Effects of two different fabrics on skin barrier function under real pressure conditions

Schario, Marianne; Tomova‐Simitchieva, Tsenka; Lichterfeld, A; Herfert, H.; Dobos, Gábor; Lahmann, Nils; Blume-Peytavi, Ulrike; Kottner, Jan

doi:10.1016/j.jtv.2016.10.003

Cited by 23 publications

(45 citation statements)

References 45 publications

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“…It is well known that the water transport and thermo‐mechanical properties of the material of the cover and/or textile have an impact on the local water accumulation during loading. Layers of linens or underpads on mattresses could reduce the ability to transport heat and evaporate moisture .…”

Section: Discussionmentioning

confidence: 99%

“…The construction and material of the support surfaces (eg, foam vs low‐air‐loss) or the cover type are key predictors for temperature and humidity between the skin support surface interface . The interaction between skin function and fabrics (eg, bed sheets, clothing) is also well known . It has also been previously demonstrated that prolonged loading on a standard hospital foam mattress leads to a broad range of structural and functional skin changes on loaded heel and sacral skin .…”

Section: Introductionmentioning

confidence: 99%

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Comparing the effects of 3 different pressure ulcer prevention support surfaces on the structure and function of heel and sacral skin: An exploratory cross‐over trial

Tomova‐Simitchieva

Lichterfeld-Kottner

Blume-Peytavi

et al. 2017

International Wound Journal

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Special support surfaces are key in pressure ulcer prevention. The aim of this study was to measure the effects of 3 different types of mattresses (reactive gel, active alternating air, basic foam) on skin properties of the sacral and heel skin after 2 hours loading. Fifteen healthy females (median age 66 years) were included. Transepidermal water loss, skin surface temperature, erythema, stratum corneum hydration, epidermal hydration, skin extensibility, elastic function, and recovery as well as skin roughness parameters were measured under controlled room conditions before loading, immediately after loading, and 20 minutes post-loading in the supine position on the different mattresses. The highest increases in transepidermal water loss, skin temperature, and erythema were observed for the foam mattress after loading, indicating higher deformation and occlusion. Cutaneous stiffness decreased in all 3 groups, indicating structural changes during loading. There was a substantial decrease of mean roughness at the heel skin in the foam group, leading to a flattening of the skin surface. Study results indicate that the type of support surface influences skin structure and function during loading. The gel and air mattress appeared to be more protective compared with the foam mattress, but the differences between the gel and air were minor.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparing the effects of 3 different pressure ulcer prevention support surfaces on the structure and function of heel and sacral skin: An exploratory cross‐over trial

Tomova‐Simitchieva

Lichterfeld-Kottner

Blume-Peytavi

et al. 2017

International Wound Journal

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“…Several plausible mechanisms might be accounting for increasing risk of infections post spinal cord infections in relation to prior pressure sore exposures. To start with, pressure sores were perceived to induce impairment of skin protection function by destroying integrity of erythematous skin and prompting reproduction and growth of pathogenic bacteria 11 . Several species of pathogenic bacteria including Staphylococcus, Pseudomonas, Peptoniphilus, Enterobacter, Stenotrophomonas, Finegoldia , and Serratia were detected in collected samples from pressure sores 12 .…”

Section: Discussionmentioning

confidence: 99%

Elevated Risk of Infections after Spinal Cord Surgery in Relation to Preoperative Pressure Ulcers: a Follow-up Study

Yang

Peng

Wang

et al. 2018

Sci Rep

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Factors associated with infections after spinal cord surgery were not fully understood. This study aimed to evaluate whether preoperative pressure ulcers was a risk factor of infections after spinal cord operation. A 1:1 matched follow-up study was performed in a tertiary referral center in southwest China between 2010 and 2015. Risk ratios (RRs) and 95% confidence intervals (CIs) were calculated using unconditional logistic regression analysis. A total of 334 patients with spinal cord surgery were recruited (167 patients with preoperative pressure ulcers and 167 patients without preoperative pressure ulcers). Participants previously exposed to pressure ulcers had an elevated risk of infections post spinal cord operation including surgical site infection (RR: 2.3, 95% CI: 1.1, 4.7), pneumonia (RR: 2.4, 95% CI: 1.1,5.3), urinary tract infection (RR: 2.8, 95% CI: 1.1, 7.3), any kinds of postoperative infections (RR: 3.4, 95% CI: 2.1, 5.6) and 30-day postoperative hospitalization for infections (RR: 2.6, 95% CI: 1.1, 6.0). The associations between preoperative pressure ulcers in stage III to IV and postoperative infections were also pronounced, but towards null in stage I to II. The study showed an increased risk of infections after spinal cord surgery in patients with preoperative pressure ulcers, indicative of an urgent need for monitoring postoperative infections and medical treatment for patients with pressure sores.

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“…The fabric that is made from polyester can increase the TEWL level twice time than cotton fabric. 8 The use of hijab give risk to increase the pressure on scalp. The type of fabric used could increase the TEWL level, eventhough it is not closely related with dandruff severity.…”

Section: Discussionmentioning

confidence: 99%

“…A study of subjects which consisted of 59 male and female with dandruff in Shanghai with age range between 18 and 60 years old, also found a negative correlation between dandruff severity and sebum level. 8 The controversy of sebum and Malassezia sp. role in dandruffis still exist until now.…”

Section: Acknowledgementsmentioning

confidence: 99%

The role of Malassezia sp., sebum level and trans epidermal water loss (TEWL) toward the dandruff severity between hijab and non hijab wearing subjects

et al. 2018

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Dandruff is a common symptom in adolescence, which possibly due to increasing of Malassezia sp. colonization, sebum level as well as skin hydration. Wearing hijab is predicted to increase the humidity and sebum level lead to increase the number of Malassezia sp. and dandruff severity. A case-control study was conducted on 19 female with dandruff who wear hijab and 19 female with dandruff who do not wear hijab, age between 18 and 27 years old. The dandruff severity was defined clinically using a scoring system (0-100), only subjects with minimum score of 28 will be included in this study. The sebum and trans epidermal water loss (TEWL) levels were measured with Sebumeter and Tewameter from Courage Khazaka. The Malassezia sp. was examined using microscopic examination of the squama and culture in the Saboraud medium. There were no significant differences found between hijab and non-hijab groups for dandruff severity. No difference found between two groups for sebum level, Malassezia sp. number microscopically, and Malassezia sp. colonization. Only TEWL level in hijab group that was found to be higher than non-hijab group. Wearing hijab does not increase the dandruff severity, sebum level and colonization number of Malassezia sp. Wearing hijab is found to increase the TEWL level. ABSTRAK Ketombe merupakan gejala umum pada masa remaja, yang disebabkan oleh meningkatnya coloni Malassezia sp., tingkat sebum serta hidrasi kulit. Penggunaan jilbab diperkirakan menyebabkan peningkatan kelembaban dan sebum yang akan meningkatkan jumlah Malassezia sp. dan tingkat keparahan ketombe. Sebuah studi kasus-kontrol dilakukan pada 19 wanita berketombe yang memakai jilbab dan 19 wanita berketombe yang tidak memakai jilbab, usia antara 18 dan 27 tahun. Keparahan ketombe didefinisikan secara klinis menggunakan sistem penilaian (0-100), hanya subjek dengan skor minimal 28 yang akan dimasukkan dalam penelitian ini. Tingkat sebum dan trans epidermal water loss (TEWL) diukur dengan Sebumeter dan Tewameter dari Courage Khazaka. Malassezia sp. diperiksa menggunakan pemeriksaan mikroskopik dari skuama dan kultur dalam medium Saboraud. Tidak ada perbedaan signifikan yang ditemukan antara kelompok hijab dan non-hijab untuk keparahan ketombe. Tidak ada perbedaan yang signifikan ditemukan antara dua kelompok untuk tingkat sebum, jumlah Malassezia sp. secara mikroskopis, dan koloni Malassezia sp. Ditemukan tingkat TEWL kelompok berhijab lebih tinggi daripada kelompok non-hijab. Memakai jilbab tidak meningkatkan keparahan ketombe, tingkat sebum, serta jumlah kolonisasi Malassezia sp. Memakai hijab meningkatkan tingkat TEWL.

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Effects of two different fabrics on skin barrier function under real pressure conditions

Cited by 23 publications

References 45 publications

Comparing the effects of 3 different pressure ulcer prevention support surfaces on the structure and function of heel and sacral skin: An exploratory cross‐over trial

Comparing the effects of 3 different pressure ulcer prevention support surfaces on the structure and function of heel and sacral skin: An exploratory cross‐over trial

Elevated Risk of Infections after Spinal Cord Surgery in Relation to Preoperative Pressure Ulcers: a Follow-up Study

The role of Malassezia sp., sebum level and trans epidermal water loss (TEWL) toward the dandruff severity between hijab and non hijab wearing subjects

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