Chinese Journal of Dermatology ›› 2025, Vol. 58 ›› Issue (10): 893-902.doi: 10.35541/cjd.20250010

• Guidelines and Consensus •     Next Articles

Clinical application guideline for the integration of traditional Chinese medicine and Western medicine in the prevention and treatment of infant diaper dermatitis (2025 edition)

The Professional Committee on Child Health and Drug Research of the Chinese Association of Traditional Chinese Medicine   

  1. The Professional Committee on Child Health and Drug Research of the Chinese Association of Traditional Chinese Medicine
  • Received:2025-01-10 Revised:2025-08-07 Online:2025-09-15 Published:2025-09-30
  • Contact: renxq723@163. com; Ren Xianqing; Ma Lin E-mail:bch_maleen@aliyun.com
  • Supported by:
    Standardization Project of the "Clinical Application Guidelines for the Treatment of Dominant Diseases with Chinese Patent Medicines" by the National Administration of Traditional Chinese Medicine (SATCM-2015-BZ[402]); Healthy China Project for Tackling Key Challenges by the National Health Commission(JKZGJBGG2331); Traditional Chinese Medicine Standardization Project of the Department of Policies, Regulations and Supervision, National Administration of Traditional Chinese Medicine (GZY-FJS-2022-040); Beijing Hospitals Authority′s Ascent Plan (DFL20241201)

Abstract: 【Abstract】 Diaper dermatitis is a common skin disease in infants and young children, which can cause discomfort, increase the care burden, and add to family stress. Currently, there is no evidence-based guideline on either traditional Chinese medicine or Western medicine for the prevention and treatment of diaper dermatitis in infants and young children. A multidisciplinary expert group was set up by the Professional Committee on Child Health and Drug Research of the Chinese Association of Traditional Chinese Medicine. Eleven clinical questions were identified through expert interviews and consensus conferences, in terms of risk factors, clinical manifestations, examinations, differential diagnoses, severity assessment, principles and goals of prevention and treatment, diagnosis and treatment strategies, and preventive measures. A systematic search was conducted for Chinese and English literature on the diagnosis, assessment, treatment, and prevention of diaper dermatitis in infants and young children, which was graded and evaluated using the Grading of Recommendations Assessment, Development and Evaluation system from the Oxford Centre for Evidence-Based Medicine. Recommendations were finalized through the Delphi and expert consensus methods. This guideline proposes a total of 17 recommendations and clarifies the timing and advantages of the traditional Chinese medicine and Western medicine interventions. This evidence-based guideline provides scientific recommendations on the prevention and treatment of diaper dermatitis in infants and young children using the integrated traditional Chinese and Western medicine interventions for healthcare providers (including practitioners of traditional Chinese medicine and Western medicine) at all levels of hospitals, as well as for the families of affected children.

Key words: Diaper rash, Diaper dermatitis in infants and young children, Guideline, Integrated traditional Chinese medicine &, Western medicine, Prevention, Therapy