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Revista de la Facultad de Medicina

Print version ISSN 0120-0011

Abstract

GONZALEZ-CONSUEGRA, Renata Virginia; MORA-CARVAJAL, Lizeth Hasbleidy; CELIS-MORENO, Jhonatan Sebastián  and  MATIZ-VERA, Gustavo David. Incontinence-associated dermatitis: a problem without definition, systematic review. rev.fac.med. [online]. 2015, vol.63, n.2, pp.199-208. ISSN 0120-0011.  http://dx.doi.org/10.15446/revfacmed.v63n2.48349.

Background. The prevalence of dermatitis associated to urinary, fecal or mixed incontinence, is between 5.6% and 50%, with an incidence rate between 3.4% and 25%. These lesions are underestimated and not properly addressed because their implications and treatment are unknown. This requires knowledge of the scientific production about the issue and standardization of these processes on people at risk for this condition. Objective. To describe the available scientific production that addresses the management of care of elderly adults having incontinence associated to urinary, fecal, or mixed dermatitis. Materials and methods. A systematic search for scientific literature was conducted using the databases Ovid Nursing, SciELO, Virtual Health Library, PubMed, Scopus, EBSCOhost, ScieneDirect, Cuiden, JSTOR, and Springer Journal, with no time limit, in any language. Articles were rated by using the GRADE system. Results. There were found 45 papers, mostly from North America and Europe, 15.22% of which address issues of epidemiology, 15.22% are about risk factors, 32.61% about primary prevention, 8.70% on diagnosis, 17.39% on treatment, 4.35% on problem measurement, and 6.52% on rehabilitation. The methodology in 53% of the articles was based on clinical trials. Conclusions. The decisions regarding diagnosis, prevention and treatment of dermatitis associated to incontinence, should be supported by the multiple etiologic and risk factors of skin lesions that may be related to dependence. Such factors, undoubtedly, will guide the production mechanism and thus, the intervention of the disease.

Keywords : Dermatitis; Fecal incontinence; Urinary incontinence; Nursing care; Aged.

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