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

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Abstract
In 2010, an international consensus conference was held to review current evidence regarding the pathology, prevention, and management of incontinence-associated dermatitis (IAD). The results of this literature review were published in a previous issue of this Journal. This article summarizes key consensus statements agreed upon by the panelists, evidence-based guidelines for prevention and management of IAD, and a discussion of the major challenges currently faced by clinicians caring for these patients. The panelists concur that IAD is clinically and pathologically distinct from pressure ulcers and intertriginous dermatitis, and that a consistently applied, structured, or defined skin care program is effective for prevention and management of IAD. They also agreed that differential assessment of IAD versus pressure ulceration versus intertriginous dermatitis remains a major challenge. Panel members also concur that evidence is lacking concerning which products and protocols provide the best outcomes for IAD prevention and treatment in individual patients. Issues related to differential assessment, product labeling and utilization, staff education, and cost of care are the primary focus of this article.
Keywords
INTERVENTION, CARE, SKIN, BARRIER FUNCTION, URINARY-INCONTINENCE, CLASSIFICATION-SYSTEM, NURSING-HOME RESIDENTS, PRESSURE ULCERS, MOISTURE, DAMAGE

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Citation

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Chicago
Doughty, Dorothy, Joan Junkin, Peter Kurz, Joan Selekof, Mikel Gray, Mandy Fader, Donna Z Bliss, Dimitri Beeckman, and Susan Logan. 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.
APA
Doughty, D., Junkin, J., Kurz, P., Selekof, J., Gray, M., Fader, M., Bliss, D. Z., et al. (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.
Vancouver
1.
Doughty D, Junkin J, Kurz P, Selekof J, Gray M, Fader M, et al. Incontinence-associated dermatitis : consensus statements, evidence-based guidelines for prevention and treatment, and current challenges. JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING. 2012;39(3):303–15.
MLA
Doughty, Dorothy, Joan Junkin, Peter Kurz, et al. “Incontinence-associated Dermatitis : Consensus Statements, Evidence-based Guidelines for Prevention and Treatment, and Current Challenges.” JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING 39.3 (2012): 303–315. Print.
@article{2105418,
  abstract     = {In 2010, an international consensus conference was held to review current evidence regarding the pathology, prevention, and management of incontinence-associated dermatitis (IAD). The results of this literature review were published in a previous issue of this Journal. This article summarizes key consensus statements agreed upon by the panelists, evidence-based guidelines for prevention and management of IAD, and a discussion of the major challenges currently faced by clinicians caring for these patients. The panelists concur that IAD is clinically and pathologically distinct from pressure ulcers and intertriginous dermatitis, and that a consistently applied, structured, or defined skin care program is effective for prevention and management of IAD. They also agreed that differential assessment of IAD versus pressure ulceration versus intertriginous dermatitis remains a major challenge. Panel members also concur that evidence is lacking concerning which products and protocols provide the best outcomes for IAD prevention and treatment in individual patients. Issues related to differential assessment, product labeling and utilization, staff education, and cost of care are the primary focus of this article.},
  author       = {Doughty, Dorothy and Junkin, Joan and Kurz, Peter and Selekof, Joan and Gray, Mikel and Fader, Mandy and Bliss, Donna Z and Beeckman, Dimitri and Logan, Susan},
  issn         = {1071-5754},
  journal      = {JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING},
  language     = {eng},
  number       = {3},
  pages        = {303--315},
  title        = {Incontinence-associated dermatitis : consensus statements, evidence-based guidelines for prevention and treatment, and current challenges},
  url          = {http://dx.doi.org/10.1097/WON.0b013e3182549118},
  volume       = {39},
  year         = {2012},
}

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