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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Vestnik dermatologii i venerologii</journal-id><journal-title-group><journal-title xml:lang="en">Vestnik dermatologii i venerologii</journal-title><trans-title-group xml:lang="ru"><trans-title>Вестник дерматологии и венерологии</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0042-4609</issn><issn publication-format="electronic">2313-6294</issn><publisher><publisher-name xml:lang="en">Rossijskoe Obschestvo Dermatovenerologov i Kosmetologov</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">16962</article-id><article-id pub-id-type="doi">10.25208/vdv16962</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>GUIDELINES FOR PRACTITIONERS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>В ПОМОЩЬ ПРАКТИЧЕСКОМУ ВРАЧУ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Diaper dermatitis: definition, diagnosis, prevention, treatment. The agreed position of the experts.</article-title><trans-title-group xml:lang="ru"><trans-title>Пеленочный дерматит: определение, диагностика, профилактика, лечение. Согласованная позиция экспертов.</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5936-6232</contrib-id><contrib-id contrib-id-type="scopus">57191989066</contrib-id><contrib-id contrib-id-type="researcherid">T-2356-2019</contrib-id><contrib-id contrib-id-type="spin">5832-9510</contrib-id><name-alternatives><name xml:lang="en"><surname>Zaslavsky</surname><given-names>Denis</given-names></name><name xml:lang="ru"><surname>Заславский</surname><given-names>Денис Владимирович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, D.Sc, Prof., Head of the Department dermatovenereology</p></bio><bio xml:lang="ru"><p>Д.м.н., проф., заведующий кафедрой дерматовенерологии.</p></bio><email>venerology@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4200-4598</contrib-id><contrib-id contrib-id-type="spin">4357-3897</contrib-id><name-alternatives><name xml:lang="en"><surname>Zakharova</surname><given-names>Irina N</given-names></name><name xml:lang="ru"><surname>Захарова</surname><given-names>Ирина  Николаевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD</p></bio><bio xml:lang="ru"><p>д.м.н., профессор, заведующая кафедрой педиатрии </p></bio><email>zakharova-rmapo@yandex.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7610-6061</contrib-id><contrib-id contrib-id-type="spin">6807-7137</contrib-id><name-alternatives><name xml:lang="en"><surname>Sokolovskiy</surname><given-names>Evgeny V.</given-names></name><name xml:lang="ru"><surname>Соколовский</surname><given-names>Евгений Владиславович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Med.), Professor</p></bio><bio xml:lang="ru"><p>д.м.н., профессор, заведующий кафедрой дерматовенерологии с клиникой </p></bio><email>s40@mail.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3039-7769</contrib-id><contrib-id contrib-id-type="spin">6222-8684</contrib-id><name-alternatives><name xml:lang="en"><surname>Rakhmatulina</surname><given-names>Margarita R.</given-names></name><name xml:lang="ru"><surname>Рахматулина</surname><given-names>Маргарита Рафиковна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Med.), Professor</p></bio><bio xml:lang="ru"><p>д.м.н., профессор. Заместитель директора по организационно-аналитической работе</p></bio><email>rahmatulina@cnikvi.ru</email><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9458-0872</contrib-id><contrib-id contrib-id-type="spin">2287-5062</contrib-id><name-alternatives><name xml:lang="en"><surname>Samtsov</surname><given-names>Alexey V.</given-names></name><name xml:lang="ru"><surname>Самцов</surname><given-names>Алексей Викторович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Med.), Professor, Chief of the Department of Dermatology and Venerology</p></bio><bio xml:lang="ru"><p>доктор медицинских наук, профессор, заведующий кафедрой кожных и венерических болезней</p></bio><email>avsamtsov@mail.ru</email><xref ref-type="aff" rid="aff5"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9985-6965</contrib-id><contrib-id contrib-id-type="spin">1195-6225</contrib-id><name-alternatives><name xml:lang="en"><surname>Gorlanov</surname><given-names>Igor A.</given-names></name><name xml:lang="ru"><surname>Горланов</surname><given-names>Игорь Алекандрович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Dr. Sci. (Med.), Professor</p></bio><bio xml:lang="ru"><p>д.м.н., профессор</p></bio><email>Gorlanov53@mail.ru</email><xref ref-type="aff" rid="aff6"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3261-6718</contrib-id><contrib-id contrib-id-type="spin">5476-8497</contrib-id><name-alternatives><name xml:lang="en"><surname>Tamrazova</surname><given-names>Olga B. Tamrazova Borisovna</given-names></name><name xml:lang="ru"><surname>Тамразова</surname><given-names>Ольга Борисовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Professor</p></bio><bio xml:lang="ru"><p>д.м.н., профессор кафедры</p></bio><email>anait_tamrazova@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1831-887X</contrib-id><contrib-id contrib-id-type="spin">1054-8996</contrib-id><name-alternatives><name xml:lang="en"><surname>Ryumina</surname><given-names>Irina Ivanovna</given-names></name><name xml:lang="ru"><surname>Рюмина</surname><given-names>Ирина  Ивановна</given-names></name></name-alternatives><bio xml:lang="en"><p>MD, PhD</p></bio><bio xml:lang="ru"><p>Доктор медицинских наук, Профессор</p></bio><email>i.ryumina@mail.ru</email><xref ref-type="aff" rid="aff8"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">St. Petersburg State Pediatric Medical University</institution></aff><aff><institution xml:lang="ru">Санкт-Петербургский государственный педиатрический медицинский университет</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Federal State Budgetary Educational Institution of Additional Professional Education Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation, Moscow, Russian Federation</institution></aff><aff><institution xml:lang="ru">Федеральное государственное бюджетное образовательное учреждение дополнительного профессионального образования Российская медицинская академия непрерывного профессионального образования Минздрава России, Москва, Российская Федерация</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">First Pavlov State Medical University of St. Petersburg</institution></aff><aff><institution xml:lang="ru">1Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">State Research Center of Dermatovenerology and Cosmetology</institution></aff><aff><institution xml:lang="ru">Государственный научный центр дерматовенерологии и косметологии</institution></aff></aff-alternatives><aff-alternatives id="aff5"><aff><institution xml:lang="en">Kirov Military Medical Academy</institution></aff><aff><institution xml:lang="ru">Военно-медицинская академия имени С.М. Кирова</institution></aff></aff-alternatives><aff-alternatives id="aff6"><aff><institution xml:lang="en">Saint-Petersburg State Pediatric Medical University</institution></aff><aff><institution xml:lang="ru">Санкт-Петербургский государственный педиатрический медицинский университет</institution></aff></aff-alternatives><aff-alternatives id="aff7"><aff><institution xml:lang="en"></institution></aff><aff><institution xml:lang="ru">Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В. И. Кулакова, Москва, Российская Федерация</institution></aff></aff-alternatives><aff id="aff8"><institution>Federal State Budgetary Institution "National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov, Moscow, Russian Federation</institution></aff><pub-date date-type="preprint" iso-8601-date="2026-05-16" publication-format="electronic"><day>16</day><month>05</month><year>2026</year></pub-date><volume>102</volume><issue>2</issue><issue-title xml:lang="ru"/><history><date date-type="received" iso-8601-date="2026-02-08"><day>08</day><month>02</month><year>2026</year></date><date date-type="accepted" iso-8601-date="2026-04-15"><day>15</day><month>04</month><year>2026</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; , Zaslavsky D., Zakharova I.N., Sokolovskiy E.V., Rakhmatulina M.R., Samtsov A.V., Gorlanov I.A., Tamrazova O.B., Ryumina I.I.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; , Заславский Д.В., Захарова И.Н., Соколовский Е.В., Рахматулина М.Р., Самцов А.В., Горланов И.А., Тамразова О.Б., Рюмина И.И.</copyright-statement><copyright-holder xml:lang="en">Zaslavsky D., Zakharova I.N., Sokolovskiy E.V., Rakhmatulina M.R., Samtsov A.V., Gorlanov I.A., Tamrazova O.B., Ryumina I.I.</copyright-holder><copyright-holder xml:lang="ru">Заславский Д.В., Захарова И.Н., Соколовский Е.В., Рахматулина М.Р., Самцов А.В., Горланов И.А., Тамразова О.Б., Рюмина И.И.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://vestnikdv.ru/jour/article/view/16962">https://vestnikdv.ru/jour/article/view/16962</self-uri><abstract xml:lang="en"><p><list list-type="bullet"> <list-item><p>During an interdisciplinary advisory board held in Moscow last year, experts comprehensively reviewed the problem of diaper dermatitis, the most common condition that worsens the quality of life of people using diapers to varying degrees, both in adult patients and young children, including premature babies. During the discussion, issues of epidemiology and etiology, approaches to treatment and prevention were discussed. Experts agreed that the basis for both the prevention and treatment of diaper dermatitis is an algorythm ABCDE, among which a special place is occupied by protecting the skin in the area under the diaper using barrier agents (B) containing 5% dexpanthenol as an active substance to maintain the function of the epidermal barrier, moisturizing the skin, which has an anti-inflammatory effect. To create a strong semi-exclusive barrier on the skin in the area under the diaper, Bepanthen ointment (dexpanthenol 5%, lanolin 25%) can be successfully used, which meets the requirements for an optimal diaper product and is a well-studied effective and safe drug with high preventive and therapeutic potential.</p></list-item> </list></p></abstract><trans-abstract xml:lang="ru"><p>В рамках прошедшего в прошлом году в Москве междисциплинарного совета экспертов участники всесторонне рассмотрели проблему пеленочного дерматита – наиболее частого состояния, в той или иной степени ухудшающего качество жизни лиц, использующих подгузники – как взрослых пациентов, так и детей раннего возраста, включая недоношенных. В ходе дискуссии обсуждались вопросы эпидемиологии и этиологии, подходов к лечению и профилактике. Эксперты согласились, что основой как профилактики, так и лечения пеленочного дерматита является комплекс мер ABCDE, среди которых особое место занимает защита кожи в зоне под подгузником с помощью барьерных средств (B), содержащих 5% декспантенол в качестве активного вещества для поддержания функции эпидермального барьера, увлажнения кожи, обладающего противовоспалительным эффектом. Для создания прочного полуокклюзивного барьера на коже в зоне под подгузником можно с успехом применять мазь Бепантен (декспантенол 5%, ланолин 25%), которая отвечает требованиям к оптимальному средству под подгузник и является хорошо изученным эффективным и безопасным лекарственным средством с высоким профилактическим и терапевтическим потенциалом.</p></trans-abstract><funding-group><funding-statement xml:lang="en">diaper dermatitis, dexpanthenol, lanolin, prevention, treatment, Bepanthen ointment</funding-statement><funding-statement xml:lang="ru">пеленочный дерматит, декспантенол, ланолин, профилактика, лечение, Бепантен мазь</funding-statement></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>1.	Горланов И.А., Леина Л.М., Милявская И.Р., Заславский Д.В. Детская дерматология. Руководство для врачей. Москва, 2022. 676. 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