Prevalência e fatores relacionados à dermatite associada à incontinência em Unidades Pediátricas

Rafaella Manhoni Lima de Miranda; Denise Desconsi; Angelo Antonio Paulino Martins Zanetti; Meire Cristina Novelli e Castro; Anna Paula Ferrari; Ana Paula Pinho Carvalheira; Clarita Terra Rodrigues Serafim

Authors

Rafaella Manhoni Lima de Miranda Universidade Estadual Paulista “Júlio de Mesquita Filho” – Botucatu (SP) https://orcid.org/0000-0001-8571-5176
Denise Desconsi Universidade Estadual Paulista “Júlio de Mesquita Filho” – Botucatu (SP), Brazil. https://orcid.org/0000-0002-0551-6407
Angelo Antonio Paulino Martins Zanetti Universidade Estadual Paulista “Júlio de Mesquita Filho” – Botucatu (SP), Brazil. ,https://ror.org/00987cb86 https://orcid.org/0000-0002-9442-8977
Meire Cristina Novelli e Castro Universidade Estadual Paulista “Júlio de Mesquita Filho” – Botucatu (SP), Brazil. https://orcid.org/0000-0002-0590-4127
Anna Paula Ferrari Universidade Estadual Paulista “Júlio de Mesquita Filho” – Botucatu (SP), Brazil. ,https://ror.org/00987cb86 https://orcid.org/0000-0002-5370-4349
Ana Paula Pinho Carvalheira Universidade Estadual Paulista “Júlio de Mesquita Filho” – Botucatu (SP), Brazil. ,https://ror.org/00987cb86 https://orcid.org/0000-0002-3683-001X
Clarita Terra Rodrigues Serafim Universidade Estadual Paulista “Júlio de Mesquita Filho” – Botucatu (SP), Brazil. ,https://ror.org/00987cb86 https://orcid.org/0000-0002-3736-1665

Abstract

Objective: To estimate the prevalence of and factors associated with the occurrence of incontinence-associated dermatitis (IAD) in children. Method: This observational, cross-sectional study used a quantitative approach and electronic medical record data. It included data from patients aged 0 to 14 years who had been hospitalized for at least 24 hours in pediatric units of a tertiary hospital in the state of São Paulo, Brazil, between January 2021 and December 2022. Descriptive analysis and Poisson regression models were used. Results: The sample consisted of 297 patients with some type of skin lesion, of whom 31.9% (n=95) had IAD. Significant associations were identified between IAD and age, type of hospitalization, comorbidities, medications acting on the cardiovascular system, systemic anti-infective agents, vitamins, and diaper use. The likelihood of developing IAD was 1.87 times higher among patients with preexisting comorbidities, 3.98 times higher among those receiving anti-infective agents, and 2.79 times higher among those using diapers. Conclusion: The prevalence of IAD was 31.9%. Therefore, identifying associated factors is essential for planning preventive strategies aimed at reducing the risk and occurrence of IAD.

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References

Fletcher J, Beeckman D, Boyles A, Fumarola S, Kottner J, McNichol L, et al. International Best Practice Recommendations: prevention and management of moisture-associated skin damage (MASD). London: Wounds International; 2020.

Beeckman D, Van den Bussche K, Alves P, Long MCA, Beele H, Ciprandi G, et al. Towards an international language for incontinence-associated dermatitis (IAD): design and evaluation of psychometric properties of the Ghent Global IAD Categorization Tool (GLOBIAD) in 30 countries. Br J Dermatol. 2018;178(6):1331-40. https://doi.org/10.1111/bjd.16327

Beeckman D, Campbell J, Campbell K, Chimentão D, Coyer F, Domanskyet R, et al. Proceedings of the Global IAD. Expert Panel. Incontinence associated dermatitis: moving prevention forward. London: Wounds International; 2015.

Van den Bussche K, Verhaeghe S, Van Hecke A, Beeckman D. The Ghent Global IAD Monitoring Tool (GLOBIAD-M) to monitor the healing of incontinence-associated dermatites (IAD): design and reliability study. Int Wound J. 2018;15(4):555-64. https://doi.org/10.1111/iwj.12898

Gapski GB, Oliveira LB, Girondi JBR, Müller K, Pinto LVD. Tratamento de dermatite associada à incontinência em pediatria. Rev Enferm Atual In Derme. 2024;98(1):e024271. https://doi.org/10.31011/reaid-2024-v.98-n.1-art.2145

Ximenes RRC, Carvalho REFL, Girão ALA, Oliveira SKP, Chaves EMC, Cunha MCSO, et al. Tecnologias de avaliação da dermatite associada à incontinência: revisão integrativa. Rev Enferm Atual In Derme. 2023;97(3):e023136. https://doi.org/10.31011/reaid-2023-v.97-n.3-art.1920

Raposo M, Blanes L, Nicodemo D. Development and validation of a book on incontinence associated dermatitis throughout the life cycle. ESTIMA, Braz J Enterostomal Ther. 2025;23:e1556. https://doi.org/10.30886/estima.v22.1556_IN

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

Dunk AM, Broom M, Fourie A, Beeckman D. Clinical signs and symptoms of diaper dermatitis in newborns, infants, and young children: a scoping review. J Tissue Viability. 2022;31(3):404-15. https://doi.org/10.1016/j.jtv.2022.03.003

Knop HGCF, Magalhães J, Gugelmin MM, Erzinger AR, Valente C, Silva RM. Lesões de pele em crianças internadas em um hospital do sul do Brasil. Contribuciones a Las Ciencias Sociales. 2023;16(10):20777-92. https://doi.org/10.55905/revconv.16n.10-126

Chianca TCM, Gonçales PC, Salgado PO, Machado BO, Amorim GL, Alcoforado CLGC. Incontinence-associated dermatitis: a cohort study in critically ill patients. Rev Gaúcha Enferm. 2016;37(spe):e68075. https://doi.org/10.1590/1983-1447.2016.esp.68075

Monteiro DS, Borges EL, Spira JAO, Garcia TF, Matos SS. Incidence of skin injuries, risk and clinical characteristics of critical patients. Texto Contexto Enferm. 2021;30:e20200125. https://doi.org/10.1590/1980-265X-TCE-2020-0125

Carr AN, DeWitt T, Cork MJ, Eichenfield LF, Fölster-Holst R, Hohl D, et al. Diaper dermatitis prevalence and severity: global perspective on the impact of caregiver behavior. Pediatr Dermatol. 2020;37(1):130-6. https://doi.org/10.1111/pde.14047

Uber M, Imoto RR, Carvalho VO. Cloth versus disposable diapers: an exploratory study on family habits. J Pediatr (Rio J). 2025;101(2):276-81. https://doi.org/10.1016/j.jped.2024.10.008

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

Meirelles LCS, Rocha BP, Wammes AL, Santos DM, Silva DM, Souza LM. Incidence of incontinence-associated dermatitis among clinical inpatients. Rev Enferm UERJ. 2020;28:e51323. https://doi.org/10.12957/reuerj.2020.51323

Saurusaitis AD, Santiago LC, Peregrino AAF, Silva RCL, Schutz V. Diarreia: dermatite associada à incontinência e lesão por pressão. Rev Enferm UFPE. 2019;13:e241955. https://doi.org/10.5205/1981-8963.2019.241955

Wojastyk LDMC, Beeckman D, Santos VLCG. Cultural adaptation and validation of the Ghent global IAD monitoring tool (GLOBIAD-M) for Brazilian Portuguese. J Tissue Viability. 2024;33(4):871-6. https://doi.org/10.1016/j.jtv.2024.08.003

Pereira LB, Gonçalves AMRF, Fernandes CSE, Fontanella AT, Francisco PMSB, Mengue SS, et al. Use of drugs for gastrointestinal disorders: evidence from National Survey on Access, Use and Promotion of Rational Use of Medicines. Einstein (Sao Paulo). 2020;18:eAO5314. https://doi.org/10.31744/einstein_journal/2020AO5314

Sousa IA, Luz VS, Araújo JL. Reações adversas e interações medicamentosas em fármacos usados na cardiologia. Revista Casos Consultoria. 2022;13(1):e30943.

Domingues BW, Souza TMP, Wojastyk LDMC, Santos VLCG, Nogueira PC. Incontinence-associated dermatitis: prevalence and associated factors in intensive care unit. ESTIMA Braz J Enterostomal Ther. 2022;20:e2822. https://doi.org/10.30886/estima.v20.1281_IN

Ramalho AO, Pacheco AO, Brandão ACMAG, Silva RA, Freitas PSS. Prevalence of incontinence-associated dermatitis and associated factors in intensive care patients. ESTIMA Braz J Enterostomal Ther. 2024;22:e1472. https://doi.org/10.30886/estima.v22.1472_IN

Barakat-Johnson M, Basjarahil S, Campbell J, Cunich M, Disher G, Geering S, et al. Corrigendum to “Implementing best available evidence into practice for incontinence-associated dermatitis in Australia: a multisite multimethod study protocol".[J. Tissue Viability 30 (2021) 67-77]. J Tissue Viability. 2024;33(1):150. https://doi.org/10.1016/j.jtv.2023.11.006

Duarte GM, Medeiros AMB, Vasconcelos CDA, Silva GRF, Andrade EMLR. Nursing knowledge about incontinence-associated dermatitis in a teaching hospital. Rev Gaúcha Enferm. 2022;43:e20210326. https://doi.org/10.1590/1983-1447.2022.20210326.en

Ximenes RRC, Chaves EMC, Girão ALA, Gonçalves MHRB, Ferreira SL, Carvalho REFL. Knowledge of nursing staff before and after training on incontinenceassociated dermatitis. Rev Esc Enferm USP. 2024;58:e20230272. https://doi.org/10.1590/1980-220X-REEUSP-2023-0272en