Black JM, Gray M, Bliss DZ, Kennedy-Evans KL, Logan S, Baharestani MM, Colwell JC, Goldberg M, Ratliff CR, et al.
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2011 Jul 1;volume 38(4):359-70; quiz 371-2.
1. J Wound Ostomy Continence Nurs. 2011 Jul-Aug;38(4):359-70; quiz 371-2. doi:
10.1097/WON.0b013e31822272d9.
MASD part 2: incontinence-associated dermatitis and intertriginous dermatitis: a
consensus.
Black JM(1), Gray M, Bliss DZ, Kennedy-Evans KL, Logan S, Baharestani MM, Colwell
JC, Goldberg M, Ratliff CR.
Author information:
(1)College of Nursing, University of Nebraska Medical Center, Omaha, NE, USA.
jblack@unmc.edu
A consensus panel was convened to review current knowledge of moisture-associated
skin damage (MASD) and to provide recommendations for prevention and management.
This article provides a summary of the discussion and the recommendations in
regards to 2 types of MASD: incontinence-associated dermatitis (IAD) and
intertriginous dermatitis (ITD). A focused history and physical assessment are
essential for diagnosing IAD or ITD and distinguishing these forms of skin damage
from other types of skin damage. Panel members recommend cleansing, moisturizing,
and applying a skin protectant to skin affected by IAD and to the perineal skin
of persons with urinary or fecal incontinence deemed at risk for IAD. Prevention
and treatment of ITD includes measures to ensure that skin folds are dry and free
from friction; however, panel members do not recommend use of bed linens, paper
towels, or dressings for separating skin folds. Individuals with ITD are at risk
for fungal and bacterial infections and these infections should be treated
appropriately; for example, candidal infections should be treated with antifungal
therapies.
DOI: 10.1097/WON.0b013e31822272d9
PMID: 21747256 [Indexed for MEDLINE]
