Effectiveness of Semiocclusive Sodium Carboxymethyl Cellulose Fibers and Hydrocolloid Dressings for Irritant Peristomal Dermatitis: A Case Series
| Autor: | María Desamparados Bernat-Adell, Eladio Collado-Boira, Pablo Medina, Kavita Gandhi Morar, Ana Folch Ayora, Pilar Boldo-Roda |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Ostomy medicine.medical_treatment Occlusive Dressings Dermatology Dermatitis Contact Ileostomy Stoma (medicine) medicine Humans Peristomal dermatitis Aged Aged 80 and over Advanced and Specialized Nursing Wound Healing Hydrocolloid dressing business.industry Colostomy Middle Aged medicine.disease Carboxymethyl cellulose Treatment Outcome Peristomal Skin Carboxymethylcellulose Sodium Case-Control Studies Irritants Irritant contact dermatitis Female business Bandages Hydrocolloid medicine.drug |
| Zdroj: | Advances in Skin & Wound Care. 34:493-497 |
| ISSN: | 1538-8654 1527-7941 |
| DOI: | 10.1097/01.asw.0000767336.91651.67 |
| Popis: | The most common complication in individuals with ostomies is irritant contact dermatitis from the acidic stoma effluent coming into contact with the peristomal skin. Although protective powders are widely used for the treatment of peristomal skin, there is little scientific evidence to justify their use. The combined use of sodium carboxymethylcellulose cellulose fibers (SCCFs) together with a hydrocolloid dressing for fixation is an effective alternative in the management of these wounds. Here, the authors report a case series of three patients presenting at a stoma therapy clinic with peristomal skin lesions because of severe irritant contact dermatitis. Patients were men aged between 70 and 81 years, had been diagnosed with colon cancer (n = 2) or bladder cancer (n = 1), and had undergone a colostomy (n = 1), ileostomy (n = 1), or Bricker-type ureteroileostomy (n = 1). A semiocclusive care protocol was applied in a moist environment using SCCF and an extrathin hydrocolloid adhesive dressing, and the collection device was secured using adhesive resin and an ostomy belt. The combined use of SCCF and hydrocolloid dressings provided beneficial results to treat the dermatitis, with reduced discomfort after 7 days and lesions healing within 4 weeks. |
| Databáze: | OpenAIRE |
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