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Between September and December 2014 we have conducted a global online survey to 45,000 children healthcare professionals to identify discrepancies and regional trends on everyday practice, compliance with guidelines, education gaps and preferred education sources in a number of areas including, HPV and Meningitis Vaccinations, Rare Diseases, Breastfeeding and Skincare.

667 healthcare experts, mostly general pediatricians (45.24%) responded from 84 countries. Most respondents were clinically active at general hospitals (29.89%), children’s hospitals (23.65%), private practice (18.7 %), university (17.77 %), and primary care (7.26%).

2014 Global online Survey to child healthcare professionals on INFANT

SKINCARE

TEST

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General Pediatrician

General Practitioner

Specialist

Nurse

Trainee

Other

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Answer Choices Responses

General Pediatrician 45.24%

General Practitioner 3.17%

Specialist 31.75%

Nurse 4.76%

Trainee 1.59%

Other 13.49%

Q3 Type of Healthcare provider

TEST

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General Pediatrician

General Practitioner

Specialist

Nurse

Trainee

Other

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Answer Choices Responses

General Pediatrician 45.24%

General Practitioner 3.17%

Specialist 31.75%

Nurse 4.76%

Trainee 1.59%

Other 13.49%

Q3 Type of Healthcare provider

TEST

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General Pediatrician

General Practitioner

Specialist

Nurse

Trainee

Other

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Answer Choices Responses

General Pediatrician 45.24%

General Practitioner 3.17%

Specialist 31.75%

Nurse 4.76%

Trainee 1.59%

Other 13.49%

Q3 Type of Healthcare provider

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Private Practice

Primary Care

Children's Hospital

General Hospital

University

Other

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Answer Choices Responses

Private Practice 18.70%

Primary Care 7.26%

Children's Hospital 23.65%

General Hospital 27.98%

University 17.77%

Other 4.64%

Q4 Primary work environment

Q5 Years of practice

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0-5

6-10

11-15

16-20

21-25

25 +

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Answer Choices Responses

0-5 11.11%

6-10 9.52%

11-15 8.73%

16-20 22.22%

21-25 21.43%

25 + 26.98%

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1-49

50-99

100-199

200-299

300-399

400-499

500+

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Answer Choices Responses

1-49 15.08%

50-99 15.87%

100-199 23.81%

200-299 13.49%

300-399 9.52%

400-499 4.76%

500+ 17.46%

Q6 Number of children visiting your practice per month

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Infant Skincare...

BreastfeedingNetwork`

Rare DiseasesNetwork

Vaccines Network

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Answer Choices Responses

Infant Skincare Network 26.41%

Breastfeeding Network 33.33%

Rare Diseases Network 37.52%

Vaccines Network 43.53%

Q8 Would you like to join the special interest networks of the Excellence in Pediatric Institute? Choose one or more of the following:

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Conference Sessions

Webinars online

Accredited eLearning...

Dedicated Websites

Publications

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Answer Choices Responses

Conference Sessions 32.08%

Webinars online 9.43%

Accredited eLearning sessions on demand 21.70%

Dedicated Websites 12.26%

Publications 24.53%

Q9 Which educational format do you prefer?

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0-10%

11-25%

26-50%

51-75%

76-100%

Answer Choices Responses

0-10% 9.98%

11-25% 14.36%

26-50% 28.72%

51-75% 30.82%

76-100% 16.11%

Q29 What percentage of parents ask you questions

regarding infant skincare

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Daily

Every other day

Only when visibly dirty

I make no recommendations

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Answer Choices Responses

Daily 60.00%

Every other day 29.23%

Only when visibly dirty 6.15%

I make no recommendations 4.62%

Q30 How often do you recommend families bathe their

babies at home?

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Verbal Instructions

30% 40%

Recommend online resources None

0% 10% 20% 50% 60% 70% 80% 90% 100%

Answer Choices Responses

Verbal Instructions 83.08%

Printed Materials 13.85%

Recommend online resources 3.08%

None 0.00%

Q31 How do you educate parents regarding infant skincare

at home? Please choose all that apply

Printed Materials

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Provided by international pediatric associations

Provided by national pediatric associations

Provided by industry -Recommendations on the optimum use ...

Based on my clinical experience if have shaped my own practices to...

Answer Choices Responses

Provided by international pediatric associations 30.77%

Provided by national pediatric associations 12.31%

Provided by industry - Recommendations on the optimum use of their products 13.85%

Based on my clinical experience if have shaped my own practices to recommend on the simple every day issues that parents are asking for 43.08%

Q32 Are you following any guidelines in your practice

regarding infant skincare?

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Gentle formula

Clinical testing/Clin...

Mild as water

Natural/organicformula

Free of additives li...

Endorsement from medical...

Product formulated f...

Hypoallergenic

Product especially f...

Natural ingredients

Tear-free formula

Brand name

Others

0 1 2 3 4 5 6 7 8 9 10

Q33 When you are looking to confirm product safety for

babies, please rank these statements or claims for assuring

you of the product safety

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Mild as water 9.43% 11.32% 26.42% 33.96% 18.87% 3.42

Natural/organic formula 10.91% 7.27% 23.64% 36.36% 21.82% 3.51

Free of additives like preservatives, fragrance, alcohol, colorants etc.

3.64% 3.64% 20.00% 36.36% 36.36% 3.98

Endorsement from medical organisations 1.75% 19.30% 19.30% 40.35% 19.30% 3.56

Product formulated for babies with sensitive/eczema skin 5.45% 1.82% 14.55% 43.64% 34.55% 4.00

Hypoallergenic 0.00% 10.53% 14.04% 36.84% 38.60% 4.04

Product especially for newborns 5.36% 5.36% 17.86% 41.07% 30.36% 3.86

Natural ingredients 8.77% 14.04% 14.04% 38.60% 24.56% 3.56

Tear-free formula 7.27% 14.55% 18.18% 43.64% 16.36% 3.47

Brand name 14.29% 12.50% 28.57% 33.93% 10.71% 3.14

Others 32.14% 3.57% 46.43% 14.29% 3.57% 2.54

1 - Not at all assuring

2 3 4 5 - Totally assuring

Weighted Average

Gentle formula 7.55% 11.32% 37.74% 20.75% 22.64% 3.40

Clinical testing/Clinically Proven 1.79% 8.93% 12.50% 28.57% 48.21% 4.13

Q33 When you are looking to confirm product safety for

babies, please rank these statements or claims for assuring

you of the product safety

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Using an emollient on...

Disposable cleansing wi...

If there is a family histo...

Natural oil is beneficial f...

Mineral oil is beneficial f...

Water only is enough to...

0 1 2 3 4 5 6 7 8 9 10

Fully disagree

Slightly disagree

Neither agree or disagree (not sure)

Slightly agree

Fully agree

Weighted Average

Using an emollient on healthy baby skin from birth onwards can protect the skin barrier

3.51% 14.04% 21.05% 35.09% 26.32% 3.67

Disposable cleansing wipes are appropriate for use on babies 15.52% 37.93% 13.79% 20.69% 12.07% 2.76

If there is a family history of Atopic Dermatitis, using emollient on baby’s skin from birth onwards can help mitigate future risk of or severity of atopic dermatitis

3.45% 8.62% 15.52% 36.21% 36.21% 3.93

Natural oil is beneficial for use on baby skin 5.36% 17.86% 17.86% 35.71% 23.21% 3.54

Mineral oil is beneficial for use on baby skin 15.25% 16.95% 37.29% 20.34% 10.17% 2.93

Water only is enough to cleanse newborn babies 5.17% 18.97% 13.79% 32.76% 29.31% 3.62

Q34 (1) What is your level of agreement with the

following statements?

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Irritant dermatitis

Jacquet’s erosive diap...

Candidiasis or other fungal

Intertrigo

Congenital syphilis

Psoriasis Langerhanscell...

Eczema

Irritant diaper...

Acrodermatitis enteropathica

Allergic reactions

Bullous impetigo

Bacterial orstaff...

Folliculitis

Contact dermatitis

Seborrheic dermatitis

0 1 2 3 4 5 6 7 8 9 10

Q35 I have noticed a trend that the prevalence of the

following skin conditions in the diaper area are:

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Irritant dermatitis 13.56% 33.90% 52.54% 2.39

Jacquet’s erosive diaper dermatitis 41.07% 46.43% 12.50% 1.71

Candidiasis or other fungal 16.95% 45.76% 37.29% 2.20

Intertrigo 24.56% 52.63% 22.81% 1.98

Congenital syphilis 81.36% 15.25% 3.39% 1.22

Psoriasis 34.48% 58.62% 6.90% 1.72

Langerhans cell histiocytosis 43.10% 56.90% 0.00% 1.57

Eczema 8.47% 38.98% 52.54% 2.44

Irritant diaper dermatitis 22.03% 28.81% 49.15% 2.27

Acrodermatitis enteropathica 47.46% 49.15% 3.39% 1.56

Allergic reactions 6.67% 35.00% 58.33% 2.52

Bullous impetigo 34.48% 56.90% 8.62% 1.74

Bacterial or staff infections 40.00% 38.33% 21.67% 1.82

Folliculitis 29.31% 55.17% 15.52% 1.86

Contact dermatitis 13.56% 35.59% 50.85% 2.37

Seborrheic dermatitis 17.24% 50.00% 32.76% 2.16

Decreasing Staying the same Increasing Weighted Average

Q35 I have noticed a trend that the prevalence of the

following skin conditions in the diaper area are:

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Maintaining proper skin ...

Babies may sleep better...

High quality disposable...

Alcohol free disposal wip...

Disposable diapers are...

Keeping baby's bottom dry a...

Disposable diapers are ...

Diaper rash is a common ski...

Irritant diaper rash ...

0 1 2 3 4 5 6 7 8 9 10

Q36 (2) What is your level of agreement with the

following statements?

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Irritant diaper rash is caused by prolonged contact of urine and faeces

1.75% 8.77% 0.00% 26.32% 63.16% 4.40

Fully disagree

Slightly disagree

Neither agree or disagree

Slightly agree

Fully agree

Weighted Average

Maintaining proper skin pH can help prevent diaper rash 1.72% 1.72% 10.34% 24.14% 62.07% 4.43

Babies may sleep better when using super-absorbent diapers overnight

7.05% 0.76% 2.10% 4.57% 85.52% 4.61

High quality disposable diaper helps to prevent skin irritation/rash

7.25% 0.00% 0.00% 0.21% 92.54% 4.71

Alcohol free disposal wipes are a safe alternative to washcloth and water for cleansing the diaper area

8.93% 21.43% 16.07% 33.93% 19.64% 3.34

Disposable diapers are safe for use on babies 1.69% 5.08% 27.12% 30.51% 35.59% 3.93

Keeping baby's bottom dry and clean are keys to preventing diaper rash

1.69% 0.00% 6.78% 13.56% 77.97% 4.66

Disposable diapers are a more hygienic alternative to cloth diapers 5.00% 8.33% 26.67% 30.00% 30.00% 3.72

Diaper rash is a common skin condition 5.17% 5.17% 10.34% 31.03% 48.28% 4.12

Q36 (2) What is your level of agreement with the

following statements?

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Yes

No

Some times

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Answer Choices Responses

Yes 21.31%

No 44.26%

Some times 34.43%

Q37 Are the families you support provided with free

samples of skincare products to use at home?