The Next Generation of Ostomy Skin Barriers: Ceramide Infused Barrier

Peristomal skin complications range from 6-80%. When an ostomate experiences skin issues it becomes a challenge for the patient and Enterostomal nurse (ET). Skin complications decrease wear time, leads to frustration, negatively impacts quality of life, and creates financial burdens. Studies have shown that ceramide is a building block of healthy skin. This poster will demonstrate how the addition of a ceramide infused barrier has shown positive outcomes for four ostomy patients. 

#1: 61 year old female paraplegic with colostomy and ileal conduit presented with denuded peristomal skin to her colostomy at the mucocutaneous junction. Previous product included a moldable barrier and adhesive remover. A ceramide infused barrier was applied with complete healing in 8 weeks

#2: 26 year old male with loop colostomy, small parastomal hernia and sensitive skin presented with peristomal erythema and papules around the entire stoma. No leakage. Ceramide infused barrier applied with complete healing.

#3: 80 year old female with ileal conduit present two weeks post operatively with a rash to her peristomal skin. Using aloe gel, skin protective wipe and barrier ring. Ceramide infused barrier was applied after removing all barrier wipes she had complete healing.

#4: 73 year old male with ileal conduit, large parastomal hernia and eczema presented with dermatitis to peristomal skin due to constant leakage. Ceramide infused barrier applied in combination with a barrier ring, belt and protection from tape, improvement was noted by day 16.

Conclusions: Peristomal breakdown is challenging for the Ostomate and ET. Ceramide barriers have shown positive outcomes for the ET and patient. This poster represents only four individual case studies. Additional studies would be needed to determine the impact ceramide infused barriers have on peristomal skin health.

The four case studies demonstrated improved outcome for these patients.