Baby oil therapy for uremic pruritus in haemodialysis patients

Lin, Tzu Chen; Lai, Yu Hung; Guo, Su Er; Liu, Chin Fang; Tsai, Jason; Guo, Haoyu; Hsu, Hsin‐Tien

doi:10.1111/j.1365-2702.2011.03906.x

Cited by 38 publications

(45 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Dry skin is an important factor for pruritus (6,12,18). We found that patients with dry skin were 3.9 times more likely to suffer from pruritus (p<0.001).…”

Section: No 9 182 Türk Nefroloji Diyaliz Ve Transplantasyon Dergisi mentioning

confidence: 60%

“…Uremic pruritus is caused in xerosis of the skin and precipitation of the skin divalent ions, secondary hyperparathyroidism, peripheral neuropathy, allergic reactions, hypersensitivity, histamine and atrophy of sweat glands. It is emphasized that age is an important factor of pruritus among the patients who receive hemodialysis treatment, and the intensity and severity of pruritus increase with age (2,3,(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

“…Chronic pruritus may worsen the psychology of the patients by negatively affecting physical comfort, sleep and social life. More importantly, chronic pruritus may cause increased morbidity by decreasing the quality of life (4,6).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An Important Problem Among Hemodialysis Patients: Uremic Pruritus

Akça¹,

Taşçı²

2014

Turk Neph Dial Transpl

View full text Add to dashboard Cite

ObJECTIVE: This study was conducted in order to determine the incidence of uremic pruritus in hemodialysis patients and to explore the associated factors. MATErIAL and METHODS:This descriptive study included 204 patients. Official permissions from the institutions and informed consents of the patients were obtained. The data were gathered using a questionnaire form designed by the investigators and the Visual Analogue Scale (VAS). The t test, one-way ANOVA and logistic regression analysis were used for the statistical analyses of the data. rESULTS:We found that 75.5% of the patients suffered from pruritus after hemodialysis treatment was initiated and 64.2% of them had an average level of pruritus (6.0±2.0) at the time of the study. It was noted that 37.4% had wounds caused by pruritus and 61.1% woke up from their sleep due to pruritus. Patients who were aged ≥ 65 were 3.91 times more likely to suffer from very severe pruritus compared to other age groups and patients with dry skin were 9.90 times more likely to suffer from very severe pruritus as compared to those with normal skin (p<0.05) CONCLUSION:In light of these results, it may be recommended that patients who suffer from uremic pruritus should be provided with the necessary care and training programs, taking into account their individual and disease-related characteristics. KEy wOrDS: Uremic pruritus, Hemodialysis, Affecting factorsÖz AMAÇ: Bu çalışma, hemodiyaliz tedavisi alan bireylerin yaşadığı üremik kaşıntı ve kaşıntıyla ilişkili faktörleri belirlemek amacıyla yapılmıştır. GErEÇ ve yÖNTEMLEr:Tanımlayıcı nitelikte yapılan bu çalışma, araştırmaya katılmayı kabul eden 204 kişi üzerinde yapılmıştır. Çalışmada, kurum izni ve bireylerden yazılı onam alınmıştır. Veriler araştırmacılar tarafından oluşturulan anket formu ve Visual Analog Skala (VAS) aracılığı ile toplanmıştır. Verilerin istatistiki değerlendirilmesinde, Student t, ANOVA testi ve lojistik regresyon analizi kullanılmış ve p<0.05 anlamlı olarak kabul edilmiştir.bULGULAr: Bireylerin %75,5'inin hemodiyaliz tedavisine başladıktan sonra kaşıntısının olduğu, %64,2'sinin ise çalışmanın yapıldığı anda ortalama 6,0±2,0 (2-10) düzeyde (şiddetli) kaşıntı yaşadıkları saptanmıştır. Bireylerin %37,4'inin kaşıntı sonucu vücudunda yaralar olduğu ve %61,1'inin kaşıntı nedeniyle uykusundan uyandığı belirlenmiştir. Diğer yaş gruplarıyla karşılaştırıldığında 65 yaş üstü hastaların 3,91 kat ve derisi kuru olan hastaların ise derisi normal olanlara göre 9,90 kat daha şiddetli kaşıntı yaşadığı tespit edilmiştir (p<0,05). SONUÇ:Bu sonuçlar doğrultusunda, üremik kaşıntı yaşayan bireylerin bireysel ve hastalık özellikleri dikkate alınarak eğitim ve bakım yapılması önerilebilir.

show abstract

“…Dry skin is an important factor for pruritus (6,12,18). We found that patients with dry skin were 3.9 times more likely to suffer from pruritus (p<0.001).…”

Section: No 9 182 Türk Nefroloji Diyaliz Ve Transplantasyon Dergisi mentioning

confidence: 60%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An Important Problem Among Hemodialysis Patients: Uremic Pruritus

Akça¹,

Taşçı²

2014

Turk Neph Dial Transpl

View full text Add to dashboard Cite

show abstract

“…Xerosis is found in most patients with ESRD and frequently aggravates pruritus. 20,41 Skin hydration with aqueous cream emollient 41 and baby oil 42,43 both have been shown to reduce skin dryness and the severity of UP effectively and to improve patient quality of life when applied two to four times daily. In addition to skin hydration, other topical agents have been used with some success to treat pruritus.…”

Section: Treatmentmentioning

confidence: 99%

Pruritus in Kidney Disease

Combs

Teixeira

Germain

2015

Seminars in Nephrology

135

106

View full text Add to dashboard Cite

Summary Pruritus is a common and distressing symptom in patients with chronic kidney disease. The most recent epidemiologic data have suggested that approximately 40% of patients with end-stage renal disease experience moderate to severe pruritus and that uremic pruritus (UP) has a major clinical impact, being associated strongly with poor quality of life, impaired sleep, depression, and increased mortality. The pathogenesis of UP remains largely unclear, although several theories on etiologic or contributing factors have been proposed including increased systemic inflammation; abnormal serum parathyroid hormone, calcium, and phosphorus levels; an imbalance in opiate receptors; and a neuropathic process. UP can present somewhat variably, although it tends to affect large, discontinuous, but symmetric, areas of skin and to be most symptomatic at night. A variety of alternative systemic or dermatologic conditions should be considered, especially in patients with asymmetric pruritus or other atypical features. Treatment initially should focus on aggressive skin hydration, patient education on minimizing scratching, and optimization of the aspects of chronic kidney disease care that are most relevant to pruritus, including dialysis adequacy and serum parathyroid hormone, calcium, and phosphorus management. Data for therapy specifically for UP remain limited, although topical therapies, gabapentin, type B ultraviolet light phototherapy, acupuncture, and opioid-receptor modulators all may play a role.

show abstract

“…Therefore, the cornerstone of uremic pruritus therapy is adequate skin hydration. Skin hydration with aqueous cream emollient 73 and baby oil 74,75 have both been demonstrated to effectively reduce skin dryness and the severity of uremic pruritus and improve patient QoL when applied 2 to 4 times daily. There are several small placebo-controlled trials that have shown a significant benefit in uremic pruritus with capsaicin cream, 0.025% to 0.03%, applied 2 to 4 times per day to affected areas.…”

Section: Uremic Pruritusmentioning

confidence: 99%

Sleep Disorders, Restless Legs Syndrome, and Uremic Pruritus: Diagnosis and Treatment of Common Symptoms in Dialysis Patients

Scherer

Combs

Brennan

2017

American Journal of Kidney Diseases

112

View full text Add to dashboard Cite

Maintenance dialysis patients experience a high burden of physical and emotional symptoms that directly affect their quality of life and health care utilization. In this review, we specifically highlight common troublesome symptoms affecting dialysis patients: insomnia, restless legs syndrome, and uremic pruritus. Epidemiology, pathophysiology, and evidence-based current treatment are reviewed with the goal of providing a guide for diagnosis and treatment. Finally, we identify multiple additional areas of further study needed to improve symptom management in dialysis patients.

show abstract

Baby oil therapy for uremic pruritus in haemodialysis patients

Abstract: Applying baby oil is a simple, safe, inexpensive and easily administered treatment for itchy skin in haemodialysis patients. By preventing or reducing uremic pruritus, baby oil treatment may also improve quality of life in this patient group.

Cited by 38 publications

References 15 publications

An Important Problem Among Hemodialysis Patients: Uremic Pruritus

An Important Problem Among Hemodialysis Patients: Uremic Pruritus

Pruritus in Kidney Disease

Sleep Disorders, Restless Legs Syndrome, and Uremic Pruritus: Diagnosis and Treatment of Common Symptoms in Dialysis Patients

Contact Info

Product

Resources

About