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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
Abstract:
Moisture-associated skin damage (MASD) occurs when excessive moisture in urine, stool, and wound exudate leads to inflammation of the skin, with or without erosion or secondary cutaneous infection. This article, produced by a panel of clinical experts who met to discuss moisture as an etiologic factor in skin damage, focuses on peristomal moisture-associated dermatitis and periwound moisture-associated dermatitis. The principles outlined here address assessment, prevention, and treatment of MASD affecting the peristomal or periwound skin.
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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