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Absorbent Microbiopsy Sampling and RNA Extraction for Minimally Invasive, Simultaneous Blood and Skin Analysis

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Exploring the relationship between skin property and absorbent pad environment.

Yoshie Shigeta¹, Gojiro Nakagami, Hiromi Sanada

¹Department of Gerontological Nursing/Wound Care Management, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Journal of Clinical Nursing

|February 18, 2009

Summary

Diarrhea significantly increases the risk of contact dermatitis in incontinent patients using absorbent pads. Prompt preventative care and improved product design are crucial for managing these skin lesions.

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Area of Science:

Gerontology
Dermatology
Infectious Disease

Background:

Incontinence affects many older adults, leading to frequent use of absorbent products.
Skin lesions in the absorbent pad area are a common complication, necessitating investigation into contributing factors.
Understanding the pathophysiology of these lesions is crucial for effective prevention strategies.

Purpose of the Study:

To identify factors associated with skin lesions in the perineal area of incontinent patients using absorbent pads.
To investigate the clinical relationship between absorbent pad use and the development of skin lesions.

Main Methods:

A cross-sectional study involving 100 older Japanese patients with incontinence.
Assessment of skin lesions, skin properties (pH, hydration), and bacterial cultures in the absorbent pad area.
Investigation of patient demographics and the absorbent pad environment.

Main Results:

The prevalence of skin lesions was 36%, with 40% identified as contact dermatitis.
Multivariate logistic regression analysis indicated that diarrhea was the sole independent factor associated with contact dermatitis.
A significant relationship was found between contact dermatitis and absorbent pad use in patients experiencing diarrhea.

Conclusions:

Diarrhea is a significant risk factor for developing contact dermatitis in incontinent patients using absorbent pads.
Healthcare professionals should implement immediate preventative care, including close skin monitoring and enhanced skincare, for patients with diarrhea.
Development of improved absorbent pads is needed to protect the skin of incontinent individuals from the effects of liquid stool.