title: Evaluation of a cyanoacrylate dressing to manage peristomal skin alterations under ostomy skin barrier wafers.
abstract: BACKGROUND
  Peristomal skin alterations under ostomy barrier wafers are a commonly reported problem. While a number of interventions to manage this issue have been reported, the use of a topically applied cyanoacrylate has received little attention. This case series describes the use of a topical cyanoacrylate for the management of peristomal skin alterations in persons living with an ostomy.
  
  
  METHODS
  Using a convenience sample, the topical cyanoacrylate dressing was applied to 11 patients with peristomal skin disruption under ostomy wafers in acute care and outpatient settings. The causes of barrier function interruption were also addressed to enhance outcomes. Patients were assessed for wound discomfort using a Likert Scale, time to healing, and number of appliance changes. Patient satisfaction was also examined.
  
  
  CONCLUSIONS
  Average reported discomfort levels were 9.5 out of 10 at the initial peristomal irritation assessment visit decreased to 3.5 at the first wafer change and were absent by the second wafer change. Wafers had increasing wear time between changes in both settings with acute care patients responding faster. Epidermal resurfacing occurred within 10.2 days in outpatients and within 7 days in acute care patients. Because of the skin sealant action of this dressing, immediate adherence of the wafer was reported at all pouch changes.
authors.affiliation: WOC, Connecticut Clinical Nursing Associates, LLC, Bristol Hospital Wound, Ostomy, Lymphedema Center, Bristol, Connecticut 06011, USA. ccna2@juno.com
authors.forename: Catherine T
authors.initials: CT
authors.lastname: Milne
authors.forename: Darlene
authors.initials: D
authors.lastname: Saucier
authors.forename: Chenel
authors.initials: C
authors.lastname: Trevellini
authors.forename: Juliet
authors.initials: J
authors.lastname: Smith
mesh_terms: D000287:Administration, Topical; D000369:Aged, 80 and over; D001458:Bandages; D003487:Cyanoacrylates / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D010030:Ostomy; D017060:Patient Satisfaction; D012867:Skin / Q000473:pathology*
chemical_list: D003487:Cyanoacrylates