Management of Moisture-Associated Skin Damage: A Scoping Review

Adv Skin Wound Care. 2017 Nov;30(11):494-501. doi: 10.1097/01.ASW.0000525627.54569.da.


Background: Protecting the skin against moisture-associated damage is an important component of comprehensive skin and wound care. Based on a review of literature, the authors propose key interventions to protect and prevent damage in the skin folds, perineum, and areas surrounding a wound or stoma.

Objective: The aim of this scoping review is to identify and provide a narrative integration of the existing evidence related to the management and prevention of moisture-associated skin damage (MASD).

Methods: Study authors searched several databases for a broad spectrum of published and unpublished studies in English, published between 2000 and July 2015. Selected study information was collated in several different formats; ultimately, key findings were aggregated into a thematic description of the evidence to help generate a set of summative statements or recommendations.

Results: Based on inclusion criteria, 37 articles were considered appropriate for this review. Findings included functional definitions and prevalence rates of the 4 types of MASD, assessment scales for each, and 7 evidence-based strategies for the management of MASD.

Conclusions: Based on this scoping review of literature, the authors propose key interventions to protect and prevent MASD including the use of barrier ointments, liquid polymers, and cyanoacrylates to create a protective layer that simultaneously maintains hydration levels while blocking external moisture and irritants.

Publication types

  • Review

MeSH terms

  • Body Fluids*
  • Dermatitis, Irritant / etiology*
  • Dermatitis, Irritant / physiopathology
  • Dermatitis, Irritant / therapy*
  • Fecal Incontinence / complications*
  • Female
  • Humans
  • Male
  • Risk Assessment
  • Skin Care / methods*
  • Surgical Stomas / adverse effects*
  • Treatment Outcome
  • Urinary Incontinence / complications*