Frequency of Diaper Dermatitis Using Disposable Diaper Versus Traditional Cloth Diaper in Children Admitted in Pediatric Unit MTI Mardan

Background: Diaper dermatitis is a frequent inflammatory skin problem in infants and young children and it commonly occur due to prolonged exposure of skin to moisture, urine and stool. Type of diaper may influence the occurrence of dermatitis because of differences in absorbency and skin protection. Objective: To determine the frequency of diaper dermatitis using disposable diaper versus traditional cloth diaper in children admitted in pediatric unit of Mardan Medical Complex. Study Design: Cross sectional study. Duration and Place of Study: This study was conducted from 01 November 2024 to 01 May 2025 at the Department of Pediatrics, Mardan Medical Complex, Mardan. Methodology: A total of 181 children aged 3 months to 3 years using disposable or cloth diapers were included in the study. Detailed clinical examination of diaper area was carried out by trained paediatrician for erythema, papules, erosions, oozing and crusting. Data was analysed by using IBM Statistical Package for Social Sciences version 26. Results: The mean age was 1.47 ± 0.78 years and mean weight was 9.89 ± 2.50 kg. Diaper dermatitis was present in 82 (45.3%) children. Dermatitis was more common in cloth diaper users 36 (57.1%) compared to disposable diaper users 46 (39.0%) with significant association (p=0.019). Higher weight and prolonged diaper use were also significantly associated with dermatitis (p=0.001 and p<0.001 respectively). Conclusion: Diaper dermatitis was commonly found among young children and was significantly higher in cloth diaper users compared to disposable diaper users.