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MASD part 2: incontinence-associated dermatitis and intertriginous dermatitis: a consensus
Joyce M Black1, Mikel Gray, Donna Z Bliss
1College of Nursing, University of Nebraska Medical Center, Omaha, NE, USA. jblack@unmc.edu
This consensus panel provides guidance on preventing and managing moisture-associated skin damage (MASD), focusing on incontinence-associated dermatitis (IAD) and intertriginous dermatitis (ITD). Key recommendations include targeted skin care and maintaining dryness in skin folds.
Area of Science:
- Dermatology
- Wound Care
Background:
- Moisture-associated skin damage (MASD) encompasses conditions like incontinence-associated dermatitis (IAD) and intertriginous dermatitis (ITD).
- Accurate diagnosis through focused history and physical assessment is crucial for differentiating MASD types from other skin injuries.
Framework:
- Consensus panel reviewed current knowledge on MASD.
- Developed recommendations for prevention and management strategies.
Implementation:
- For IAD: recommend cleansing, moisturizing, and skin protectants for at-risk individuals.
- For ITD: emphasize keeping skin folds dry and free from friction; avoid using linens or dressings to separate folds.
- Treat secondary fungal or bacterial infections, such as candidiasis, with appropriate antifungal therapies.
Implications:
- Effective management of IAD and ITD can improve patient comfort and prevent complications.
- Standardized recommendations aid healthcare professionals in consistent MASD care.
- Early and accurate diagnosis prevents misidentification and ensures appropriate treatment protocols.
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