Lumbers Melaine
Freelance Tissue Viability Nurse and Health Visitor, Bedford.
Br J Nurs. 2018 Jun 27;27(Sup12):S6-S14. doi: 10.12968/bjon.2018.27.Sup12.S6.
Understanding the differential diagnosis between moisture-associated skin damage (MASD) and pressure ulcers (PU) ensures appropriate management and interventions are instigated at the earliest opportunity. Most damage occurring to the buttocks or sacrum is attributed to pressure, shear, excessive moisture or a combination of these factors. MASD caused by excessive moisture to the sacrum/buttock area is recognised as incontinence-associated dermatitis (IAD); its occurrence is an identified risk factor in the development of PUs. Treatment for IAD should therefore focus on both IAD management and pressure ulcer prevention.
了解湿性皮肤损伤（MASD）和压疮（PU）之间的鉴别诊断，可确保尽早采取适当的管理措施和干预措施。臀部或骶骨出现的大多数损伤归因于压力、剪切力、过度潮湿或这些因素的综合作用。骶骨/臀部区域因过度潮湿引起的MASD被认为是失禁相关性皮炎（IAD）；其发生是压疮发展的一个已确定的风险因素。因此，IAD的治疗应同时侧重于IAD的管理和压疮的预防。
