Table 1.

Diaper dermatitis severity assessment Scale.

Parameters	Score
A. severity of erythema and irritation
None: clear skin	0
Mild: skin not clear, some irritation detectable, but may not be obvious	1
Moderate: skin irritation is noticeable but not severe or intense	2
Severe: skin irritation intense, bright red, looks painful	3
B. extent of diaper dermatitis
<50 % of the perianal–perineal–gluteal area or the diaper are affected	0
≥50 % of the perianal–perineal–gluteal area or the diaper are area affected	1
C. Papules and pustules
Papules and pustules are present, but few would be practical to count them	0
Many clustered papules or pustules are present, would not be practical to count them	1
D. Open skin
Superficial open skin involving only the epidermis; any erosion on the mucosa; any open skin judged to be caused by friction, injury, or etiology other than diaper dermatitis	0
Any deep dermal open skin with damage to the dermis (not caused by friction, injury, or etiology other than diaper dermatitis)	1