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Incontinence Associated Dermatitis
PROBLEM: INCONTINENCE AND IMMOBILITY:
Significant risk factors for pressure ulcers.
The odds of having a pressure ulcer were 37.5 times greater in patients who had both impaired mobility and fecal incontinence than in patients who had neither1. One study shows 54% of incontinent patients suffered from Incontinence-Associated Dermatitis (IAD), while 21% had two or more peri-skin injuries2,3 IAD is defined as “an inflammation of the skin that occurs when urine or stool comes into contact with perineal or perigenital skin.”4 IAD is also a major risk factor for pressure ulcers.1,5 A correct distinction between pressure ulcers and IAD is important in practice because the preventive measures to be taken are different6.
IAD Risk Factors
• Fecal Incontinence
• Frequency of incontinence
• Poor skin condition
• Pain
• Poor skin oxygenation
• Fever
• Compromised mobility
• Double (urinary and fecal) incontinence
• Tissue tolerance impairments
• Moisture
• Alkaline pH
Pressure Ulcer Prevalence in Hospitals
EuropeAn estimated 412,000 people, mostly hospital inpatients, develop a new pressure ulcer annually in the UK8.
Europe, Canada, Japan
Some countries have conducted their own pressure ulcer prevalence survey, including Germany (5.3 to 28.3%), Iceland (8.9%), Italy (8.3%), Japan (5.1%), Netherlands (23.1%), Spain (8%) and Canada (25%)9.
Costly Consequences
SOLUTION: DELIVER PROVEN PROTECTION AGAINST INCONTINENCE-ASSOCIATED DERMATITIS
Easy-to-use, 5-in-1 Barrier Cloths promote treatment and prevention of skin breakdown.
Current prevention of IAD consists of cleansing, moisturising,
and the application of skin protectants or moisture barriers.
Combined products can be used to optimise time efficiency and
to encourage adherence to the skin care regime. These include
moisturising cleansers, moisturiser skin protectant creams and
disposable washcloths that incorporate cleansers, moisturisers and
skin protectants into a single product.1
Comfort Shield® Barrier Cloths provide easy, all-in-one incontinence care.
Each premoistened, disposable cloth delivers one-step perineal cleansing,
moisturising and deodorising—all while treating and protecting skin
with 3% dimethicone. You can be confident a barrier is applied every time.
Plus, Peri Check™ Guide helps promote early identification of IAD.
European Pressure Ulcer Advisory Panel (EPUAP) Pressure Uler Prevention/Treatment Guidelines2*
Risk Assessment Tools and Risk Factors
2. Goal: Maintain and improve tissue tolerance to pressure in order to prevent injury.
• Find the source of excess moisture due to incontinence, perspiration, or wound drainage and eliminate, whenever possible.When moisture cannot be controlled, interventions that assist in preventing skin damage should be used.
*In addition to other interventions. Based on one or more of the following evidence: (1) results of one controlled trial, (2) results of at least two case series/descriptive studies on pressure ulcers in humans, or (3) expert.
RESULTS:
Elimination of Incontinence-Associated Dermatitis. Reduced risk of pressure ulcers.
Skin Protectant Recommended
Protecting the skin of incontinent patients is just as important as cleansing and moisturising3. Failure to apply a barrier can lead to IAD4. One review paper which looked at 25 different studies concludes a skin protectant is recommended for patients considered at risk for IAD1.
89% REDUCTION in Sacral / Buttock Pressure Ulcers!
Proven IAD Prevention
One study’s comprehensive pressure ulcer prevention program featuring Comfort Shield, improved compliance and reduced sacral/buttock pressure ulcers by 89%!5 Another facility using Comfort Shield was able to reduce IAD rates by 77% over an 11-month period. In yet another facility, the number of patient referrals for skin problems due to incontinence decreased by 86% following implementation of Comfort Shield7.
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