Perineal Dermatitis: A neglected Problem in Patients at Critical Care Unit

  • Hanan Mohammed Mohammed Ain Shams University
  • Mona Nadr Ain Shams University, Egypt
Keywords: Critical Care Unit, Incontinence, Perineal Dermatitis

Abstract

Abstract: The literature reveals there has been limited critical discussion of the inter-relationship between urinary incontinence, the vulnerability of the skin and the clinical implications. This article critically re-examines the literature to identify and apply relevant scientific principles and evidence to inform effective intervention. It includes background on the structure, function and disruption to the skin's barrier. The implications for fundamental and largely taken-for-granted nursing practices, such as washing the skin, are examined. The current state of knowledge is analyzed, specifying the types of evidence available and its weaknesses, highlighting implications for a research agenda.

Author Biographies

Hanan Mohammed Mohammed, Ain Shams University

Assistant Professor of Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams
University, Egypt

Mona Nadr, Ain Shams University, Egypt

Lecturer of Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University,
Egypt

References

[1]. Ehman, S., Thorson, M., Lebak, K., Bliss, D. Z., Savik, K., & Beilman, G. (2006). Development of perineal dermatitis in critically ill adults with fecal incontinence. American Journal of Critical Care, 15, 333.
[2]. Garcia C et al. (2013). Expert recommendations for managing acute faecal incontinence with diarrhoea in the intensive care unit, Journal of the Intensive Care Society, 14(4): suppl 1-9.
[3]. Doughty D et al. (2012). Incontinence-associated dermatitis: consensus statements, evidence-based guidelines for prevention and treatment, and current challenges, Journal of Wound, Ostomy & Continence Nursing, 39(3) 303-315.
[4]. Beeckman D et al . (2015). Proceedings of the Global IAD Expert Panel. Incontinence-associated dermatitis: moving prevention forward. [Online] Available at: http://www.woundsinternational.com/other-resources/view/incontinence-associated-dermatitis-moving-prevention-forward.
[5]. Hanson D, Macejkovic C, Langemo D, Anderson J, Thompson P, Hunter S. Perineal dermatitis: a consequence of incontinence. Adv Skin Wound Care. 2006;19(5):246-250.
[6]. Calmoseptine ointment product information. Calmoseptine Inc. Available at:http://www .calmoseptineointment.com. Accessed May 7, 2007.
[7]. Beguin A, Malaquin-Pavan E, Guihaire C, et al., Improving diaper design to address incontinence associated dermatitis. BMC Geriatrics. 2010;10:86. http://www.biomedcentral.com/1471-2318/10/86. Accessed March 15, 2012.
[8]. Black JM, Gray M, Bliss DZ, et al. MASD part 2: incontinence-associated dermatitis and intertriginous dermatitis. J Wound Ostomy Continence Nurs. 2011; 38(4):359-370.
[9]. Denat Y, Khorshid L. The effect of 2 different care products on incontinence-associated dermatitis in patients with fecal incontinence. J Wound Ostomy Continence Nurs. 2011;38(2):171-176.
[10]. Gray, M. Optimal management of incontinence-associated dermatitis in the elderly. Am J Clin Dermatol. 2010;11(3):201-210.
[11]. Gray M, Beeckman D, Bliss DZ, et al. Incontinence-associated dermatitis: a comprehensive review and update. J Wound Ostomy Continence Nurs. 2012;39(1):61-74.
[12]. Langemo D, Hanson D, Hunter S, et al. Incontinence and incontinence-associated dermatitis. Adv Skin Wound Care. 2011;24(3):126-142.
[13]. Scheinfeld NS. Cutaneous candidiasis workup. 2011 update. http://emedicine.medscape.com/article/1090632-workup. Accessed March 15, 2012.
[14]. U.S. Census Bureau. The older population 2010. November 2011. www.census.gov/prod/cen2010/briefs/c2010br-09.pdf. Accessed March 15, 2012.
Published
2018-02-28
How to Cite
Mohammed, H., & Nadr, M. (2018, February 28). Perineal Dermatitis: A neglected Problem in Patients at Critical Care Unit. EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063), 4(2), 66-71. Retrieved from https://ephjournal.com/index.php/mhs/article/view/504