Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
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Keeping babies skin dry in the diaper environment, reducing leaking while increasing absorbency and preventing skin pH increase lead to provide better skin tolerance disposable diapers. During 80's, basic cellulose diapers were replaced by the introduction of absorbent gelling materials (AGM) and since 90's by microbreatheable diapers. These advances in diaper technology have contributed to the reduction of diaper dermatitis.
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To refine and to re-validate the best current tool (the Nigrovic rule: ''outpatient management may be considered for children without seizure, blood neutrophil count>or=10,000/mm(3), positive cerebrospinal fluid -CSF- Gram-staining, CSF protein>or=80 mg/dl, or CSF neutrophil count>or=1,000/mm(3)'') proposed to distinguish between aseptic meningitis (AM) and bacterial meningitis (BM) in the emergency department. ⋯ The refined rule (called Meningitest) was a highly sensitive, specific and user friendly tool that could allow to safely avoid>50% a posteriori unuseful antibiotic treatments for patients with AM.