Incontinence-Associated Dermatitis: Evidence-Based Practices

Moisture-associated skin damage (MASD) is sometimes accompanied by serous exudate, a denuded appearance of skin, or a secondary cutaneous infection. As the most common form of MASD, incontinence-associated dermatitis (IAD) is characterized by erythema and edema of the skin’s surface. IAD is a top-down injury, often presenting with inflammation, erosion, or denudation in the setting of fecal or urinary incontinence.¹ It is a significant problem as it can result in the following complications for patients¹:

• Infection

• Increased risk for pressure injuries

• Pain and discomfort

• Loss of independence and disruption in activities (sleep/wake cycle)

• Decreased quality of life (QoL) and depression

This condition is prevalent as it is often seen in acute care settings, long-term care, residential care and among community-dwelling individuals, or those living at home. Studies have shown that IAD is an independent risk factor for pressure injuries, placing those with fecal or urinary incontinence at higher risk for developing a pressure injury across care settings.¹

To learn more about Incontinence-Associated Dermatitis, click here.

References

1. Thayer D, Nix D. Incontinence Associated Dermatitis. In: Ermer-Seltun J, Engberg S, ed. Wound, Ostomy, and Continence Nurses Society Core Curriculum: Continence Management. 2nd ed. Philadelphia, PA: Wolters Kluwer; 2021:364-381.