CS14-040 A Prospective Non-Blinded Open-Label Case Series to Evaluate the Efficacy of a Skin Wellness System to Protect and Improve Incontinence-Associated Dermatitis and Treat Perineal Fungal Infection

Glenda Motta, BSN, MPH, ET, GM Associates Inc., GM Associates Inc., Loveland, CO, Marie Brown-Etris, RN, CWON, Etris Associates Inc., Southampton, PA and Deborah Hotep, MSN, ARNP, Independent, Tucson, AZ
Background: Evidence supports consistently using a defined skin care regimen to prevent and improve incontinence-associated dermatitis (IAD), including  gentle perineal cleansing, moisturizing, and  applying a barrier  or  anti-fungal product when Candida sp. or tinea cruris is present.

Purpose: This prospective, non-blinded open-label  case series evaluated the effectiveness of two combination product skin care regimens used on subjects in two long-term care facilities: #1  body wash and moisture barrier cream (n=9) for IAD  and #2  a 2-in-1 cleanser and antifungal cream (n=9) to treat perineal fungal infection.*

Method: The sample included 11 females and 7 males   affected by moisture-associated skin damage (MASD) such as erythema, maceration, denuded or  irritated unbroken skin, or  perineal fungal infection. Average  subject age was  77.2.  Regimen #1 or #2 was used  for a two-week period. Investigators assessed incontinence-associated dermatitis prevalence and severity  at enrollment, day 7  and day 14 utilizing the IAD Skin Assessment Tool . Between assessments, facility staff followed the assigned protocol.

Results:  Enrollment IAD scores for subjects using regimen #1  ranged from 1-8 (mean=5.0). For those using regimen #2, scores also ranged 1-8 (mean=4.89). At week 1,  scores in regimen #1  ranged from 0-7 (mean = 3.0); in regimen #2 from 0-7 (mean = 3.11). At week 2 scores ranged from 0-4 (mean = 1.67) for regimen #1 subjects and 0-5 (mean = 1.56) for regimen #2 subjects. Subjects demonstrated an average 67.4% decrease in IAD score from enrollment to 2 weeks. All subjects improved or completely resolved as evidenced by scores reported on the IAD Skin Assessment Tool.

Conclusion: Using these skin care regimens designed to work as a system, provides effective skin protection to improve and prevent worsening of IAD and help treat fungal infections in the perineal area.

*Kendall Body Wash & Shampoo, Moisture Barrier Cream, 2-in-1 Cleanser, Anti-fungal Cream