Building the evidence base--the Zassi Bowel Management System.
Uncontrolled faecal incontinence (FI) secondary to diarrhoea represents a major risk to perianal skin integrity and the healing of perineal wounds or burns. In an era of heightened awareness of the morbidity and the costs associated with hospital-acquired infection, there are obvious concerns about the risks of cross-infection associated with diarrhoea or FI. This article evaluates the Zassi Bowel Management System (ZBMS, Hollister), a product that has been designed to manage diarrhoea, faecal incontinence and defaecation in situations where a patient is either completely dependent, has overwhelming uncontrolled diarrhoea that poses a threat to skin integrity and is a cross-infection risk, or where normal defaecation poses a risk to wound integrity and sterility.
Florence Nightingale School of Nursing and Midwifery, King's College London.
Christine
C
Norton
D001291:Attitude of Health Personnel; D002056:Burns / Q000150:complications / Q000517:prevention & control; D015400:Clinical Nursing Research; D003963:Diaper Rash / Q000209:etiology / Q000517:prevention & control; D003967:Diarrhea / Q000150:complications; D004322:Drainage / Q000295:instrumentation* / Q000379:methods / Q000451:nursing; D004509:Education, Nursing, Continuing; D004867:Equipment Design; D055317:Evidence-Based Practice; D005242:Fecal Incontinence / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D017053:Infection Control; D009730:Nursing Assessment; D010502:Perineum / Q000293:injuries; D017410:Practice Guidelines as Topic; D012449:Safety; D017592:Skin Care / Q000295:instrumentation / Q000379:methods / Q000451:nursing