Moisture‐associated skin damage (MASD): A best practice recommendation from Wund‐D.A.CH.

Abstract

Summary Wund‐D.A.CH., as the umbrella organization of German‐speaking wound treatment societies, has currently developed a best practice recommendation for skin damage caused by body fluids, which is known as moisture‐associated skin damage (MASD) in English‐speaking countries. In this expert consensus, the diseases incontinence‐associated dermatitis (IAD), intertriginous dermatitis, including intertrigo, gram‐negative bacterial toe web infection and toxic contact dermatitis, including periwound and peristomal dermatitis are presented in a differentiated manner. A common feature of these clinical diseases is a deterioration of skin integrity due to prolonged exposure to body fluids such as urine, stool, sweat or wound exudate with associated physical‐irritative and/or chemical irritation. In addition, other comorbidities and cofactors play an important role. The diagnosis of these interdisciplinary and interprofessionally relevant MASD is difficult in everyday clinical practice because there are currently no uniform definitions and many relevant differential diagnoses. Effective strategies for the prevention and therapy of these skin diseases are, for example, continence management, use of efficient, absorbent aids with good retention as well as consistent skin protection and adequate skin care. Another important aspect is the education of patients and relatives about the origin, treatment and prevention of MASD.

Dermatite Associada À Incontinência: Prevalência E Fatores Associados Em Unidade De Terapia Intensiva

“…Em comparação com o presente estudo, a média de pontuação na escala de Braden para os pacientes com DAI foi de 13,40, caracterizando risco moderado de desenvolver LP. Destaca-se também que, frequentemente, as DAIs são confundidas com LPs em seus estágios iniciais por possuírem um aspecto visual muito semelhante, mas merecem atenção, uma vez que são lesões distintas e de etiologias diferentes 23 .…”

Incontinence-Associated Dermatitis: Prevalence and Associated Factors in Intensive Care Unit

“…Compared to the present study, the mean Braden scale score for patients with IAD was 13.40, characterizing moderate risk of developing PU. It is also noteworthy that, frequently, IADs are confused with PUs in their early stages because they have a very similar visual aspect, but they deserve attention, since they are distinct lesions and have different etiologies 23 .…”

Quality and clinical applicability of recommendations for incontinence‐associated dermatitis: A systematic review of guidelines and consensus statements

“…After screening titles, abstracts and full texts, we included 10 guidelines and consensus statements (Figure 1). Seven were consensus statements (Beeckman, 2015;Dissemond et al, 2021;Doughty et al, 2012; Experts Consensus on the Nursing Practice for Incontinence related Dermatitis in Adults Group, 2020; Fletcher et al, 2020;Gao & Wu, 2019;Gray et al, 2012Gray et al, , 2018, and three were guidelines NICE, 2014NICE, , 2018aNICE, , 2018bNICE, , 2019Willson et al, 2013). Two consensus statements were about MASD developed by Wounds International in 2020 and Wund-D.A.CH as the umbrella organisation of German-speaking wound treatment societies in 2021 (Dissemond et al, 2021;Fletcher et al, 2020).…”

“…Over the last decades, several organisations developed guidelines and consensus statements for IAD, such as Wound, Ostomy and Continence Nurses Society (WOCN Society), Wund‐D.A.CH and Experts Consensus on the Nursing Practice for Incontinence related Dermatitis in Adults Group, China, have developed specific guidelines and consensus statements on IAD (Dissemond et al, 2021; Doughty et al, 2012; Experts Consensus on the Nursing Practice for Incontinence related Dermatitis in Adults Group, 2020). To our knowledge, a contemporary, comprehensive and rigorous quality appraisal of IAD guidelines and consensus statements has not been undertaken.…”