An overview. Contact Dermatitis 1999; 41: 311-314
• 30 Uter W, Gefeller O, Schwanitz HJ. An epidemiological study of the influence of season (cold and dry air) on the occurrence of irritant skin changes of the hands. Br J Dermatol 1998; 138: 266-272
• 31 Willis I. The effects of prolonged water exposure on human skin. J Invest Dermatol 1973; 60: 166-171
• 32 Adam R, Sehnetz B, Mathey P. et al. Clinical demonstration of skin mildness and suitability for sensitive infant skin of a new baby wipe. Pediatr Dermatol 2009; 26: 506-513
• 33 Andersen PH, Bucher AP, Saeed I. et al. Faecal enzymes: in vivo human skin irritation. Contact Dermatitis 1994; 30: 152-158
• 34 Atherton D, Mills K. What can be done to keep babies’ skin healthy? RCM Midwives 2004; 7: 288-290
• 35 AWHONN. Neonatal Skin Care Evidence-Based Clinical Practice Guideline. 3 rd ed. Washington DC, USA. 2013 . Washington DC, USA, ISBN 978-1-938299-03–2
• 36 Blume-Peytavi U, Hauser M, Lünnemann L. et al. Prevention of Diaper Dermatitis in Infants – a Literature Review. Pediatr Dermatol 2014; 31: 413-429
• 37 Danby SG, Bedwell C, Cork M. Neonatal Skin Care and Toxicology. In: Eichenfield LF, Frieden lJ, Mathes EF, Zaenglein AL. , eds. Neonatal and Infant Dermatology, 3. rd ect. Philadelphia: Saunders; 2015: 46-56 . ISBN 978-1-4557-2638–7
• 38 Ehretsmann C, Schaefer P, Adam R. Cutaneous tolerance of baby wipes by infants with atopic dermatitis, and comparison of the mildness of baby wipe and water in infant skin. J Eur Acad Dermatol Venereol 2001; 15 (Suppl 1): 16-21
• 39 Garcia Bartels N, Massoudy L, Scheufele R. et al. Standardized diaper care regimen: a prospective, randomized pilot study on skin barrier function and epidermal IL-lα in newboms. Pediatr Dermatol 2012; 29: 270-276
• 40 Jackson PD. Diaper dermatitis. Protecting the bottom line. Adv Nurse Pract 2010; 18 35-36 , 38-41
• 41 Lavender T, Furber C, Campbell M. et al. Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies: assessor-blinded randomised controlled equivalence trial. BMC Pediatr 2012; 12: 59
• 42 Priestley GC, McVittie E, Aldridge RD. Changes in skin pH after the use of baby wipes. PediatrDermatol 1996; 13: 14-17
• 43 Senses DA, Ozturk CE, Yar NE. et al. Do baby wet wipes change periurethral aerobic flora? Jpn J lnfect Dis 2007; 60: 225-226
• 44 Shin HT. Diaper dermatitis that does not quit. Dermatol Ther 2005; 18: 124-135
• 45 Visscher M, Odio M, Taylor T. et al. Skin care in the NICU patient: effects of wipes versus cloth and water on stratum corneum integrity. Neonatology 2009; 96: 226-234
• 46 Zimmerer RE, Lawson KD, Calvert CJ. The effects of wearing diapers on skin. Pediatr Dermatol 1986; 3: 95-101