Rippon Mark, Colegrave Melanie, Ousey Karen
Visiting Clinical Research Fellow, School of Human and Health Sciences, Institute of Skin Integrity and Infection Prevention, University of Huddersfield.
Freelance Medical Writer, Molecular Cell Research, Lincoln.
Br J Nurs. 2016 Oct 13;25(18):1016-1021. doi: 10.12968/bjon.2016.25.18.1016.
Incontinence-associated dermatitis (IAD) is a common problem in patients with faecal and/or urinary incontinence. Urine alters the normal skin flora and increases permeability of the stratum corneum and faecal enzymes on the skin contribute to skin damage. Faecal bacteria can then penetrate the skin, increasing the risk of secondary infection. However, IAD can be prevented and healed with timely and appropriate skin cleansing and skin protection. This includes appropriate use of containment devices. This article also looks at HARTMANN incontinence pads that have been developed to absorb the fluids that cause IAD and maintain the skin's acidic pH. The acidic pH of the skin contributes to its barrier function and defence against infection. Therefore, maintaining an acidic pH will help protect the skin from damage.
失禁相关性皮炎（IAD）是粪便和/或尿失禁患者中常见的问题。尿液会改变正常的皮肤菌群，增加角质层的通透性，而皮肤上的粪便酶会导致皮肤损伤。粪便细菌随后可穿透皮肤，增加继发感染的风险。然而，通过及时、适当的皮肤清洁和皮肤保护，IAD是可以预防和治愈的。这包括适当使用收集装置。本文还探讨了哈特曼失禁护理垫，该护理垫旨在吸收导致IAD的液体并维持皮肤的酸性pH值。皮肤的酸性pH值有助于其屏障功能和抗感染能力。因此，维持酸性pH值将有助于保护皮肤免受损伤。
