Peristomal moisture-associated skin damage in adults with fecal ostomies: a comprehensive review and consensus.

TitlePeristomal moisture-associated skin damage in adults with fecal ostomies: a comprehensive review and consensus.
Publication TypeJournal Article
Year of Publication2013
AuthorsGray M, Colwell JC, Doughty D, Goldberg M, Hoeflok J, Manson A, McNichol L, Rao S
JournalJournal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN
Volume40
Issue4
Pagination389-99
Date Published2013 Jul-Aug
Abstract

Approximately 1 million persons living in North America have an ostomy, and approximately 70% will experience stomal or peristomal complications. The most prevalent of these complications is peristomal skin damage, and the most common form of peristomal skin damage occurs when the skin is exposed to effluent from the ostomy, resulting in inflammation and erosion of the skin. Despite its prevalence, research-based evidence related to the assessment, prevention, and management of peristomal moisture-associated skin damage is sparse, and current practice is largely based on expert opinion. In order to address current gaps in clinical evidence and knowledge of this condition, a group of WOC and enterostomal therapy nurses with expertise in ostomy care was convened in 2012. This article summarizes results from the panel's literature review and summarizes consensus-based statements outlining best practices for the assessment, prevention, and management of peristomal moisture-associated dermatitis among patients with fecal ostomies.

DOI10.1186/2090-5009-9-1
Alternate JournalJ Wound Ostomy Continence Nurs