incontinence-associated dermatitis
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Etiology
- chronic urinary incontinence
- chronic fecal incontinence
Epidemiology
- affects up to 41% of long-term care residents
Clinical manifestations
- may be painful
- involve perineal region & upper thighs
- progression of erythema to erosions
- erosions are red & shiny from serous exudate, without slough
- surrounding skin is red, irritated & edematous
Complications
- secondary skin infection
Differential diagnosis
- stage 2 pressure ulcer
Management
- keep area clean
- use diapers to draw urine away from skin
- use barrier cream
More general terms
Additional terms
References
- ↑ Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
- ↑ Gray M, Black JM, Baharestani MM et al Moisture-associated skin damage: overview and pathophysiology. J Wound Ostomy Continence Nurs. 2011 May-Jun;38(3):233-41. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21490547
Black JM, Gray M, Bliss DZ et al MASD part 2: incontinence-associated dermatitis and intertriginous dermatitis: a consensus. J Wound Ostomy Continence Nurs. 2011 Jul-Aug;38(4):359-70 PMID: https://www.ncbi.nlm.nih.gov/pubmed/21747256 - ↑ Nix D, Haugen V Prevention and management of incontinence-associated dermatitis. Drugs Aging. 2010 Jun 1;27(6):491-6. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20524708