project
Interventions for preventing and treating incontinence-associated dermatitis in adults: a Cochrane systematic review
project duration: 01/01/2014 - 07/11/2016
Summary
The objective of this review was to assess the effectiveness of various products and procedures to preventand treat incontinence-associated dermatitis in adults. Little evidence, of very low to moderate quality, exists on the effects of interventions for preventing and treating IAD in adults. Soap and water performed poorly in the prevention and treatment of IAD. Application of leave-on products (moisturisers, skin protectants, or a combination) and avoiding soap seems to be more effective than withholding these products. The performance of leave-on products depends on the combination of ingredients, the overall formulation and the usage (e.g. amount applied). High quality confirmatory trials using standardised, and comparable prevention and treatment regimens in different settings/regions are required. Furthermore, to increase the comparability of trial results, we recommend the development of a core outcome set, including validated measurement tools.
promotor
Prof. dr. Dimitri Beeckman
Prof. dr. Dimitri Beeckman holds a BSc. in Nursing, an MSc. in Nursing and Midwifery, an MSc. in Education, and a PhD from Ghent University in Belgium. His doctoral thesis focused on pressure ulcer prevention and management of Incontinence- Associated Dermatitis (IAD). In 2010, he became a lecturer at the Florence Nightingale School of Nursing & Midwifery at King’s College London in the UK. Currently, he works as a Professor of Skin Integrity and Clinical Nursing at the University Centre of Nursing and Midwifery at Ghent University in Belgium. He is a Visiting Professor at the Faculty of Health and Medical Sciences at the University of Surrey (Guilford, UK) and at the School of Nursing and Midwifery at the Royal College of Surgeons in Ireland (Dublin, Ireland). Prof. Beeckman is Executive Board Member of the European Pressure Ulcer Advisory Panel (EPUAP) and serves as Chair of the Scientific Committee since 2013. He also co- chairs the EPUAP Education Workstream. In 2016, he was a member of the International Scientific Committee of the World Union of Wound Healing Societies Conference. In March 2017, he chaired the 1st European Pressure Ulcer Prevention and Management Masterclass in Ghent. He is specialized in skin integrity research, clinical trials, healthcare education, implementation science and instrument development and validation. In 2013-2014, he authored the Belgian guidelines for pressure ulcer prevention and treatment (supported by the Belgian Healthcare Knowledge Centre, KCE). In 2015, he authored the International Best Practice Document about prevention and management of Incontinence- Associated Dermatitis, published by Wounds International. He acts as policy advisor of the Belgian Federal Public Service Health, Food Chain Safety, and Environment. He authored and co- authored over 80 scientific publications in international peer- reviewed journals. He presented his research in > 50 countries all over the world. He is Consulting Editor of the Journal of Wound, Ostomy and Continence Nursing, the Journal of Tissue Viability, as well as Associate Editor of BMC Geriatrics. Prof. Beeckman holds different Fellowships such as Sigma Theta Tau International Honor Society of Nursing and the European Academy of Nursing Science.
Prof. dr. Jan Kottner
staff members
Nele Van Damme
Nele Van Damme (MSc, RN) is a PhD student at the University Centre of Nursing and Midwifery. She holds a BSc. in Biotechnology, a BSc. in Nursing (with a supplementary education in Intensive Care and Emergencies), and a MSc. in Nursing and Midwifery. Her PhD focuses on the prevention of incontinence-associated dermatitis (IAD), and more specifically on a Cochrane systematic review, the identification of IAD risk factors in nursing home residents and critically ill patients, the development and validation of instruments measuring nurses’ knowledge and attitudes towards IAD prevention, and the identification of histopathological differences between IAD and pressure ulcers.
Karen Van den Bussche
Karen Van den Bussche is a PhD student at the University Centre for Nursing and Midwifery at Ghent University in Belgium. Karen holds a BSc. in Nursing (2010), a MSc. in Nursing and Midwifery (2012), and completed the Specific Teacher Training Program in Health Sciences in 2013. Her doctoral research focuses on the development and validation of a Core Outcome Set for clinical incontinence-associated dermatitis (IAD) research, and tools for IAD classification and observation. Previously, Karen worked for two years as a project researcher at the Nutrition and Food Safety unit within the Department of Public Health (Ghent University).
Dorien De Meyer
Dorien De Meyer is a PhD student at the University Centre for Nursing and Midwifery at Ghent University in Belgium. She holds a BSC. in Nursing and a MSc. in Nursing and Midwifery. Her doctoral thesis focuses on the prevention of pressure ulcers and Incontinence-Associated Dermatitis (IAD). Dorien has workexperience as (community) nurse and lecturer at University College vzw Odisee. She is member of the steering committee of EduWond, a cooperation of wound care education between the Ghent University, the University Colleges of Ghent and West-Flanders and the Ghent University Hospital.