Effectiveness of skin cleanser and protectant regimen on incontinence-associated dermatitis outcomes in acute care patients: A cluster randomised trial.

Autor: Glass GF Jr; Nursing Research Unit, Tan Tock Seng Hospital, Singapore, Singapore., Goh CCK; Nursing Service, Tan Tock Seng Hospital, Singapore, Singapore., Cheong RQ; Nursing Research Unit, Tan Tock Seng Hospital, Singapore, Singapore., Ong ZL; Nursing Research Unit, Tan Tock Seng Hospital, Singapore, Singapore., Khong PCB; Nursing Service, Tan Tock Seng Hospital, Singapore, Singapore., Chan EY; Nursing Research Unit, Tan Tock Seng Hospital, Singapore, Singapore.; Alice Lee Centre of Nursing Studies, National University of Singapore, Singapore.
Jazyk: angličtina
Zdroj: International wound journal [Int Wound J] 2021 Dec; Vol. 18 (6), pp. 862-873. Date of Electronic Publication: 2021 May 07.
DOI: 10.1111/iwj.13588
Abstrakt: Skin cleansers and protectants protect skin from incontinent matter to reduce the risk of incontinence-associated dermatitis (IAD), but their effectiveness treating established IAD in the tropics is unknown. We conducted an open-label cluster randomised trial to compare the effectiveness of a combined regimen of (1) specialised skin cleansers with disposable body wipes and (2) either an acrylic terpolymer (T1) or zinc oxide (T2) skin protectant against disposable body wipes and zinc oxide protectant (control) in promoting IAD healing and reducing the risk of deterioration. Eighty-four patients were recruited in a tertiary hospital in Singapore between April 2019 and January 2020 (T1: n = 23; T2: n = 37; Control: n = 24). Although not statistically significant, patients treated with T1 and T2 were 1.5 times as likely to experience IAD healing within seven days compared with the control (P = .66). Healing was more pronounced in participants with skin loss treated with T1 or T2. No treatment was superior in preventing IAD deterioration, the prevalence of which remained small (8%-14%). While skin cleaning and protectants reduced the overall risk of skin deterioration, the addition of skin cleansers enhanced IAD healing within a short period, an important consideration for future research examining IAD treatment in acute care.
(© 2021 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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