title: Peristomal moisture-associated skin damage in adults with fecal ostomies: a comprehensive review and consensus.
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.
authors: Department of Urology, University of Virginia, Charlottesville, VA 22908, USA. mg5k@virginia.edu
authors: Mikel
authors: M
authors: Gray
authors: Janice C
authors: JC
authors: Colwell
authors: Dorothy
authors: D
authors: Doughty
authors: Margaret
authors: M
authors: Goldberg
authors: Jo
authors: J
authors: Hoeflok
authors: Andrea
authors: A
authors: Manson
authors: Laurie
authors: L
authors: McNichol
authors: Samara
authors: S
authors: Rao
mesh_terms: D003872:Dermatitis / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D004766:Enterostomy / Q000009:adverse effects* / Q000451:nursing; D006801:Humans; D011183:Postoperative Complications; D012867:Skin / Q000473:pathology*