Candida albicans and Napkin Dermatitis: Relationship and Lesion Severity Correlation

Introduction: Napkin Dermatitis (ND) is a common problem in infancy that affects almost every child during the early months and years of their lifetime. It is a skin disease that becomes a challenge for both parents and physicians because of its frequency and difficulty in eliminating all of the cau...

Full description

Saved in:
Bibliographic Details
Main Authors: Amani Hussein Karsani, Abdullateef A. Alzolibani, Yasser Farouq, Khalid Zedan, Mohammed Mohsen Alotaibi, Ghada Bin Saif, Ibrahim H. Babikir
Format: Article
Language:English
Published: Knowledge E 2017-09-01
Series:Sudan Journal of Medical Sciences
Online Access:https://knepublishing.com/index.php/SJMS/article/view/934
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832589657175490560
author Amani Hussein Karsani
Abdullateef A. Alzolibani
Yasser Farouq
Khalid Zedan
Mohammed Mohsen Alotaibi
Ghada Bin Saif
Ibrahim H. Babikir
author_facet Amani Hussein Karsani
Abdullateef A. Alzolibani
Yasser Farouq
Khalid Zedan
Mohammed Mohsen Alotaibi
Ghada Bin Saif
Ibrahim H. Babikir
author_sort Amani Hussein Karsani
collection DOAJ
description Introduction: Napkin Dermatitis (ND) is a common problem in infancy that affects almost every child during the early months and years of their lifetime. It is a skin disease that becomes a challenge for both parents and physicians because of its frequency and difficulty in eliminating all of the causative factors in diapered infants. Usually Napkin dermatitis is self-limiting but when associated with Candida albicans (C. albicans) seems to be moderate to severe. Aim: The aim of the present study was to determine the colonization of C. albicans in children with Napkin dermatitis and to correlate between intensity of C. albicans colonization and the severity of napkin rash. Patients and Methods: This case-controlled study was conducted at Qassim University pediatric outpatient clinics, during the period from August 2014 to July 2015. Sixty patients with diaper dermatitis and 33 healthy controls were enrolled to this study. Sociodemographic and clinical data were obtained from the parents of each participant using questionnaires Paired (stool and skin) samples were collected from all cases and healthy control children. The samples were cultured on differential and selective chromogenic medium for isolation and initial identification of candida species. Identification confirmation of the isolates was determined by the Vitek 2 compact automated system. Results: Diaper dermatitis shows significant outcome to washing diaper area (per day) (P=0.001), History of diarrhea last 7 Days (P˂0.001), skin lab results (+/-) for Candida albicans, (P˂0.001), skin colony count, (P˂0.001), However, there is no correlation to age (P=0.828), gender (P=0.368) and feeding style (P=0.401). Conclusion: The severity score of napkin dermatitis was significantly observed among cases with diaper dermatitis (p-value<0.001) and control children (p-value<0.001) respectively. Keywords: Candida albicans; Napkin dermatitis; Diaper dermatitis; Vitek 2 compact system; Qassim.
format Article
id doaj-art-cb334b230a7f4701abe76e1e891c3f22
institution Kabale University
issn 1858-5051
language English
publishDate 2017-09-01
publisher Knowledge E
record_format Article
series Sudan Journal of Medical Sciences
spelling doaj-art-cb334b230a7f4701abe76e1e891c3f222025-01-24T11:20:02ZengKnowledge ESudan Journal of Medical Sciences1858-50512017-09-0112317418610.18502/sjms.v12i3.934934Candida albicans and Napkin Dermatitis: Relationship and Lesion Severity CorrelationAmani Hussein KarsaniAbdullateef A. AlzolibaniYasser FarouqKhalid ZedanMohammed Mohsen AlotaibiGhada Bin SaifIbrahim H. BabikirIntroduction: Napkin Dermatitis (ND) is a common problem in infancy that affects almost every child during the early months and years of their lifetime. It is a skin disease that becomes a challenge for both parents and physicians because of its frequency and difficulty in eliminating all of the causative factors in diapered infants. Usually Napkin dermatitis is self-limiting but when associated with Candida albicans (C. albicans) seems to be moderate to severe. Aim: The aim of the present study was to determine the colonization of C. albicans in children with Napkin dermatitis and to correlate between intensity of C. albicans colonization and the severity of napkin rash. Patients and Methods: This case-controlled study was conducted at Qassim University pediatric outpatient clinics, during the period from August 2014 to July 2015. Sixty patients with diaper dermatitis and 33 healthy controls were enrolled to this study. Sociodemographic and clinical data were obtained from the parents of each participant using questionnaires Paired (stool and skin) samples were collected from all cases and healthy control children. The samples were cultured on differential and selective chromogenic medium for isolation and initial identification of candida species. Identification confirmation of the isolates was determined by the Vitek 2 compact automated system. Results: Diaper dermatitis shows significant outcome to washing diaper area (per day) (P=0.001), History of diarrhea last 7 Days (P˂0.001), skin lab results (+/-) for Candida albicans, (P˂0.001), skin colony count, (P˂0.001), However, there is no correlation to age (P=0.828), gender (P=0.368) and feeding style (P=0.401). Conclusion: The severity score of napkin dermatitis was significantly observed among cases with diaper dermatitis (p-value<0.001) and control children (p-value<0.001) respectively. Keywords: Candida albicans; Napkin dermatitis; Diaper dermatitis; Vitek 2 compact system; Qassim.https://knepublishing.com/index.php/SJMS/article/view/934
spellingShingle Amani Hussein Karsani
Abdullateef A. Alzolibani
Yasser Farouq
Khalid Zedan
Mohammed Mohsen Alotaibi
Ghada Bin Saif
Ibrahim H. Babikir
Candida albicans and Napkin Dermatitis: Relationship and Lesion Severity Correlation
Sudan Journal of Medical Sciences
title Candida albicans and Napkin Dermatitis: Relationship and Lesion Severity Correlation
title_full Candida albicans and Napkin Dermatitis: Relationship and Lesion Severity Correlation
title_fullStr Candida albicans and Napkin Dermatitis: Relationship and Lesion Severity Correlation
title_full_unstemmed Candida albicans and Napkin Dermatitis: Relationship and Lesion Severity Correlation
title_short Candida albicans and Napkin Dermatitis: Relationship and Lesion Severity Correlation
title_sort candida albicans and napkin dermatitis relationship and lesion severity correlation
url https://knepublishing.com/index.php/SJMS/article/view/934
work_keys_str_mv AT amanihusseinkarsani candidaalbicansandnapkindermatitisrelationshipandlesionseveritycorrelation
AT abdullateefaalzolibani candidaalbicansandnapkindermatitisrelationshipandlesionseveritycorrelation
AT yasserfarouq candidaalbicansandnapkindermatitisrelationshipandlesionseveritycorrelation
AT khalidzedan candidaalbicansandnapkindermatitisrelationshipandlesionseveritycorrelation
AT mohammedmohsenalotaibi candidaalbicansandnapkindermatitisrelationshipandlesionseveritycorrelation
AT ghadabinsaif candidaalbicansandnapkindermatitisrelationshipandlesionseveritycorrelation
AT ibrahimhbabikir candidaalbicansandnapkindermatitisrelationshipandlesionseveritycorrelation