Beeckman D, Schoonhoven L, Verhaeghe S, Heyneman A, Defloor T, et al.
Journal of advanced nursing. Date of publication 2009 Jun 1;volume 65(6):1141-54.
1. J Adv Nurs. 2009 Jun;65(6):1141-54. doi: 10.1111/j.1365-2648.2009.04986.x.
Epub 2009 Apr 3.
Prevention and treatment of incontinence-associated dermatitis: literature
review.
Beeckman D(1), Schoonhoven L, Verhaeghe S, Heyneman A, Defloor T.
Author information:
(1)Medicine and Health Sciences, Ghent University, Belgium.
dimitri.beeckman@ugent.be
AIM: This paper is a report of a review conducted to describe the current
evidence about the prevention and treatment of incontinence-associated
dermatitis and to formulate recommendations for clinical practice and research.
BACKGROUND: Incontinence-associated dermatitis is a common problem in patients
with incontinence. It is a daily challenge for healthcare professionals to
maintain a healthy skin in patients with incontinence.
DATA SOURCES: PubMed, Cochrane, Embase, the Cumulative Index to Nursing and
Allied Health Literature, reference lists and conference proceedings were
explored up to September 2008.
REVIEW METHODS: Publications were included if they reported research on the
prevention and treatment of incontinence-associated dermatitis. As little
consensus about terminology was found, a very sensitive filter was developed.
Study design was not used as a selection criterion due to the explorative
character of the review and the scarce literature.
RESULTS: Thirty-six publications, dealing with 25 different studies, were
included. The implementation of a structured perineal skin care programme
including skin cleansing and the use of a moisturizer is suggested. A skin
protectant is recommended for patients considered at risk of
incontinence-associated dermatitis development. Perineal skin cleansers are
preferable to using water and soap. Skin care is suggested after each
incontinence episode, particularly if faeces are present. The quality of methods
in the included studies was low.
CONCLUSIONS: Incontinence-associated dermatitis can be prevented and healed with
timely and appropriate skin cleansing and skin protection. Prevention and
treatment should also focus on a proper use of incontinence containment
materials. Further research is required to evaluate the efficacy and
effectiveness of various interventions.
DOI: 10.1111/j.1365-2648.2009.04986.x
PMID: 19374674 [Indexed for MEDLINE]
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