Prevention and treatment of incontinence-associated dermatitis: literature review
Title. Prevention and treatment of incontinence‐associated dermatitis: literature review. Aim. This paper is a report of a review conducted to describe the current evidence about the prevention and treatment of incontinence‐associated dermatitis and to formulate recommendations for clinical practi...
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| Veröffentlicht in: | Journal of advanced nursing 2009-06, Vol.65 (6), p.1141-1154 |
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| creator | Beeckman, Dimitri Schoonhoven, Lisette Verhaeghe, Sofie Heyneman, Alexander Defloor, Tom |
| description | Title. Prevention and treatment of incontinence‐associated dermatitis: literature review.
Aim. This paper is a report of a review conducted to describe the current evidence about the prevention and treatment of incontinence‐associated dermatitis and to formulate recommendations for clinical practice and research.
Background. Incontinence‐associated dermatitis is a common problem in patients with incontinence. It is a daily challenge for healthcare professionals to maintain a healthy skin in patients with incontinence.
Data sources. PubMed, Cochrane, Embase, the Cumulative Index to Nursing and Allied Health Literature, reference lists and conference proceedings were explored up to September 2008.
Review methods. Publications were included if they reported research on the prevention and treatment of incontinence‐associated dermatitis. As little consensus about terminology was found, a very sensitive filter was developed. Study design was not used as a selection criterion due to the explorative character of the review and the scarce literature.
Results. Thirty‐six publications, dealing with 25 different studies, were included. The implementation of a structured perineal skin care programme including skin cleansing and the use of a moisturizer is suggested. A skin protectant is recommended for patients considered at risk of incontinence‐associated dermatitis development. Perineal skin cleansers are preferable to using water and soap. Skin care is suggested after each incontinence episode, particularly if faeces are present. The quality of methods in the included studies was low.
Conclusions. Incontinence‐associated dermatitis can be prevented and healed with timely and appropriate skin cleansing and skin protection. Prevention and treatment should also focus on a proper use of incontinence containment materials. Further research is required to evaluate the efficacy and effectiveness of various interventions. |
| doi_str_mv | 10.1111/j.1365-2648.2009.04986.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_764386577</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1687251251</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5306-43d0833a04c887fbfec95359e1b3278b167290246085a6a8bb1c9baf82f623323</originalsourceid><addsrcrecordid>eNqNkMtu1DAYhS0EotOWV0ARG1YJvsUXJBal6gVUFVoN6tJynD-Sh1yK7bTTt8dhRkVihTe2_H_n2PoQKgiuSF4fNhVhoi6p4KqiGOsKc61EtX2BVs-Dl2iFGdYl5ZgeoMMYNxgTRil9jQ6IZpILyVfo5nuABxiTn8bCjm2RAtg05Iti6go_uimPRhgdlDbGyXmboC1aCINNPvn4seh9gmDTHKDITR4ej9GrzvYR3uz3I_Tj_Gx9ellefbv4cnpyVbqaYVFy1mLFmMXcKSW7pgOna1ZrIA2jUjVESKox5QKr2gqrmoY43dhO0U5Qxig7Qu93vfdh-jVDTGbw0UHf2xGmORopOFOiljKT7_4hN9Mcxvw5Qxnl-VmqM6R2kAtTjAE6cx_8YMOTIdgs0s3GLG7N4tYs0s0f6Wabo2_3_XMzQPs3uLecgU874NH38PTfxebryfVyyvlyl_cxwfY5b8NPIySTtbm7vjB36_Utv-GX5jP7DUHvnxs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>232495329</pqid></control><display><type>article</type><title>Prevention and treatment of incontinence-associated dermatitis: literature review</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Beeckman, Dimitri ; Schoonhoven, Lisette ; Verhaeghe, Sofie ; Heyneman, Alexander ; Defloor, Tom</creator><creatorcontrib>Beeckman, Dimitri ; Schoonhoven, Lisette ; Verhaeghe, Sofie ; Heyneman, Alexander ; Defloor, Tom</creatorcontrib><description>Title. Prevention and treatment of incontinence‐associated dermatitis: literature review.
Aim. This paper is a report of a review conducted to describe the current evidence about the prevention and treatment of incontinence‐associated dermatitis and to formulate recommendations for clinical practice and research.
Background. Incontinence‐associated dermatitis is a common problem in patients with incontinence. It is a daily challenge for healthcare professionals to maintain a healthy skin in patients with incontinence.
Data sources. PubMed, Cochrane, Embase, the Cumulative Index to Nursing and Allied Health Literature, reference lists and conference proceedings were explored up to September 2008.
Review methods. Publications were included if they reported research on the prevention and treatment of incontinence‐associated dermatitis. As little consensus about terminology was found, a very sensitive filter was developed. Study design was not used as a selection criterion due to the explorative character of the review and the scarce literature.
Results. Thirty‐six publications, dealing with 25 different studies, were included. The implementation of a structured perineal skin care programme including skin cleansing and the use of a moisturizer is suggested. A skin protectant is recommended for patients considered at risk of incontinence‐associated dermatitis development. Perineal skin cleansers are preferable to using water and soap. Skin care is suggested after each incontinence episode, particularly if faeces are present. The quality of methods in the included studies was low.
Conclusions. Incontinence‐associated dermatitis can be prevented and healed with timely and appropriate skin cleansing and skin protection. Prevention and treatment should also focus on a proper use of incontinence containment materials. Further research is required to evaluate the efficacy and effectiveness of various interventions.</description><identifier>ISSN: 0309-2402</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/j.1365-2648.2009.04986.x</identifier><identifier>PMID: 19374674</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Clinical medicine ; Cost-Benefit Analysis ; Dermatitis ; Dermatologic Agents - therapeutic use ; Dermatology ; Diaper Rash - etiology ; Diaper Rash - therapy ; Dimethylpolysiloxanes ; Disease prevention ; Effectiveness studies ; Evidence-Based Nursing ; Fecal Incontinence - complications ; Humans ; incontinence ; Incontinence Pads ; Intervention ; literature review ; Nursing ; Perineum ; Petrolatum ; Pressure Ulcer - prevention & control ; pressure ulcers ; prevention ; Skin Care - economics ; Skin Care - methods ; Skin Care - nursing ; Soaps - adverse effects ; treatment ; Urinary incontinence ; Urinary Incontinence - complications ; Zinc Oxide</subject><ispartof>Journal of advanced nursing, 2009-06, Vol.65 (6), p.1141-1154</ispartof><rights>2009 The Authors. Journal compilation © 2009 Blackwell Publishing Ltd</rights><rights>Copyright Blackwell Publishing Ltd. Jun 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5306-43d0833a04c887fbfec95359e1b3278b167290246085a6a8bb1c9baf82f623323</citedby><cites>FETCH-LOGICAL-c5306-43d0833a04c887fbfec95359e1b3278b167290246085a6a8bb1c9baf82f623323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2648.2009.04986.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2648.2009.04986.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,315,781,785,793,1418,27927,27929,27930,31004,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19374674$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beeckman, Dimitri</creatorcontrib><creatorcontrib>Schoonhoven, Lisette</creatorcontrib><creatorcontrib>Verhaeghe, Sofie</creatorcontrib><creatorcontrib>Heyneman, Alexander</creatorcontrib><creatorcontrib>Defloor, Tom</creatorcontrib><title>Prevention and treatment of incontinence-associated dermatitis: literature review</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><description>Title. Prevention and treatment of incontinence‐associated dermatitis: literature review.
Aim. This paper is a report of a review conducted to describe the current evidence about the prevention and treatment of incontinence‐associated dermatitis and to formulate recommendations for clinical practice and research.
Background. Incontinence‐associated dermatitis is a common problem in patients with incontinence. It is a daily challenge for healthcare professionals to maintain a healthy skin in patients with incontinence.
Data sources. PubMed, Cochrane, Embase, the Cumulative Index to Nursing and Allied Health Literature, reference lists and conference proceedings were explored up to September 2008.
Review methods. Publications were included if they reported research on the prevention and treatment of incontinence‐associated dermatitis. As little consensus about terminology was found, a very sensitive filter was developed. Study design was not used as a selection criterion due to the explorative character of the review and the scarce literature.
Results. Thirty‐six publications, dealing with 25 different studies, were included. The implementation of a structured perineal skin care programme including skin cleansing and the use of a moisturizer is suggested. A skin protectant is recommended for patients considered at risk of incontinence‐associated dermatitis development. Perineal skin cleansers are preferable to using water and soap. Skin care is suggested after each incontinence episode, particularly if faeces are present. The quality of methods in the included studies was low.
Conclusions. Incontinence‐associated dermatitis can be prevented and healed with timely and appropriate skin cleansing and skin protection. Prevention and treatment should also focus on a proper use of incontinence containment materials. Further research is required to evaluate the efficacy and effectiveness of various interventions.</description><subject>Adult</subject><subject>Clinical medicine</subject><subject>Cost-Benefit Analysis</subject><subject>Dermatitis</subject><subject>Dermatologic Agents - therapeutic use</subject><subject>Dermatology</subject><subject>Diaper Rash - etiology</subject><subject>Diaper Rash - therapy</subject><subject>Dimethylpolysiloxanes</subject><subject>Disease prevention</subject><subject>Effectiveness studies</subject><subject>Evidence-Based Nursing</subject><subject>Fecal Incontinence - complications</subject><subject>Humans</subject><subject>incontinence</subject><subject>Incontinence Pads</subject><subject>Intervention</subject><subject>literature review</subject><subject>Nursing</subject><subject>Perineum</subject><subject>Petrolatum</subject><subject>Pressure Ulcer - prevention & control</subject><subject>pressure ulcers</subject><subject>prevention</subject><subject>Skin Care - economics</subject><subject>Skin Care - methods</subject><subject>Skin Care - nursing</subject><subject>Soaps - adverse effects</subject><subject>treatment</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - complications</subject><subject>Zinc Oxide</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkMtu1DAYhS0EotOWV0ARG1YJvsUXJBal6gVUFVoN6tJynD-Sh1yK7bTTt8dhRkVihTe2_H_n2PoQKgiuSF4fNhVhoi6p4KqiGOsKc61EtX2BVs-Dl2iFGdYl5ZgeoMMYNxgTRil9jQ6IZpILyVfo5nuABxiTn8bCjm2RAtg05Iti6go_uimPRhgdlDbGyXmboC1aCINNPvn4seh9gmDTHKDITR4ej9GrzvYR3uz3I_Tj_Gx9ellefbv4cnpyVbqaYVFy1mLFmMXcKSW7pgOna1ZrIA2jUjVESKox5QKr2gqrmoY43dhO0U5Qxig7Qu93vfdh-jVDTGbw0UHf2xGmORopOFOiljKT7_4hN9Mcxvw5Qxnl-VmqM6R2kAtTjAE6cx_8YMOTIdgs0s3GLG7N4tYs0s0f6Wabo2_3_XMzQPs3uLecgU874NH38PTfxebryfVyyvlyl_cxwfY5b8NPIySTtbm7vjB36_Utv-GX5jP7DUHvnxs</recordid><startdate>200906</startdate><enddate>200906</enddate><creator>Beeckman, Dimitri</creator><creator>Schoonhoven, Lisette</creator><creator>Verhaeghe, Sofie</creator><creator>Heyneman, Alexander</creator><creator>Defloor, Tom</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope></search><sort><creationdate>200906</creationdate><title>Prevention and treatment of incontinence-associated dermatitis: literature review</title><author>Beeckman, Dimitri ; Schoonhoven, Lisette ; Verhaeghe, Sofie ; Heyneman, Alexander ; Defloor, Tom</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5306-43d0833a04c887fbfec95359e1b3278b167290246085a6a8bb1c9baf82f623323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Clinical medicine</topic><topic>Cost-Benefit Analysis</topic><topic>Dermatitis</topic><topic>Dermatologic Agents - therapeutic use</topic><topic>Dermatology</topic><topic>Diaper Rash - etiology</topic><topic>Diaper Rash - therapy</topic><topic>Dimethylpolysiloxanes</topic><topic>Disease prevention</topic><topic>Effectiveness studies</topic><topic>Evidence-Based Nursing</topic><topic>Fecal Incontinence - complications</topic><topic>Humans</topic><topic>incontinence</topic><topic>Incontinence Pads</topic><topic>Intervention</topic><topic>literature review</topic><topic>Nursing</topic><topic>Perineum</topic><topic>Petrolatum</topic><topic>Pressure Ulcer - prevention & control</topic><topic>pressure ulcers</topic><topic>prevention</topic><topic>Skin Care - economics</topic><topic>Skin Care - methods</topic><topic>Skin Care - nursing</topic><topic>Soaps - adverse effects</topic><topic>treatment</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - complications</topic><topic>Zinc Oxide</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beeckman, Dimitri</creatorcontrib><creatorcontrib>Schoonhoven, Lisette</creatorcontrib><creatorcontrib>Verhaeghe, Sofie</creatorcontrib><creatorcontrib>Heyneman, Alexander</creatorcontrib><creatorcontrib>Defloor, Tom</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beeckman, Dimitri</au><au>Schoonhoven, Lisette</au><au>Verhaeghe, Sofie</au><au>Heyneman, Alexander</au><au>Defloor, Tom</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevention and treatment of incontinence-associated dermatitis: literature review</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2009-06</date><risdate>2009</risdate><volume>65</volume><issue>6</issue><spage>1141</spage><epage>1154</epage><pages>1141-1154</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><abstract>Title. Prevention and treatment of incontinence‐associated dermatitis: literature review.
Aim. This paper is a report of a review conducted to describe the current evidence about the prevention and treatment of incontinence‐associated dermatitis and to formulate recommendations for clinical practice and research.
Background. Incontinence‐associated dermatitis is a common problem in patients with incontinence. It is a daily challenge for healthcare professionals to maintain a healthy skin in patients with incontinence.
Data sources. PubMed, Cochrane, Embase, the Cumulative Index to Nursing and Allied Health Literature, reference lists and conference proceedings were explored up to September 2008.
Review methods. Publications were included if they reported research on the prevention and treatment of incontinence‐associated dermatitis. As little consensus about terminology was found, a very sensitive filter was developed. Study design was not used as a selection criterion due to the explorative character of the review and the scarce literature.
Results. Thirty‐six publications, dealing with 25 different studies, were included. The implementation of a structured perineal skin care programme including skin cleansing and the use of a moisturizer is suggested. A skin protectant is recommended for patients considered at risk of incontinence‐associated dermatitis development. Perineal skin cleansers are preferable to using water and soap. Skin care is suggested after each incontinence episode, particularly if faeces are present. The quality of methods in the included studies was low.
Conclusions. Incontinence‐associated dermatitis can be prevented and healed with timely and appropriate skin cleansing and skin protection. Prevention and treatment should also focus on a proper use of incontinence containment materials. Further research is required to evaluate the efficacy and effectiveness of various interventions.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19374674</pmid><doi>10.1111/j.1365-2648.2009.04986.x</doi><tpages>14</tpages></addata></record> |
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| ispartof | Journal of advanced nursing, 2009-06, Vol.65 (6), p.1141-1154 |
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| source | MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adult Clinical medicine Cost-Benefit Analysis Dermatitis Dermatologic Agents - therapeutic use Dermatology Diaper Rash - etiology Diaper Rash - therapy Dimethylpolysiloxanes Disease prevention Effectiveness studies Evidence-Based Nursing Fecal Incontinence - complications Humans incontinence Incontinence Pads Intervention literature review Nursing Perineum Petrolatum Pressure Ulcer - prevention & control pressure ulcers prevention Skin Care - economics Skin Care - methods Skin Care - nursing Soaps - adverse effects treatment Urinary incontinence Urinary Incontinence - complications Zinc Oxide |
| title | Prevention and treatment of incontinence-associated dermatitis: literature review |
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