Lichterfeld A, Hauss A, Surber C, Peters T, Blume-Peytavi U, Kottner J, et al.
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2015 Sep 1;volume 42(5):501-24.
1. J Wound Ostomy Continence Nurs. 2015 Sep-Oct;42(5):501-24. doi:
10.1097/WON.0000000000000162.
Evidence-Based Skin Care: A Systematic Literature Review and the Development of a
Basic Skin Care Algorithm.
Lichterfeld A(1), Hauss A, Surber C, Peters T, Blume-Peytavi U, Kottner J.
Author information:
(1)Andrea Lichterfeld, MA, Clinical Research Center for Hair and Skin Science,
Department of Dermatology and Allergy, Charité-Universitätsmedizin, Berlin,
Germany. Armin Hauss, MSc, Clinical Quality and Risk Management, Charité -
Universitätsmedizin Berlin, Germany Christian Surber, PhD, Department of
Dermatology, University of Basel and Zurich, Switzerland. Tina Peters, MSc,
Clinical Research Center for Hair and Skin Science, Department of Dermatology and
Allergy, Charité-Universitätsmedizin Berlin, Germany. Ulrike Blume-Peytavi, MD,
PhD, Clinical Research Center for Hair and Skin Science, Department of
Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Germany. Jan
Kottner, PhD, Clinical Research Center for Hair and Skin Science, Department of
Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Germany.
Patients in acute and long-term care settings receive daily routine skin care,
including washing, bathing, and showering, often followed by application of
lotions, creams, and/or ointments. These personal hygiene and skin care
activities are integral parts of nursing practice, but little is known about
their benefits or clinical efficacy. The aim of this article was to summarize the
empirical evidence supporting basic skin care procedures and interventions and to
develop a clinical algorithm for basic skin care. Electronic databases MEDLINE,
EMBASE, and CINAHL were searched and afterward a forward search was conducted
using Scopus and Web of Science. In order to evaluate a broad range of basic skin
care interventions systematic reviews, intervention studies, and guidelines,
consensus statements and best practice standards also were included in the
analysis. One hundred twenty-one articles were read in full text; 41documents
were included in this report about skin care for prevention of dry skin,
prevention of incontinence-associated dermatitis and prevention of skin injuries.
The methodological quality of the included publications was variable. Review
results and expert input were used to create a clinical algorithm for basic skin
care. A 2-step approach is proposed including general and special skin care.
Interventions focus primarily on skin that is either too dry or too moist. The
target groups for the algorithm are adult patients or residents with intact or
preclinical damaged skin in care settings. The goal of the skin care algorithm is
a first attempt to provide guidance for practitioners to improve basic skin care
in clinical settings in order to maintain or increase skin health.
DOI: 10.1097/WON.0000000000000162
PMID: 26165590 [Indexed for MEDLINE]
