Using a validated Ostomy Skin Tool as clinical evidence in support of a ceramide infused skin barrier

Recently, case reports of ceramide infused ostomy skin barriers suggest a benefit in restoring and maintaining healthy peristomal skin¹.  Ceramides are naturally occurring intercellular lipids present in the stratum corneum that prevent moisture loss and guard against pathogens and irritants.  To explore the potential benefits of ceramide infused skin barriers on peristomal skin health an investigation using the validated Ostomy Skin Tool² (Jemec, et al 2011) as a method of peristomal skin assessment was conducted.  The Ostomy Skin Tool assesses skin Discoloration, Erosion and Tissue Overgrowth (DET). 

Aim: It was the aim of this investigation to assess peristomal skin prior to using ceramide infused skin barrier pouches and afterwards utilizing a validated tool.

Methods: The data presents the findings from 71 UK Stoma Care Nurses who selected 167 stoma patients. The nurses were provided with ceramide infused skin barrier pouches and asked to select patients for evaluation as a matter of standard care.  The patients were on a range of brands prior to evaluating the pouch.

Results:  Of the valid scores in the assessment (n=150), 6 (4%) are associated with a worsening of peristomal skin condition, 38 (25%) are associated with no change in skin condition, and 106 (71%) are associated with improvements in skin condition.

Conclusions: the data demonstrates improvements in peristomal skin condition with the use of a ceramide infused skin barrier when used as part of an overall skin care program.