Incontinence-associated dermatitis: A cross-sectional prevalence study in the Australian acute care hospital setting

Campbell, Jill L., Coyer, Fiona M., & Osborne, Sonya R. (2016) Incontinence-associated dermatitis: A cross-sectional prevalence study in the Australian acute care hospital setting. International Wound Journal, 13(3), pp. 403-411.

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Abstract

The purpose of this cross-sectional study was to identify the prevalence of incontinence and incontinence-associated dermatitis (IAD) in Australian acute care patients and to describe the products worn to manage incontinence, and those provided at the bedside for perineal skin care. Data on 376 inpatients were collected over 2 days at a major Australian teaching hospital. The mean age of the sample group was 62 years and 52% of the patients were male. The prevalence rate of incontinence was 24% (91/376). Urinary incontinence was significantly more prevalent in females (10%) than males (6%) (χ2  = 4·458, df = 1, P = 0·035). IAD occurred in 10% (38/376) of the sample group, with 42% (38/91) of incontinent patients having IAD. Semi-formed and liquid stool were associated with IAD (χ2  = 5·520, df = 1, P = 0·027). Clinical indication of fungal infection was present in 32% (12/38) of patients with IAD. Absorbent disposable briefs were the most common incontinence aids used (80%, 70/91), with soap/water and disposable washcloths being the clean-up products most commonly available (60%, 55/91) at the bedside. Further data are needed to validate this high prevalence. Studies that address prevention of IAD and the effectiveness of management strategies are also needed.

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1 citations in Web of Science®

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ID Code: 77777
Item Type: Journal Article
Refereed: Yes
Keywords: Acute care, Cross-sectional study, Incontinence, Incontinence-associated dermatitis, Prevalence
DOI: 10.1111/iwj.12322
ISSN: 1742-4801
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > QUT Faculties and Divisions > Faculty of Law
Current > Schools > School of Nursing
Copyright Owner: Copyright 2014 The Authors. International Wound Journal © 2014 Medicalhelplines.com Inc and John Wiley & Sons Ltd
Copyright Statement: This is the accepted version of the following article: Campbell, J. L., Coyer, F. M. and Osborne, S. R. (2014), Incontinence-associated dermatitis: a cross-sectional prevalence study in the Australian acute care hospital setting. International Wound Journal, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/iwj.12322/abstract
Deposited On: 17 Oct 2014 05:27
Last Modified: 18 May 2016 01:50

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