IAD diferentiation, classification and treatment ... *Images courtesy of Professor Dimitri Beeckman, Ghent University, Belgium

失禁相关性皮炎(IAD)是一种特殊类型的刺激性接触性皮炎,其特征是肛周或生殖器皮肤红斑和水肿。 在某些情况下,IAD 伴有大水疱、糜烂或继发性皮肤感染(Gray et al., 2012)。

Incontinence-associated dermatitis (IAD) is a specific type of irritant contact dermatitis characterized by erythema and oedema of the peri-anal or genital skin. In some cases, IAD is accompanied by bullae, erosion or secondary cutane-ous infection (Gray et al., 2012). The aetiology of IAD is complex and multifactorial (Beeckman et al., 2009).

What questions should you ask to determine the risk of IAD development? Is it urine, stool, or a combination of both? How often is the patient or resident incontinent? What other risk factors put the patient or resident at risk? What will you see? What will the patient or resident feel? Where will you assess for potential skin damage?

Manage incontinence to identify and treat reversible causes (e.g. urinary tract infection, constipation, diuretics) to reduce, or ideally eliminate skin contact with urine and/or faeces. Implement a structured skin care regimen to protect the skin exposed to urine and/or faeces and help restore an effective skin barrier function.

An internationally accepted instrument to assess the severity of IAD in adults, with established diagnostic accuracy, agreement and reliability, is needed to support clinical practice and research.

2018年1月8日 · Background Incontinence-associated dermatitis (IAD) is a specific type of irritant contact dermatitis with different levels of severity. An internationally accepted instrument...

2018年12月7日 · Bij categorie 1B zijn er tekenen van infectie, zoals een witte schilfering van de huid (wat kan wijzen op een schimmelinfectie) of satellietletsels (pustels rondom het letsel, kan wijzen op een Candida Albicans schimmelinfectie). Bij IAD categorie 2A en 2B is (naast eventuele roodheid) sprake van ontvelling.

An incontinence-associated dermatitis is a form of irritant contact dermatitis due to contact with urine and faeces in people who are incontinent of urine or faeces or both (dual incontinence) [1]. Who gets incontinence-associated dermatitis? Incontinence-associated dermatitis can affect anyone with incontinence of urine, faeces, or both.

IAD Diferentiation, Classification and Treatment Incontinence-Associated Dermatitis1,3