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Incontinence-associated dermatitis consensus statements, evidence-based guidelines for prevention and treatment, and current challenges

Incontinence-associated dermatitis consensus statements, evidence-based guidelines for prevention and treatment, and current challenges
Incontinence-associated dermatitis consensus statements, evidence-based guidelines for prevention and treatment, and current challenges
In 2009, a multinational group of clinicians was charged with reviewing and evaluating the research base pertaining to incontinence-associated dermatitis (IAD) and synthesizing this knowledge into best practice recommendations based on existing evidence. This is the first of 2 articles focusing on IAD; it updates current research and identifies persistent gaps in our knowledge. Our literature review revealed a small but growing body of evidence that provides additional insight into the epidemiology, etiology, and pathophysiology of IAD when compared to the review generated by the first IAD consensus group convened 5 years earlier. We identified research supporting the use of a defined skin care regimen based on principles of gentle perineal cleansing, moisturization, and application of a skin protectant. Clinical experience also supports application of an antifungal powder, ointment, or cream in patients with evidence of cutaneous candidiasis, aggressive containment of urinary or fecal incontinence, and highly selective use of a mild topical anti-inflammatory product in selected cases. The panel concluded that research remains limited and additional studies are urgently needed to enhance our understanding of IAD and to establish evidence-based protocols for its prevention and treatment.

1071-5754
303-315
Fader, M.
c318f942-2ddb-462a-9183-8b678faf7277
Doughty, Dorothy
2544c11a-92b8-4d26-94a5-18b7f26bf807
Junkin, Joan
8a7615d1-6062-4ef3-b71c-25caf3039539
Kurz, Peter
d9c50348-93b5-4e00-a44a-e3b308088072
Selekof, Joan
a9c289d5-719c-4d8e-8461-0a18e4814aa7
Gray, Mikel
f83f2132-18e5-4f16-b925-874730430fb0
Bliss, Donna Z
e92fb1b2-990b-49e0-88b2-a42dd9512be9
Beeckman, Dimitri
1ead183b-0e82-4b3f-864b-8dfc2e58de3e
Logan, Susan
6ba44f8c-79cd-42e2-bf29-8f2f64ebf2bc
Fader, M.
c318f942-2ddb-462a-9183-8b678faf7277
Doughty, Dorothy
2544c11a-92b8-4d26-94a5-18b7f26bf807
Junkin, Joan
8a7615d1-6062-4ef3-b71c-25caf3039539
Kurz, Peter
d9c50348-93b5-4e00-a44a-e3b308088072
Selekof, Joan
a9c289d5-719c-4d8e-8461-0a18e4814aa7
Gray, Mikel
f83f2132-18e5-4f16-b925-874730430fb0
Bliss, Donna Z
e92fb1b2-990b-49e0-88b2-a42dd9512be9
Beeckman, Dimitri
1ead183b-0e82-4b3f-864b-8dfc2e58de3e
Logan, Susan
6ba44f8c-79cd-42e2-bf29-8f2f64ebf2bc

Fader, M., Doughty, Dorothy, Junkin, Joan, Kurz, Peter, Selekof, Joan, Gray, Mikel, Bliss, Donna Z, Beeckman, Dimitri and Logan, Susan (2012) Incontinence-associated dermatitis consensus statements, evidence-based guidelines for prevention and treatment, and current challenges. Journal of Wound, Ostomy and Continence Nursing, 39 (3), 303-315. (doi:10.1097/WON.0b013e3182549118). (PMID:22193141)

Record type: Article

Abstract

In 2009, a multinational group of clinicians was charged with reviewing and evaluating the research base pertaining to incontinence-associated dermatitis (IAD) and synthesizing this knowledge into best practice recommendations based on existing evidence. This is the first of 2 articles focusing on IAD; it updates current research and identifies persistent gaps in our knowledge. Our literature review revealed a small but growing body of evidence that provides additional insight into the epidemiology, etiology, and pathophysiology of IAD when compared to the review generated by the first IAD consensus group convened 5 years earlier. We identified research supporting the use of a defined skin care regimen based on principles of gentle perineal cleansing, moisturization, and application of a skin protectant. Clinical experience also supports application of an antifungal powder, ointment, or cream in patients with evidence of cutaneous candidiasis, aggressive containment of urinary or fecal incontinence, and highly selective use of a mild topical anti-inflammatory product in selected cases. The panel concluded that research remains limited and additional studies are urgently needed to enhance our understanding of IAD and to establish evidence-based protocols for its prevention and treatment.

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Published date: May 2012
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 338740
URI: http://eprints.soton.ac.uk/id/eprint/338740
ISSN: 1071-5754
PURE UUID: bac81072-c039-4aa7-855d-bb1f840d88ba

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Date deposited: 17 May 2012 09:06
Last modified: 14 Mar 2024 11:04

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Contributors

Author: M. Fader
Author: Dorothy Doughty
Author: Joan Junkin
Author: Peter Kurz
Author: Joan Selekof
Author: Mikel Gray
Author: Donna Z Bliss
Author: Dimitri Beeckman
Author: Susan Logan

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