Abstract
M.Tech.
Diaper dermatitis (Nappy Rash) is an acute inflammation of the skin in the diaper
area and is the most common cutaneous disease among infants and children
(Concannon et al., 2001). It is estimated that 7% - 35% of diaper wearing infants
are affected by Diaper dermatitis during the period of wearing diapers (Barkin and
Rosen, 2003). The exact prevalence is not known as many cases are selfmedicated
by parents or guardians (Wolf et al., 2000). Diaper dermatitis causes
severe discomfort to the infants as well as anxiety and worry for the parents.
Diaper dermatitis is characterised by redness, inflammation, dryness, scaling,
itching, irritability, pain, satellite lesions, papulovesicular or pustular eruptions, and
in severe cases ulceration of the skin (Visscher and Hoath, 2006).
This study aimed to assess the efficacy of a Homoeopathic complex cream as a
topical treatment for Diaper dermatitis. The complex consisted of Atropa
belladonna 6cH, Calendula officinalis D1 and Sulphuricum acidum 6cH. Madaji
milking cream was used as a base which contained: chlorhexidene; vitamin E; and
lanolin. The treatment group received the medicated Madaji milking cream
whereas the control group received the unmedicated Madaji milking cream. The
Diaper dermatitis was evaluated using a 4-Point Grading Scale (Appendix D) and
The Modified Lund and Browder Chart (Appendix E).
Forty participants who met the inclusion and exclusion criteria were recruited to
participate in this double blind control study by means of advertisements
(Appendix A) that were placed on notice boards at the various campuses of the
University of Johannesburg, nursery schools and hospitals, with relevant
permission given. Participants were also recruited via word of mouth. Once
participants were accepted into the study they were allocated to either Group A or
Group B using matched pairs according to severity in order to ensure equal
v
distribution in both groups. There were 20 participants in each group. Group A was
the treatment group which received the medicated Madaji milking cream. Group B
was the control group which received the unmedicated Madaji cream. The study
was completed over a seven day period. The ten areas most commonly affected
by Diaper dermatitis were evaluated on the initial visit, day two, day four and day
seven.