This review of the literature updates and considers the evidence on incontinence-associated dermatitis (IAD). Best practice strategies for the management of skin damage from IAD (both prevention and treatment) are provided. A mnemonic to help clinicians translate IAD evidence into practice is introduced. Workplace experiences supplement this evidence synthesis. Approaches to assist in translation of this knowledge and evidence into practice are also provided.
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PREVENTion and treatment of incontinence-associated dermatitis through a codesigned manual (PREVENT-IAD): a study protocol for a feasibility cluster randomised controlled trial with a nested process evaluation.
BMJ Open
December 2024
School of Health Sciences, University of Southampton, Southampton, Hampshire, UK.
Introduction: Incontinence is commonly experienced by adults who receive care support in a residential facility or in their own home. These individuals are at risk of developing incontinence-associated dermatitis (IAD), which is caused by prolonged and repeated exposure of the skin to urine or faeces. An IAD manual was developed providing an evidence-based clinical algorithm and an e-learning training programme for the prevention and treatment of IAD.
View Article and Find Full Text PDFTurkish nurses' knowledge, attitudes and practices in the management of incontinence associated dermatitis: A descriptive and cross-sectional study.
J Tissue Viability
December 2024
Department of Nursing, Cyprus International University School of Health Sciences, Nicosia, Cyprus. Electronic address:
Objective: This study aimed to determine nurses' current knowledge, attitudes, and practices in adult intensive care units and palliative care clinics regarding incontinence-associated dermatitis (IAD).
Materials And Methods: This descriptive cross-sectional study was conducted with 355 nurses in adult intensive care and palliative services at two hospitals. Data were collected between 5.
Involvement of Urease-Producing Bacteria on Genital Skin in Community-Dwelling Women with Incontinence-Associated Dermatitis: A Cross-Sectional Study.
J Multidiscip Healthc
December 2024
Research Center for Implementation Nursing Science Initiative, Fujita Health University, Toyoake, Aichi, Japan.
Purpose: Elevated skin pH facilitates the number of pathogenic bacteria increase, leading to the skin barrier dysfunction. This phenomenon is typically observed in individuals with Incontinence-associated dermatitis (IAD), which imposes a substantial physical and psychological burden on the afflicted individuals. We evaluated the association between the development of IAD in community-dwelling women with urinary incontinence and cutaneous urease-producing bacteria, as these bacteria may be involved in elevating skin pH by chemical reaction with urea in urine.
View Article and Find Full Text PDFNurses' Knowledge Regarding Incontinence-Associated Dermatitis.
Risk Manag Healthc Policy
November 2024
Department of Corporate Nursing Operations, Dr. Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia.
Background And Objective: Incontinence-associated dermatitis (IAD), is a skin injury brought on by protracted exposure to urine or feces in the gluteal, sacral, or perianal regions. Therefore, this study aimed to evaluate nurses' level of knowledge, attitudes, social pressure, and intention to prevent IAD and to explore the factors that explain nurses' intention to prevent incontinence-associated dermatitis.
Methods: A cross-sectional study was conducted among staff nurses from two designated hospitals in Riyadh, Saudi Arabia.
Translation, psychometric testing and implementation of the perineal assessment tool for assessing incontinence-associated dermatitis risk in semi-intensive care patients.
Sci Rep
November 2024
Department of Surgical Adult and Gerontological Nursing, Prince of Songkla University, Songkla, Thailand.
Skin injury is a growing issue among older adults, especially when admitted to an intensive care unit or long-term care facility. Skin prevention is a key point in dealing with this issue, and prompt and effective screening instruments should be used to identify risks and start preventive interventions and care. This descriptive study aimed to translate and examine the psychometric property and implement the Perineal Assessment Tool for incontinence associated dermatitis risk assessment.
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