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Incontinence-associated dermatitis: a comprehensive review and update

Mikel Gray, Dimitri Beeckman UGent, Donna Bliss, Mandy Fader, Susan Logan, Joan Junkin, Joan Selekof, Dorothy Doughty and Peter Kurz (2012) JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING. 39(1). p.61-74
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.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
PRESSURE ULCER CLASSIFICATION, NURSING-HOME RESIDENTS, SKIN BARRIER FUNCTION, DIAPER DERMATITIS, STRATUM-CORNEUM, URINARY-INCONTINENCE, PERINEAL DERMATITIS, CONTACT-DERMATITIS, MOISTURE LESIONS, WATER
journal title
JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING
J. Wound Ostomy Cont. Nurs.
volume
39
issue
1
pages
61 - 74
Web of Science type
Article
Web of Science id
000299497200008
JCR category
NURSING
JCR impact factor
0.933 (2012)
JCR rank
44/101 (2012)
JCR quartile
2 (2012)
ISSN
1071-5754
language
English
UGent publication?
no
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1974368
handle
http://hdl.handle.net/1854/LU-1974368
date created
2011-12-24 15:33:08
date last changed
2012-09-21 10:44:58
@article{1974368,
  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.},
  author       = {Gray, Mikel and Beeckman, Dimitri and Bliss, Donna and Fader, Mandy and Logan, Susan and Junkin, Joan  and Selekof, Joan  and Doughty, Dorothy  and Kurz, Peter},
  issn         = {1071-5754},
  journal      = {JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING},
  keyword      = {PRESSURE ULCER CLASSIFICATION,NURSING-HOME RESIDENTS,SKIN BARRIER FUNCTION,DIAPER DERMATITIS,STRATUM-CORNEUM,URINARY-INCONTINENCE,PERINEAL DERMATITIS,CONTACT-DERMATITIS,MOISTURE LESIONS,WATER},
  language     = {eng},
  number       = {1},
  pages        = {61--74},
  title        = {Incontinence-associated dermatitis: a comprehensive review and update},
  volume       = {39},
  year         = {2012},
}

Chicago
Gray, Mikel, Dimitri Beeckman, Donna Bliss, Mandy Fader, Susan Logan, Joan Junkin, Joan Selekof, Dorothy Doughty, and Peter Kurz. 2012. “Incontinence-associated Dermatitis: a Comprehensive Review and Update.” Journal of Wound Ostomy and Continence Nursing 39 (1): 61–74.
APA
Gray, M., Beeckman, D., Bliss, D., Fader, M., Logan, S., Junkin, J., Selekof, J., et al. (2012). Incontinence-associated dermatitis: a comprehensive review and update. JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING, 39(1), 61–74.
Vancouver
1.
Gray M, Beeckman D, Bliss D, Fader M, Logan S, Junkin J, et al. Incontinence-associated dermatitis: a comprehensive review and update. JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING. 2012;39(1):61–74.
MLA
Gray, Mikel, Dimitri Beeckman, Donna Bliss, et al. “Incontinence-associated Dermatitis: a Comprehensive Review and Update.” JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING 39.1 (2012): 61–74. Print.