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Skin protection to prevent incontinence-associated dermatitis

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Comparison of two skin protection regimes for the Prevention of Incontinence-associated Dermatitis in geriatric care: An exploratory trial

Incontinence-associated dermatitis (IAD) is an inflammatory change of the skin caused by prolonged direct contact of the skin with urine and/or stool. It affects nearly one in three people in geriatric acute and long-term care settings. Applying skin protection products to the vulnerable skin areas can help to prevent IAD development or reduce its severity. There is currently no evidence that one specific skin protection product is superior to others. Therefore, an exploratory clinical trial will be conducted to address this question. The overall objectives are to compare the effects of two skin protection regimens compared to an untreated control group and to assess the feasibility of a confirmatory clinical trial.  A total of n = 210 incontinent geriatric patients and nursing home residents will be recruited. They will be randomly assigned to one of three study groups: (1) Mild skin cleansing and application of a film-forming skin protection product, (2) Mild skin cleansing and application of a hydrophobic skin protection product, (3) Mild skin cleansing without additional application of a skin protection product. Participants will be followed up for 14 days. Endpoints include IAD incidence, skin redness, IAD-associated pain, satisfaction, and side effects. The results can be used to improve nursing care in geriatric acute and long-term care. Obtained evidence can be used, for example, the development of guidelines and standards.