Associations between individual characteristics and incontinence-associated dermatitis: A secondary data analysis of a multi-centre prevalence study

Kottner, Jan; Blume-Peytavi, Ulrike; Lohrmann, Christa; Halfens, Ruud J.G.

doi:10.1016/j.ijnurstu.2014.02.012

Cited by 69 publications

(89 citation statements)

References 30 publications

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“…Thus, patients who had five episodes of fecal incontinence in 24 hours were at a risk 39 times higher of developing IAD than those who had only one episode of fecal incontinence. Additionally, patients whose diapers were changed three times per day were at a higher risk of A multicenter prevalence study with 3,713 adult and elderly patients in hospitals or nursing homes of Europe identified a strong association between the development of IAD and patients with fecal incontinence (OR 1.70; 95% CI 1:14 to 2:55) and patients exposed to friction and shear of the skin in the perineal area (OR 0.65; 95% CI 0.51-0.81) (15 Source: Research data, 2015. * HR: hazard ratio; HR = 1.0 (there is no association between exposure and effect); HR> 1.0 (risk association); HR <1.0 (protective association).…”

Section: Discussionmentioning

confidence: 99%

Dermatite associada à incontinência: estudo de coorte em pacientes críticos

Chianca

Gonçales

Salgado

et al. 2016

Rev. Gaúcha Enferm.

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Incontinence-associated dermatitis: a cohort study in critically ill patients ABSTRACTObjectives: Estimate incidence, determine risk factors and propose a prediction model for the development of incontinence-associated dermatitis critically ill adult patients. Method: Concurrent cohort study with 157 critically ill patients. Data collection was daily performed between February and July 2015, at a public teaching hospital of Belo Horizonte, Minas Gerais. Data was entered in a database and subjected to descriptive, survival and multivariate analysis. Results: An overall incidence of 20.4% was obtained. Nineteen (19) risk factors significantly associated with the disorder were found. The variables identified in the risk prediction model were male, trauma, use of hypnotics/sedatives, lactulose, nutritional support, loose stools and complaints of burning. Conclusion:The results showed that dermatitis is a common clinical finding in critically ill adult patients and requires special attention from the nursing staff.

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Section: Discussionmentioning

confidence: 99%

Dermatite associada à incontinência: estudo de coorte em pacientes críticos

Chianca

Gonçales

Salgado

et al. 2016

Rev. Gaúcha Enferm.

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“…Kottner et al (2014) and Rohwer et al (2013) found no association between IAD and ageing, but Campbell et al (2016) did. Animal studies suggest that ageing enhances skin maceration and the ultrastructural alteration of the epidermis a major risk factor for impairing skin barrier function and IAD (Minematsu et al, 2011).…”

Section: Conditions Associated With Iadmentioning

confidence: 87%

“…Kottner et al (2014) found IAD was more likely to occur in males than females, those individuals with diabetes mellitus, those with a higher BMI, those with faecal incontinence rather than urinary incontinence or those showing a high degree of functional and psychical impairments. Campbell et al (2016) suggested that faecal incontinence was not more likely to be a risk factor for IAD but they did find that patients with semi-formed or liquid stool were more likely to have IAD than those with formed stool, they also found no association with the frequency of incontinence.…”

Section: Conditions Associated With Iadmentioning

confidence: 89%

Incontinence-associated dermatitis: reducing adverse events

Rippon

Colegrave²,

Ousey

2016

Br J Nurs

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Incontinence-associated dermatitis (IAD) is a common problem in patients with faecal and/or urinary incontinence. Urine alters the normal skin flora and increases permeability of the stratum corneum and faecal enzymes on the skin contribute to skin damage. Faecal bacteria can then penetrate the skin, increasing the risk of secondary infection. However, IAD can be prevented and healed with timely and appropriate skin cleansing and skin protection. This includes appropriate use of containment devices. HARTMANN incontinence pads have been developed to absorb the fluids that cause IAD and maintain the skin's acidic pH. The acidic pH of the skin contributes to its barrier function and defence against infection. Therefore, maintaining an acidic pH will help protect the skin from damage. Key phrasesThe incidence of IAD in people in long term care, acute care and the community is high.Treatment of IAD increases the cost of providing incontinence care and decreases patients' quality of life.IAD incidence can be significantly reduced by effective preventative measures that involve correct implementation of a structured skin care protocol.Incontinence pads with curly fibre technology may assist with effective skin care protocols to prevent IAD and effective skin care protocols to prevent IAD and have associated benefits for the patient's quality of life and for healthcare providers.

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“…Constant skin assessment, adequate hygiene care and continence management are fundamental nursing activities in IAD prevention [9]. Kottner et al [10] emphasizes that periodic skin observation and preventive care should be especially targeted at people who in addition suffer from fecal/urinary incontinence or present other comorbidities, such as diabetes mellitus, increased body mass index and high functional dependence.…”

Section: Introductionmentioning

confidence: 99%

“…The prevention and healing of IAD is a health outcome associated with nursing care. Their repercussions were more evident in the health economics segment, however their gains have the same translation in improving the quality of life, reducing the discomfort and pain of the person with IAD [10].…”

Section: Introductionmentioning

confidence: 99%