Incontinence associated dermatitis in elderly people admitted to a university hospital

Abstract

Objective: To identify the frequency and factors associated to incontinence associated dermatitis in elderly people. Methods: Cross-sectional study with 202 elderly patients admitted to a university hospital between September 2017 and January 2018. Data collection included: cognitive screening, sociodemographic and clinical questionnaire. It was performed exploratory and descriptive analysis, where prevalence and ratios (PR) were calculated. Results: Prevalence of injury was 9.4%, age range 70-79 years (13.5%), African American (21.4%), hospitalization period ≥ 21 days (44.4%), in use of nasogastric tube (33.3%), medical device (11.3%), restricted mobility (18.5%). It was associated with hospitalization period, use of nasogastric tube, restricted mobility, medical devices, and cognition. Conclusion: It was confirmed an average frequency of incontinence associated dermatitis in elderly patients and association to factors such as hospitalization period, immobility, cognition, use of nasogastric tube and devices. It must be highlighted the importance of prevention measures, early detection, assessment and monitoring of this type of injury.

Application of the Diaper Use Rating Scale in a Medical Clinic of a University Hospital

“…The analysis of the profile of the participants showed the majority of elderly people, with frequency over 60 years of age, a situation that reaffirms the increase in this age group, which, due to the decline of their physiological functions, already determines an increased risk for complications during hospitalization, especially in a medical clinic sector, with diverse demands and different hospitalized patients [18][19][20] .…”

“…In addition, there is also the cognitive portion and level of awareness that impact on autonomy and self-care, exacerbating the subject's vulnerability and passivity towards the caregiver 20 .…”

Aplicação Da Escala De Avaliação Do Uso De Fraldas Em Uma Clínica Médica De Um Hospital Universitário

“…A análise do perfil dos participantes mostrou maioria de idosos, com frequência de idade acima de 60 anos, situação que reafirma o aumento dessa faixa etária, que pelo próprio declínio de suas funções fisiológicas já determina aumento de risco para complicações durante a internação, especialmente em um setor de clínica médica, com demandas diversas e diferentes pacientes internados [18][19][20] .…”

“…O processo de envelhecimento determina redução da capacidade funcional, suscetibilidade de doenças crônicas e da incontinência. Além disso, ainda tem a parcela cognitiva e nível de consciência que impactam na autonomia e autocuidado, exacerbando a vulnerabilidade e passividade do sujeito frente ao cuidador 20 .…”

Selective detection of urease‐producing bacteria on the genital skin surface in patients with incontinence‐associated dermatitis

“…A survey reported the IAD prevalence among incontinent patients ranged from 8.4% in long‐term care facilities to 19% in acute care facilities 6 . IAD prevalence values as high as 9.4% and 5.9% were reported in a Brazilian teaching hospital and a Japanese long‐term medical facility, respectively 7,8 . Patients with IAD experience considerable discomfort with pain, burning, and itching in the affected areas, which all took a toll on their independence and quality of life 4,9 …”