Prevalence of medical adhesive-related skin injury at peripherally inserted central catheter insertion site in oncology patients

Zhao, Huihan; He, Yu; Huang, Huiqiao; Liu, Ying; Zhou, Xuemei; Lei, Yonghong; Ying, Yanping

doi:10.5301/jva.5000805

Cited by 40 publications

(54 citation statements)

References 32 publications

(32 reference statements)

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“…19 In adult oncology patients, independent risk factors that further increase the risk of a medical adhesive-related skin injury include age ≥50 years and haematologic malignancies. 20…”

Section: Older Adultsmentioning

confidence: 99%

Overlooked and underestimated: medical adhesive-related skin injuries

et al. 2020

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Foreword I n July 2019, a panel of wound care experts, educators and researchers met in the UK to review the literature on medical adhesive-related skin injury and discuss best practice for its assessment and prevention. e two-day meeting resulted in this consensus document, which is intended for anyone who uses adhesive medical devices. e document aims to raise awareness of the widespread occurrence of medical adhesive-related skin injury and the burden it imposes on patients, health professionals and the health service. It seeks to encourage a change in culture, whereby risk assessment and prevention of medical adhesive-related skin injury are considered an integral part of patient care. e document, therefore, provides recommendations for the assessment and prevention of this type of injury, with a view to standardising care across all healthcare settings. It also highlights the need for education on this form of skin damage, which needs to become a core topic in skin care and wound management. Until this happens, there is scope for multidisciplinary teams to provide local training on this subject. In the light of the panel's concern that many health professionals are not only unaware of this avoidable harm but also its abbreviation, MARSI, the term is written in full throughout the document. e panel hopes that implementation of the guidance in this document will reduce avoidable patient su ering and promote better outcomes. Sian Fumarola, Senior Clinical Nurse Specialist, Tissue Viability and Continence, University Hospitals of North Midlands NHS Trust, UK Overview of medical adhesive-related skin injury  'Medical adhesive-related skin injury' is a term used to defi ne any skin damage related to the use of medical adhesive products or devices such as tapes, wound dressings, stoma products, electrodes, medication patches and wound closure strips. This type of injury is largely avoidable

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“…19 In adult oncology patients, independent risk factors that further increase the risk of a medical adhesive-related skin injury include age ≥50 years and haematologic malignancies. 20…”

Section: Older Adultsmentioning

confidence: 99%

Overlooked and underestimated: medical adhesive-related skin injuries

et al. 2020

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“…A Medical Adhesive-Related Skin Injury (MARSI) is a manifestation of cutaneous abnormality that persists for more than 30 minutes after the removal of an adhesive (McNichol et al, 2013;Zhao et al, 2018a). Repeated or improper applications and removals, as well as the selection of an inappropriate type of tape for a particular location without considering the purpose or the patient's skin type, can cause skin injuries associated with tapes .…”

Section: Introductionmentioning

confidence: 99%

“…Repeated or improper applications and removals, as well as the selection of an inappropriate type of tape for a particular location without considering the purpose or the patient's skin type, can cause skin injuries associated with tapes . Some of the most common types of adhesive-related injuries are: i. skin stripping, which occurs when the epidermis is removed by the repeated application and removal of the tape, denuding and wounding the skin (Cutting, 2008;Zhao et al, 2018a); ii. skin tears, which can occur by applying and removing the tapes or by its friction in patients with fragile skin (e.g., older people and newborns), causing skin layers to separate Zhao et al, 2018a); iii.…”

Section: Introductionmentioning

confidence: 99%

“…Some of the most common types of adhesive-related injuries are: i. skin stripping, which occurs when the epidermis is removed by the repeated application and removal of the tape, denuding and wounding the skin (Cutting, 2008;Zhao et al, 2018a); ii. skin tears, which can occur by applying and removing the tapes or by its friction in patients with fragile skin (e.g., older people and newborns), causing skin layers to separate Zhao et al, 2018a); iii. tension blisters, which occur when the tape stretches the skin and, to restore its former shape, it pulls epidermal layers (Maene, 2013; Ratliff, 2017; Zhao et al, 2018a); and iv.…”

Section: Introductionmentioning

confidence: 99%

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Silicone tape versus micropore tape to prevent medical adhesive-related skin injuries: systematic review and meta-analysis

Santos¹,

Terra²,

Nogueira³

et al. 2019

JBES

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Objective: This study aims to compare the efficacy and safety of silicone tapes compared to microporous tapes in patients with fragile skin. Methods: A systematic review of the scientific literature was carried out. Clinical trials that compared silicone tape for medical use with the microporous tape in preterm newborns, newborns, children, elders, or people with increased risk of MARSI were included. This report followed the principles of the PRISMA statement. Results: Three randomized controlled trials were included. The silicone tape was associated with fewer injuries (RR = 0.53; p-value = 0.03), but no difference was found in terms of prevention of moderate or severe injuries (RR = 0.25; p-value = 0.20). Silicone tapes produce significantly less edema/erythema response than microporous tapes in children (MD =-0.42; p-value < 0.0001). The quality of evidence was considered very low. Conclusion: The evidence suggests that silicone tapes may be gentler to patients' skin than microporous tapes. However, no study reported data on the outcomes of interest. The studies have small samples, a short time horizon, and the quality of evidence was considered very low. There is insufficient information to allow the recommendation of silicone tapes to prevent skin injuries compared to microporous tapes.

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“…Estudo multicêntrico desenvolvido em quatro hospitais da China, (três hospitais gerais e um hospital oncológico), envolvendo 697 pacientes encontrou uma idade média de 48,8 anos13 . Foi encontrado idade média de 82 anos em um estudo desenvolvido em uma instituição de longa permanência para idosos nos Estados Unidos31 .Estudo realizado com 419 pacientes identificou que a idade maior de 50 anos, aumenta em 4,0 vezes as chances de LPRAM na região de inserção do PICC em pacientes oncológicos28 . clínica vascular 27 e outro estudo realizado em unidades não críticas clínicas e cirúrgica dos Estados Unidos 30 verificaram predomínio de homens, 57% e 56% respectivamente, ao passo que outros estudos identificaram o predomínio de mulheres.…”

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Prevalência e fatores associados de lesão de pele relacionada a adesivos médicos em pacientes críticos: estudo multicêntrico

Oliveira¹

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Primeiramente a Deus, criador de todas as coisas por mais uma oportunidade de evolução. À Maria santíssima pela fonte inesgotável de força. À Profª. Drª. Paula Cristina Nogueira, por acreditar em mim, por todo o incentivo e ensinamento. Por me dar a mão e estar presente sempre nos momentos de necessidade. Obrigada por me inspirar e pela generosidade e oportunidade de crescimento pessoal e profissional. À Profª. Drª. Vera Lúcia Conceição de Gouveia Santos, exemplo de amor à especialidade e "mãe" da estomaterapia brasileira. Obrigada pela confiança e oportunidade de ter me apresentado esse universo. À minha família e amigos, por todo o incentivo e palavras de carinho. Vocês foram essenciais para a realização desse trabalho. Obrigada por existirem em minha vida. Ao Ítalo, pela condução da análise dos dados e pela paciência com minha falta de experiência em estatística. À minha equipe do Instituto Dante Pazzanese de Cardiologia, especialmente a Miriam Borges e a Isabel Tomie, que me auxiliaram na coleta de dados deste trabalho. À Winnie Alves pelo auxílio nos momentos de dúvidas e a Paula Eiras por todo o companheirismo. Aos meus gestores pela liberação sempre que precisei. Obrigada por me acompanharem nessa jornada e me mostrarem o valor de uma verdadeira equipe. A todos os meus pacientes, que me ensinam diariamente coisas que não estão nos livros. Ao Grupo de Pesquisa em Estomaterapia (GPET), pela troca de experiências. À SOBEST, da qual orgulhosamente faço parte. À coordenação de Aperfeiçoamento de Pessoal de Nível Superior-Brasil (CAPES)-código de financiamento 001. A Todos aqueles que torcem pelo meu sucesso. Eu atribuo o meu sucesso a isto: eu nunca desisto ou dou alguma desculpa. Florence Nightingale Oliveira ELS. Prevalência e fatores associados de lesão de pele relacionada a adesivos médicos em pacientes críticos: Estudo multicêntrico [dissertação].

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Prevalence of medical adhesive-related skin injury at peripherally inserted central catheter insertion site in oncology patients

Abstract: MARSI at PICC insertion site is a frequent event among oncology patients. Epidemiological data and independent risk factors are presented in our study, which provide a basis for future study in this area.

Cited by 40 publications

References 32 publications

Overlooked and underestimated: medical adhesive-related skin injuries

Overlooked and underestimated: medical adhesive-related skin injuries

Silicone tape versus micropore tape to prevent medical adhesive-related skin injuries: systematic review and meta-analysis

Prevalência e fatores associados de lesão de pele relacionada a adesivos médicos em pacientes críticos: estudo multicêntrico

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