MASD part 3: peristomal moisture- associated dermatitis and periwound moisture-associated dermatitis: a consensus

Janice C Colwell1, Catherine R Ratliff, Margaret Goldberg

  • 1Department of General Surgery, University of Chicago, Illinois 60637, USA. janice.colwell@uchospitals.edu

Insights

Moisture-associated skin damage (MASD) is skin inflammation caused by excess wetness from bodily fluids. This expert-reviewed article details managing MASD around stomas and wounds.

Area of Science:

  • Dermatology
  • Wound Care
  • Clinical Practice

Background:

  • Moisture-associated skin damage (MASD) is a prevalent issue in healthcare settings.
  • Excessive moisture from urine, stool, or wound exudate can compromise skin integrity.
  • MASD can lead to inflammation, erosion, and secondary infections, impacting patient quality of life.

Purpose of the Study:

  • To provide expert consensus on the assessment, prevention, and treatment of MASD.
  • To specifically address moisture-associated dermatitis in peristomal and periwound areas.
  • To offer practical guidance for clinicians managing MASD.

Main Methods:

  • Expert panel discussion and consensus building.
  • Review of current literature and clinical evidence on MASD.
  • Focus on etiologic factors and management strategies for specific MASD types.

Main Results:

  • MASD is characterized by skin inflammation due to prolonged exposure to moisture.
  • Peristomal and periwound areas are particularly vulnerable to MASD.
  • A comprehensive approach involving assessment, prevention, and treatment is crucial.

Conclusions:

  • Effective management of MASD requires understanding its causes and presentation.
  • Prevention strategies are key to minimizing the incidence of MASD.
  • Timely and appropriate treatment can mitigate the severity and complications of MASD.

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