Holroyd Sharon
Lead Clinical Nurse Specialist, Continence, Calderdale and Huddersfield Foundation Trust, Chair, Yorkshire Branch ACA.
Br J Nurs. 2015;24(9):S37-8, S40-3. doi: 10.12968/bjon.2015.24.Sup9.S37.
Incontinence-associated dermatitis (IAD) is a common skin disorder experienced by people who suffer from faecal and/or urinary incontinence. It is painful and in some cases accompanied by significant secondary infections. The prevalence is higher in those people receiving long-term care at home. IAD is often misdiagnosed and confused with pressure ulcers. Care providers now crossover health and social care boundaries and education on continence-related issues is often not prioritised. This article looks at normal skin physiology and the aetiology of IAD versus pressure ulcers. It suggests prevention and management strategies in relation to IAD; in particular, the use of barrier creams. A selection of case studies evaluating the efficacy of using Cutimed PROTECT cream in cases of IAD are presented.
失禁相关性皮炎（IAD）是一种常见的皮肤疾病，发生于患有粪便和/或尿液失禁的人群。它会引起疼痛，在某些情况下还伴有严重的继发性感染。在接受长期居家护理的人群中，其患病率更高。IAD常常被误诊，并与压疮相混淆。护理人员如今跨越了健康和社会护理的界限，而与失禁相关问题的教育往往未被列为优先事项。本文探讨了正常皮肤生理以及IAD与压疮的病因。它提出了与IAD相关的预防和管理策略；特别是屏障乳膏的使用。文中还展示了一系列评估在IAD病例中使用Cutimed PROTECT乳膏疗效的案例研究。
