Development of items for the assessment of paediatric incontinence-associated dermatitis in German: Delphi study

Development of items for the assessment of paediatric incontinence-associated dermatitis in German: Delphi study Paediatric incontinence-associated dermatitis (PIAD) is a common problem in premature infants, neonates, infants and young children. Standardized instruments for the assessment of PIAD can support clinical decision-making, but no standardized instrument is yet available for German-speaking countries. Selection, development and agreement of appropriate items for the assessment of PIAD in newborns, infants and young children in German ( ). Using a Delphi technique, international items were formulated in German by a steering committee, the items were assessed by panellists using an online survey, and a consensus (I-CVI > = 75%, comments) was formed by the steering committee and panellists. 54 experts from four German-speaking countries were recruited. 44 (1st round) and 33 (2nd round) completed the questionnaire in full. Twelve items for the assessment of PIAD were rated as relevant, comprehensive and comprehensibility: erythema, skin change without and with damage to the skin surface, exudation, bleeding, oedema, overheating, signs of mycotic/bacterial superinfection, pain, itching, localization/extension and duration. The items for the assessment of PIAD in German should be tested for their measurement properties prior to clinical use and the construction of an instrument.