DERMATITE ASSOCIADA À INCONTINÊNCIA: PREVALÊNCIA E FATORES ASSOCIADOS EM UNIDADE DE TERAPIA INTENSIVA

Beatriz Wiltenburg Domingues; Taís Milena Pantaleão de Souza; Laís Del Moro Cespedes Wojastyk; Vera Lucia Conceição de Gouveia Santos; Paula Cristina Nogueira

Authors

Beatriz Wiltenburg Domingues Universidade de São Paulo – Escola de Enfermagem – Programa de Residência em Enfermagem na Saúde do Adulto e do Idoso – São Paulo (SP), Brazil. https://orcid.org/0000-0002-9271-6326
Taís Milena Pantaleão de Souza Universidade de São Paulo – Escola de Enfermagem – Programa de Pós-Graduação em Enfermagem na Saúde do Adulto – São Paulo (SP), Brazil.
Laís Del Moro Cespedes Wojastyk 2. Universidade de São Paulo – Escola de Enfermagem – Programa de Pós-Graduação em Enfermagem na Saúde do Adulto – São Paulo (SP), Brazil. https://orcid.org/0000-0003-3966-2696
Vera Lucia Conceição de Gouveia Santos Universidade de São Paulo – Escola de Enfermagem – Departamento de Enfermagem Médico-Cirúrgica – São Paulo (SP), Brazil. https://orcid.org/0000-0002-1288-5761
Paula Cristina Nogueira Universidade de São Paulo – Escola de Enfermagem – Departamento de Enfermagem Médico-Cirúrgica – São Paulo (SP), Brazil.

Abstract

Objective: To analyze the point prevalence of incontinence-associated dermatitis (IAD) and associated factors in adult patients admitted to Intensive Care Units (ICUs). Method: A cross-sectional, observational, retrospective study carried out with 105 patients in the ICU of three university hospitals located in the state of São Paulo. The demographic and clinical variables and IAD come from the database of the research project “Prevalence of pressure injuries in the Intensive Care Unit,” composed of information from medical records and physical examination. Data were analyzed using descriptive and inferential statistics. The study was approved by the Research Ethics Committee of the proposing institution. Results: Of the 105 patients, 58 (55.24%) were male, with a mean age of 55.76 years (SD = 16.39), 105 (91.3%) had a urinary catheter and 89.4% wore diapers. Ten patients had IAD, with a point prevalence of 9.52%. The factor associated with IAD was admission due to trauma (p = 0.02). Conclusion: Studies on IAD are essential for quality, well-structured and grounded nursing care, especially in the care of critically ill patients.

Downloads

Download data is not yet available.

References

Fletcher J, Beeckman D, Fumarola S, Boyles A, Kottner J, McNichol J et al. International best practice recommendations: Prevention and management of moisture-associated skin damage (MASD). London: Wounds International; 2020. [cited 2022 12 jun]. Available at: https://www.woundsinternational.com/resources/details/best-practice-recommendations-preventionand-management-moisture-associated-skin-damage-masd

Riechel SB, Fortes LFV, Amarante MV. Incontinence-associated dermatitis in hospitalized elderly patients: Nurses’ self-reported knowledge. R Pesq Cuid Fundam 2018;10(3):801-9. https://doi.org/10.9789/2175-5361.2018.v10i3.801-809

Alcoforado CLGC, Machado BO, Campos CC, Gonçales PC, Ercole FF, Chianca TCM. Fatores de risco para dermatite associada à incontinência: Uma revisão integrativa de literatura. Rev Enferm Cent-Oeste Min 2018;8:e2512. https://doi.org/10.19175/recom.v8i0.2512

Chianca TCM, Gonçales PC, Salgado PO, Machado B de O, Amorim GL, Alcoforado CLGC. Dermatite associada à incontinência: estudo de coorte em pacientes críticos. Rev Gauch Enferm 2016;37(spe):e68075. https://doi.org/10.1590/1983-1447.2016.esp.68075

Gray M, Bliss DZ, Doughty DB, Ermer-Seltun JA, Kennedy-Evans KL, Palmer MH. Incontinence-associated dermatitis: A consensus. J Wound Ostomy Continence Nurs 2007;14(1):45-56. https://doi.org/10.1097/00152192-200701000-00008

Brandão ACMAG. Dermatite associada à incontinência e os fatores associados: Estudo de prevalência em um Centro de Terapia Intensiva [dissertação]. Ribeirão Preto: Escola de Enfermagem, Universidade de São Paulo; 2017. 119p.

Belini RC, Sokem ASJ, Lima FGF, Bergamaschi FPB, Watanabe EAMT, Fietz VR. Prevalência de dermatite associada à incontinência em pacientes adultos de um hospital universitário. Cienc Cuid Saúde 2020;19:e501541. https://doi.org/10.4025/ciencuidsaude. v19i0.50154

Gray M, Giuliano KK. Incontinence-associated dermatitis, characteristics and relationship to pressure injury: A multisite epidemiologic analysis. J Wound Ostomy Continence Nurs. 2018;45(1):63-7. https://doi.org/10.1097/WON.0000000000000390

Johansen E, Bakken LN, Duvaland E, Faulstich J, Hoelstad HL, Moore Z et al. Incontinence-associated dermatitis (IAD): Prevalence and associated factors in 4 hospitals in southeast Norway. J Wound Ostomy Continence Nurs 2018;45(6):527-31. https://doi.org/10.1097/WON.0000000000000480

Cotillo-Fuente M, Valls-Matarín J, Sandalinas-Mulero I. Efficacy of a comprehensive strategy to reduce moisture-associated skin damage in an intensive care unit: A quasi-experimental study. Intensive Critic Care Nurs 2020;63(102964). https://doi.org/10.1016/j.iccn.2020.102964

Alcoforado CLGC, Lopes FO, Fernandes RA, Carvalho RLR, Guillen MRS, Ercole FF et al. Knowledge of nursing professionals about dermatitis associated with incontinence and pressure injury. Reme Rev Min Enferm 2019;23:e-1166. https://doi.org/10.5935/1415-2762.20190014

National Pressure Ulcer Advisory Panel (NPUAP); European Pressure Ulcer Advisory Panel (EPUAP); Pan Pacific Pressure Injury Alliance (PPPIA). Prevention and treatment of pressure ulcers: Clinical practice guideline. Perth, Australia: Cambridge Media; 2014. [cited 2022 12 jun] Available at: https://www.npuap.org/wpcontent/uploads/2014/08/Updated-10-16-14-QuickReference-Guide-DIGITALNPUAP-EPUAP-PPPIA-16Oct2014.pdf

Malta M, Cardoso LO, Bastos FI, Magnanini MMF, Silva CMFP. Iniciativa STROBE: Subsídios para a comunicação de estudos observacionais. Rev Saúde Pública 2010;44(3):559-65. https://doi.org/10.1590/S0034-89102010000300021

Ferreira M, Abbade L, Bocchi SCM, Miot HA, Villas Boas P, Guimaraes HQCP. Incontinence-associated dermatitis in elderly patients: prevalence and risk factors. Rev Bras Enferm 2020;73(Suppl 3):e20180475. https://doi.org/10.1590/0034-7167-2018-0475

Arnold-Long M, Johnson E. Epidemiology of incontinence-associated dermatitis and intertriginous dermatitis (intertrigo) in an acute care facility. J Wound Ostomy Cont Nurs 2019;46(3):201-6. https://doi.org/10.1097/WON.0000000000000519

Kayser SA, Phipps L, VanGilder CA, Lachenbruch C. Examining prevalence and risk factors of incontinence associated dermatitis using the international pressure ulcer prevalence survey. J Wound Ostomy Continence Nurs 2019;46(4):285-90. https://doi.org/https://doi.org/10.1097/won.0000000000000548

Wei L, Bao Y, Chai Q, Zheng J, Xu W. Determining risk factors to develop a predictive model of incontinence-associated dermatitis among critically Ill patients with fecal incontinence: A prospective, quantitative study. Wound Manag Prev 2019;65(4):24-33. https://doi.org/10.25270/wmp.2019.4.2433

Wei M, Yang D, Wu L, Chen W, Chen Y, Fu Q. The prevalence of incontinence-associated dermatitis in hospitalized patients in China: A systematic review and meta-analysis. Adv Skin Wound Care 2020;33:1-7. https://doi.org/10.1097/01.ASW.0000695764.47424.aa

Campbell JL, Coyer FM, Osborne SR. Incontinence-associated dermatitis: A cross-sectional prevalence study in the Australian acute care hospital setting. Int Wound J 2016;13(3):403-11. https://doi.org/10.1111/iwj.12322

Coyer F, Campbell J. Incontinence-associated dermatitis in the critically ill patient: An intensive care perspective. Nurs Crit Care 2018;23(4):198-206. https://doi.org/10.1111/nicc.12331

Banharak S, Panpanit L, Subindee S, Narongsanoi P, Sanun-aur P, Kulwong W et al. Prevention and care for incontinenceassociated dermatitis among older adults: A systematic review. J Multidiscip Healthc 2021;14:2983-3004. https://doi. org/10.2147/JMDH.S329672

Bliss DZ, Mathiason MA, Gurvich O, Savik K, Eberly LE, Fisher J. Incidence and predictors of incontinence associated skin damage in nursing home residents with new onset incontinence. J Wound Ostomy Continence Nurs 2017;44(2):165-71. https://doi.org/10.1097/WON.0000000000000313

Dissemond J, Assenheimer B, Gerber V, Hintner M, Puntigam MJ, Kolbig N. Moisture-associated skin damage (MASD): A best practice recommendation from Wund-D.A.CH. J German Soc Dermatol 2021;19(6):815-25. https://doi.org/10.1111/ddg.14388

Beeckman D, Van den Bussche K, Alves P, Beele H, Ciprandi G, Coyer F et al. The Ghent Global IAD Categorisation Tool (GLOBIAD). Skin Integrity Research Group - Ghent University 2017.

Chen Y, Gao Y, Zhang J, Niu M, Liu X, Zhang Y et al. Quality and clinical applicability of recommendations for incontinence associated dermatitis: A systematic review of guidelines and consensus statements. J Clin Nurs 2022; Advance online publication. https://doi.org/10.1111/jocn.16306