Search
incontinence-associated dermatitis
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
Related
urinary incontinence (UI)
General
moisture-associated skin damage (MASD)
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: 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: 21747256
- Nix D, Haugen V
Prevention and management of incontinence-associated dermatitis.
Drugs Aging. 2010 Jun 1;27(6):491-6.
PMID: 20524708