Medical adhesive-related skin injury

Abstract

The skin's main function is to act as a physical barrier against harmful substances. Medical adhesive-related skin injury (MARSI) is a prevalent and under-reported condition that compromises the skin's integrity. Repeated applications and removal of appliances can increase the likelihood of MARSI occurring. Prevention and treatment are key to ensure appropriate skin preparation, product appliance and removal. The use of structured approaches is imperative and there is a need to increase the awareness of MARSI among patients and health professionals to ensure that informed decisions are made.

Medical Adhesive-Related Skin Injury Associated with Surgical Wound Dressing among Spinal Surgery Patients: A Cross-Sectional Study

“…In this study, the incidence of MARSI associated with surgical wound dressing after spinal surgery was 36.4%. The incidence of surgical site MARSI per 100 patients in this study was higher than those of previous studies, which were reported to be 11% to 22.7% in critically ill patients [9,[14][15][16]] and 27.9% in hospitalized patients [17]. A systematic review [18] reported that the incidence of MARSI in the intensive care unit was as high as 41.2%.…”

“…The use of adhesive wound dressings is essential during standard treatment among spinal surgery patients. Adhesiverelated skin damage often occurs in such patients due to the use of glue for frequent firm fixation, removal of coarse adhesives, and repeated use of adhesives in the process of wound disinfection [14]. Such injuries are associated with discomfort, pain, additional treatment, and increased medical expenses.…”

Medical adhesive-related skin injury in cancer patients: A prospective cohort study

“…The incidence of medical adhesive-related skin injuries found in this study is similar to that identified in older adults hospitalized in a long-term care institution in Japan (cumulative incidence of 15 ± 5% and incidence density of 38/1,000 people-days) ( 17 ) and higher than that obtained in a vascular wound clinic in the United States (incidence of 5.8%) ( 7 ) . However, due to the scarce number of publications on the theme, whether due to differences in the context of the population evaluated and scenarios analyzed, types of medical adhesives used, or to differences in the methods used and in the variability of the results found, the comparison of the MARSI incidence values has been hampered ( 5 , 7 , 9 , 17 ) . In addition to that, another problem is the assessment of MARSI since, in adult inpatient units, it has been observed that the majority of MARSI-type skin injuries were wrongly classified as skin denudation (48%) ( 8 ) and in upper limbs ( 8 - 9 ) .…”

“…MARSIs affect people belonging to different age groups, from the healthiest ones in outpatient care to individuals in need of critical care ( 5 - 8 ) . It is known that injuries are often poorly recognized and, therefore, underreported, despite their high prevalence and incidence ( 5 - 8 ) , with occurrence rates of up to 29.83% ( 9 ) .…”

Wireless closed-loop smart bandage for chronic wound management and accelerated tissue regeneration

“…The high toughness requirement is to avoid mechanical damage during motion. Finally, the tissue interfacing gel needs to have on-demand adhesion to the wound tissue to provide good adhesion during therapy while also easy, gentle removal upon external triggers (e.g., gentle heating) to mitigate secondary damage to the delicate wounded tissue and prevent a commonly occurred skin condition known as medical adhesive-related skin injury 26,27 (Fig. 3a).…”