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Incontinence-Associated Dermatitis: A Comprehensive Review and Update

Research output: Contribution to journalArticle

Mikel Gray, Dimitri Beeckman, Donna Z. Bliss, Mandy Fader, Susan Logan, Joan Junkin, Joan Selekof, Dorothy Doughty, Peter Kurz

Original languageEnglish
Pages (from-to)61 - 74
Number of pages14
JournalJournal of Wound, Ostomy, & Continence Nursing
Volume39
Issue number1
DOIs
PublishedJan 2012

King's Authors

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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