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Prevention and Management of Incontinence-associated Dermatitis

Overview
Journal Drugs Aging
Specialties Geriatrics
Pharmacology
Date 2010 Jun 8
PMID 20524708
Citations 7
Authors
Affiliations
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Abstract

Perineal dermatitis, recently relabelled 'incontinence-associated dermatitis' (IAD), is an inflammation of the skin that occurs when urine and/or stool comes into contact with the skin. It can range in severity from erythema with or without loss of skin integrity to infection. IAD affects as many as 41% of adults in long-term care; it is costly, painful and, for the most part, preventable. An effective plan of care for individuals with IAD must include assessment and management of incontinence aetiology, perineal skin and risk assessment, gentle cleansing and moisturization, application of skin barriers and treatment of secondary infection, and the use of containment devices if indicated.

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References
1.
Nix D, Ermer-Seltun J . A review of perineal skin care protocols and skin barrier product use. Ostomy Wound Manage. 2005; 50(12):59-67. View

2.
Gray M, Ratliff C, Donovan A . Perineal skin care for the incontinent patient. Adv Skin Wound Care. 2002; 15(4):170-5; quiz 177-8. DOI: 10.1097/00129334-200207000-00008. View

3.
Nix D . Validity and reliability of the Perineal Assessment Tool. Ostomy Wound Manage. 2004; 48(2):43-6, 48-9. View

4.
Maklebust J, Magnan M . Risk factors associated with having a pressure ulcer: a secondary data analysis. Adv Wound Care. 1994; 7(6):25, 27-8, 31-4 passim. View

5.
Warshaw E, Nix D, Kula J, Markon C . Clinical and cost effectiveness of a cleanser protectant lotion for treatment of perineal skin breakdown in low-risk patients with incontinence. Ostomy Wound Manage. 2002; 48(6):44-51. View