Skin injuries caused by medical adhesive tape in older people and associated factors

Konya, Chizuko; Sanada, Hiromi; Sugama, Junko; Okuwa, Mayumi; Kamatani, Yuki; Nakagami, Gojiro; Sakaki, Kozue

doi:10.1111/j.1365-2702.2009.03168.x

Cited by 73 publications

(53 citation statements)

References 8 publications

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“…We also confirmed that a pure resin sample exhibits no thermal peak in the temperature range from 25 to 125 Both exothermic 73.8 and endothermic peaks 96. 5 appeared in the thermogram of the meltquenched in-resin CER sample Fig. 2 a .…”

Section: Differential Scanning Calorimetrymentioning

confidence: 97%

See 1 more Smart Citation

Thermal-history-dependent Phase Behavior of Ceramide Molecular Assembly in a UV-curable Acrylic Adhesive Resin

et al. 2018

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Section: Differential Scanning Calorimetrymentioning

confidence: 97%

“…In addition, the following problem has emerged: physical stimulation by frequent application and removal of stoma appliances can damage skin. This skin damage, which is mainly due to the removal of the epidermal layer of the skin 5 , is a more serious problem than allergic dermatitis for stoma patients.…”

Section: Introductionmentioning

confidence: 99%

Thermal-history-dependent Phase Behavior of Ceramide Molecular Assembly in a UV-curable Acrylic Adhesive Resin

et al. 2018

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“…In one prospective cohort study of older individuals admitted to a long-term care facility, the cumulative incidence of skin injury caused by adhesive tape was reported to be 15.5% (incident density 38 per 1000 person days). 27 Clinical manifestations of MARSI observed in this study included contact dermatitis (71%), trauma (21%), and infection (9%). The use of adhesives was also identified as the primary cause of skin breakdown among neonatal intensive care unit patients in a nursing research utilization project involving 2820 newborns.…”

Section: Medical Adhesiveyrelated Skin Injurymentioning

confidence: 97%

“…Medical adhesive products are a common cause of nonallergic irritant contact dermatitis, 10,27,44 and such reactions are more likely to occur with extended exposure. 10 Allergic contact dermatitis related to adhesive products occurs much less frequently than irritant contact dermatitis, although numerous case reports of allergic reactions to components of adhesive products can be found in the literature.…”

Section: Assessmentvallergy/sensitivitymentioning

confidence: 99%

Medical Adhesives and Patient Safety

McNichol

Lund

Rosén

et al. 2013

Journal of the Dermatology Nurses' Association

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Skin injury related to medical adhesive usage is a prevalent but underrecognized complication that occurs across all care settings and among all age groups. If proper technique for application and/or removal of adhesive products is not used, tissue trauma can occur, impacting patient safety and quality of life and increasing healthcare costs. Little guidance exists in the literature regarding appropriate selection and proper use of adhesive products to minimize medical adhesiveYrelated skin injury, as well as best practices for skin care preventive strategies, application and removal techniques, and assessment and treatment of such injuries. In an effort to define best practices for prevention of such injury, a consensus panel of 23 recognized key opinion leaders convened to establish consensus statements on the assessment, prevention, and treatment of medical adhesiveYrelated skin injury. The consensus summit was held in December 2012 and was made possible by an unrestricted educational grant from 3M. This document details the consensus definitions and statements and identifies research priorities for development of new adhesive technologies and protocols for skin protection.

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“…Patients considered at risk for facial skin injuries in adults include the elderly [8, 24, 25], those with increased skin fragility such as patients on chronic steroid treatment or those having undergone skin resurfacing procedures or using prescription exfoliating agents [9, 16], also in the prone position [7, 26] or prolonged tape duration [27]. …”

Section: Introductionmentioning

confidence: 99%

Comparison of Medical Adhesive Tapes in Patients at Risk of Facial Skin Trauma under Anesthesia

Zeng

Lie

Chong

2016

Anesthesiology Research and Practice

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Introduction. Adhesive tapes are used for taping eyelids closed and securing endotracheal tubes during general anesthesia. These tapes can cause facial skin injury. We compared the incidence of facial skin injury and patient satisfaction with different tapes used. Methods. A total of 60 adult patients at risk of skin trauma were randomized to use 3M™ Kind Removal Silicone Tape or standard acrylate tapes: 3M Durapore (endotracheal tube) and Medipore (eyelids). Patients were blinded to tape used. Postoperatively, a blinded recovery nurse assessed erythema, edema, and denudation of skin. Anesthesiologist in charge also assessed skin injury. On postoperative day 1, patients rated satisfaction with the condition of their skin over the eyelids and face on a 5-point Likert scale. Results. More patients had denudation of skin with standard tapes, 4 (13.3%) versus 0 with silicone tape (p = 0.026) and in anesthesiologist-evaluated skin injury 11 (37%) with standard versus 1 (3%) with silicone (p = 0.002). No significant differences were found in erythema and edema. Patient satisfaction score was higher with silicone tape: over eyelids: mean 3.83 (standard) versus 4.53 (silicone), Mann-Whitney U test, p < 0.001; over face: mean 3.87 (standard) versus 4.57 (silicone) (p < 0.001). Conclusion. Silicone tape use had less skin injury and greater patient satisfaction than standard acrylate tapes.

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Skin injuries caused by medical adhesive tape in older people and associated factors

Abstract: Skin care to minimise contamination and more effective ways of applying medical adhesive tape may be needed to prevent contact dermatitis.

Cited by 73 publications

References 8 publications

Thermal-history-dependent Phase Behavior of Ceramide Molecular Assembly in a UV-curable Acrylic Adhesive Resin

Thermal-history-dependent Phase Behavior of Ceramide Molecular Assembly in a UV-curable Acrylic Adhesive Resin

Medical Adhesives and Patient Safety

Comparison of Medical Adhesive Tapes in Patients at Risk of Facial Skin Trauma under Anesthesia

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