Incontinence-related skin damage: essential knowledge

Ostomy Wound Manage. 2007 Dec;53(12):28-32.

Abstract

Incontinence-associated dermatitis, a clinical manifestation of moisture-associated skin damage, is a common consideration in patients with fecal and/or urinary incontinence. Among hospitalized patients, the prevalence rate has been found to be as high as 27%. Exposure to skin surface irritants may be a predictor and the condition, in turn, may be a factor in pressure ulcer risk because skin integrity is compromised. Differential diagnosis, usually based on visual examination, can help determine whether incontinence-associated dermatitis or a pressure ulcer is present. Prevention comprises following a structured skin care regimen that includes gentle cleansing, moisturization, and application of a skin protectant or moisture barrier. Treatment goals include protecting the skin from further exposure to irritants, establishing a healing environment, and eradicating any cutaneous infection. This concise review of relevant literature underscores the scant amount of evidence-based information available and highlights the need for further studies that involve comparing protocol and product efficacy to determine best practice for this oft-encountered condition.

Publication types

  • Review

MeSH terms

  • Dermatitis / diagnosis
  • Dermatitis / etiology
  • Dermatitis / prevention & control*
  • Diagnosis, Differential
  • Fecal Incontinence / complications*
  • Humans
  • Pressure Ulcer / diagnosis
  • Pressure Ulcer / prevention & control
  • Risk Factors
  • Skin Care
  • Urinary Incontinence / complications*