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Prevention and treatment of incontinence-associated dermatitis: literature review

Dimitri Beeckman UGent, Lisette Schoonhoven, Sofie Verhaeghe UGent, ALEXANDER HEYNEMAN UGent and Tom Defloor UGent (2009) JOURNAL OF ADVANCED NURSING. 65(6). p.1141-1154
abstract
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.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (review)
publication status
published
subject
keyword
nursing, literature review, pressure ulcers, incontinence, dermatitis, prevention, treatment, NURSING-HOME RESIDENTS, MOISTURE, PRESSURE
journal title
JOURNAL OF ADVANCED NURSING
J. Adv. Nurs.
volume
65
issue
6
pages
1141 - 1154
Web of Science type
Review
Web of Science id
000265426900003
JCR category
NURSING
JCR impact factor
1.518 (2009)
JCR rank
9/70 (2009)
JCR quartile
1 (2009)
ISSN
0309-2402
DOI
10.1111/j.1365-2648.2009.04986.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
598660
handle
http://hdl.handle.net/1854/LU-598660
date created
2009-04-22 22:29:31
date last changed
2012-10-29 11:30:22
@article{598660,
  abstract     = {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.},
  author       = {Beeckman, Dimitri and Schoonhoven, Lisette and Verhaeghe, Sofie and HEYNEMAN, ALEXANDER and Defloor, Tom},
  issn         = {0309-2402},
  journal      = {JOURNAL OF ADVANCED NURSING},
  keyword      = {nursing,literature review,pressure ulcers,incontinence,dermatitis,prevention,treatment,NURSING-HOME RESIDENTS,MOISTURE,PRESSURE},
  language     = {eng},
  number       = {6},
  pages        = {1141--1154},
  title        = {Prevention and treatment of incontinence-associated dermatitis: literature review},
  url          = {http://dx.doi.org/10.1111/j.1365-2648.2009.04986.x},
  volume       = {65},
  year         = {2009},
}

Chicago
Beeckman, Dimitri, Lisette Schoonhoven, Sofie Verhaeghe, ALEXANDER HEYNEMAN, and Tom Defloor. 2009. “Prevention and Treatment of Incontinence-associated Dermatitis: Literature Review.” Journal of Advanced Nursing 65 (6): 1141–1154.
APA
Beeckman, Dimitri, Schoonhoven, L., Verhaeghe, S., HEYNEMAN, A., & Defloor, T. (2009). Prevention and treatment of incontinence-associated dermatitis: literature review. JOURNAL OF ADVANCED NURSING, 65(6), 1141–1154.
Vancouver
1.
Beeckman D, Schoonhoven L, Verhaeghe S, HEYNEMAN A, Defloor T. Prevention and treatment of incontinence-associated dermatitis: literature review. JOURNAL OF ADVANCED NURSING. 2009;65(6):1141–54.
MLA
Beeckman, Dimitri, Lisette Schoonhoven, Sofie Verhaeghe, et al. “Prevention and Treatment of Incontinence-associated Dermatitis: Literature Review.” JOURNAL OF ADVANCED NURSING 65.6 (2009): 1141–1154. Print.