Perineal skin injury: extrinsic environmental risk factors
- PMID: 8826118
Perineal skin injury: extrinsic environmental risk factors
Abstract
Little research has been performed to evaluate factors that may exacerbate perineal skin injury in the adult population. But extensive research has been done and knowledge has been gained from studies with diaper dermatitis in infants. Our objectives in writing this article are to define the anatomical area affected, the terms used, and to review the available literature for diaper dermatitis in infants, elucidating the similarities and differences between diaper dermatitis in infants and perineal dermatitis in adults. The six extrinsic environmental factors that have been identified and extensively studied in diaper dermatitis are skin wetness, urine, ammonia, feces, local skin pH and microorganisms. Although the complex interactions of the six factors are still not totally defined, we do know that to prevent perineal skin injury, it is helpful to prevent excessive skin hydration, minimize the interaction of urine and feces, minimize local microorganisms, and maintain skin near its physiologic pH. In general, the six extrinsic factors can be extrapolated and applied to the care of adults. Further research in adult fecal enzymes and pH is still necessary.
Similar articles
-
Prevention and treatment of perineal skin breakdown due to incontinence.Ostomy Wound Manage. 2006 Apr;52(4):26-8. Ostomy Wound Manage. 2006. PMID: 16700124 Review. No abstract available.
-
Incontinence-associated skin damage in nursing home residents: a secondary analysis of a prospective, multicenter study.Ostomy Wound Manage. 2006 Dec;52(12):46-55. Ostomy Wound Manage. 2006. PMID: 17204826
-
Perineal dermatitis: A consequence of incontinence.Adv Skin Wound Care. 2006 Jun;19(5):246-50. doi: 10.1097/00129334-200606000-00008. Adv Skin Wound Care. 2006. PMID: 16732069 Review. No abstract available.
-
Management of tissue excoriation in older patients with urinary or faecal incontinence.Nurs Stand. 2006 Oct 25-31;21(7):57-8, 60, 62 passim. doi: 10.7748/ns2006.10.21.7.57.c6363. Nurs Stand. 2006. PMID: 17087416 Review.
-
[Incontinence dermatitis. Treating, preventing, distinguishing from pressure wounds].Perspect Infirm. 2011 Mar-Apr;8(2):36-40. Perspect Infirm. 2011. PMID: 21462538 French. No abstract available.
Cited by
-
Incontinence-associated dermatitis in community-dwelling individuals with fecal incontinence.J Wound Ostomy Continence Nurs. 2013 Mar-Apr;40(2):181-4. doi: 10.1097/WON.0b013e31827e8b3d. J Wound Ostomy Continence Nurs. 2013. PMID: 23442827 Free PMC article.
-
Treatment of Decubitis Ulcer Stage IV in the Patient with Polytrauma and Vertical Share Pelvic Fracture, Diagnosed Entherocollitis and Deep Wound Infection with Clostridium Difficile with Combined Negative Pressure Wound Therapy (NPWT) and Faecal Management System: Case Report.Open Access Maced J Med Sci. 2017 Jun 3;5(3):349-351. doi: 10.3889/oamjms.2017.060. eCollection 2017 Jun 15. Open Access Maced J Med Sci. 2017. PMID: 28698756 Free PMC article.
-
[Continuous fecal drainage systems in intensive care medicine].Intensivmed Notfallmed. 2010;47(6):452-462. doi: 10.1007/s00390-009-0122-4. Epub 2009 Oct 2. Intensivmed Notfallmed. 2010. PMID: 32287645 Free PMC article. German.
-
Efficacy of an improved absorbent pad on incontinence-associated dermatitis in older women: cluster randomized controlled trial.BMC Geriatr. 2012 May 29;12:22. doi: 10.1186/1471-2318-12-22. BMC Geriatr. 2012. PMID: 22642800 Free PMC article. Clinical Trial.
Publication types
MeSH terms
LinkOut - more resources
Other Literature Sources
Medical