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Summary

So, in this course we have discussed dermatitis associated with incontinence. We looked at how best to identify incontinence-associated dermatitis (IAD), its risk factors and causes, various management and treatment options, and some strategies for preventing reoccurrences. 

We looked at specific risk factors for IAD and how to tell the difference between IAD and a pressure injury. We also examined various strategies for preventing IAD either as a new, first occurrence or a reoccurrence. And we discussed some management options.

If you would like more information on this topic, below are listed some resources which you may find helpful.

 

Resources:

1. American Diabetes Association. 5. glycemic targets. Diabetes Care. 2016;39(suppl 1):S39-S46. doi: 10.2337/dc16-S008.
 

2. UK Prospective Diabetes Study (UKPDS) Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33) [published erratum appears in Lancet. 1999;354(9178):602]. Lancet. 1998;352(9131):837-853. doi: 10.1016/S0140-6736(98)070196.

 

3. Ali MK, Bullard KM, Saaddine JB, Cowie CC, Imperatore G, Gregg EW. Achievement of goals in U.S. diabetes care, 1999-2010. N Engl J Med. 2013;368(17):1613-1624. doi: 10.1056/NEJMsa1213829

 

If you would like CE credit for taking this course, please click the link below to complete the post-test.

 

 

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References:

1. Kayser SA, Phipps L, VanGilder CA, Lachenbruch C. Examining prevalence and risk factors of incontinence-associated dermatitis using the International Pressure Ulcer Prevalence Survey. J Wound Ostomy Continence Nurs. 2019;46(4):285-290. Available at: https://pubmed.ncbi.nlm.nih.gov/31276451/

 

2. Gray M, Giuliano KK. Incontinence-associated dermatitis, characteristics and relationship to pressure injury: a multisite epidemiologic analysis. J Wound Ostomy Continence Nurs. 2018;45(1):63-67. Available at: https://pubmed.ncbi.nlm.nih.gov/29300291/

 

3. Journal of wound, ostomy, and continence nursing: official publication of The Wound, Ostomy and Continence Nurses Society / WOCN , July 2019, 46(4):285-290 DOI:10.1097/WON.0000000000000548

 

4. Kayser SA, Koloms K, Murray A, Khawar W, Gray M. Incontinence and incontinence-associated dermatitis in acute care. J Wound, Ostomy Continence Nurs. 2021;48(6):545-552. Available at: https://journals.lww.com/jwocnonline/Fulltext/2021/11000/Incontinence_and_Incontinence_Associated.11.aspx

 

5. ICD10Data.com. 2022 ICD-10-CM Diagnosis Code L24.A2: Irritant contact dermatitis due to fecal, urinary, or dual incontinence. Available at: https://www.icd10data.com/ICD10CM/Codes/L00-L99/L20-L30/L24-/L24.A2

 

6. Beeckman D, Van Damme N, Schoonhoven L, Van Lancker A, Kottner J, Beele H, Gray M, Wooward S, Fader M, Van den Bussche K, Van Hecke A, De Meyer D, Verhaeghe S. Interventions for preventing and treating incontinence-associated dermatitis in adults (review). Cochrane Database of Systematic Reviews. 2016;11.