title: An electronic approach to minimising moisture-associated skin damage in ostomy patients.
abstract: Marked developments in the design of ostomy appliances in recent years have revolutionised stoma care and management but the prevalence of peristomal skin complications continues to be problematic with incidence rates ranging from 10% to 70%. Despite requisite pre and post-operative education for new patients, complications continue to arise - even under the close supervision of specialist nurses. Prolonged exposure of the skin to high pH stoma effluent is widely accepted as a key contributor to the onset of moisture-associated skin disease and it is our hypothesis that a "smart wafer", employing electrochemical manipulation of local pH, could mitigate some of the issues currently plaguing ostomy management. Current electrochemical research strategies translatable to stoma care are presented and their possible implementations critically appraised.
authors.affiliation: School of Engineering, University of Ulster, Jordanstown, Northern Ireland BT37 0QB, UK.
authors.forename: Naomi
authors.initials: N
authors.lastname: Lowry
authors.affiliation: School of Engineering, University of Ulster, Jordanstown, Northern Ireland BT37 0QB, UK.
authors.forename: Anna
authors.initials: A
authors.lastname: McLister
authors.affiliation: School of Engineering, University of Ulster, Jordanstown, Northern Ireland BT37 0QB, UK.
authors.forename: Karl
authors.initials: K
authors.lastname: McCreadie
authors.affiliation: School of Engineering, University of Ulster, Jordanstown, Northern Ireland BT37 0QB, UK. Electronic address: james.davis@ulster.ac.uk.
authors.forename: James
authors.initials: J
authors.lastname: Davis
mesh_terms: D004599:Electric Stimulation Therapy / Q000379:methods*; D004574:Electromagnetic Fields; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008954:Models, Biological; D010030:Ostomy / Q000009:adverse effects*; D012867:Skin / Q000737:chemistry* / Q000528:radiation effects; D012871:Skin Diseases / Q000209:etiology* / Q000503:physiopathology / Q000517:prevention & control*