{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T13:06:41Z","timestamp":1789132001030,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,12,20]],"date-time":"2017-12-20T00:00:00Z","timestamp":1513728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Incontinence\u2010associated dermatitis is a skin disorder evident as a complication of incontinence. It is characterized by perineal, buttock and groin erythema and skin breakdown. Incontinence\u2010associated dermatitis is a ubiquitous, nosocomial condition commonly present in critically ill patients in the intensive care unit. Critically ill patients, by the nature of their critical illness and therapies used to treat their presenting condition, are commonly predisposed to faecal incontinence and are consequently at high risk of developing incontinence\u2010associated dermatitis. However, this condition is under\u2010explored and under\u2010reported in the intensive care literature.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this paper is to provide a review of the literature relating to incontinence\u2010associated dermatitis from the  critically ill patients in the intensive care setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>There is a paucity of literature addressing this condition in the intensive care context, with only 11 studies identified. This paper will provide an overview of the definitions, prevalence and incidence of incontinence\u2010associated dermatitis. Furthermore, an exposition of incontinence\u2010associated dermatitis from the critically ill patient and intensive care nursing perspectives will be presented through a review of the skin barrier function, clinical presentation, risk factors, clinical assessment and severity categorization, prevention and management of incontinence\u2010associated dermatitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>It is imperative that critical care nurses have an appreciation of incontinence\u2010associated dermatitis as a common, yet preventable condition, and are equipped with knowledge to appropriately prevent and manage this common complication.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nicc.12331","type":"journal-article","created":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T04:43:25Z","timestamp":1513831405000},"page":"198-206","source":"Crossref","is-referenced-by-count":42,"title":["Incontinence\u2010associated dermatitis in the critically ill patient: an intensive care perspective"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8467-0081","authenticated-orcid":false,"given":"Fiona","family":"Coyer","sequence":"first","affiliation":[{"name":"School of Nursing, Queensland University of Technology and Intensive Care Services, Royal Brisbane and Women's Hospital, Metro North Hospital Health Service, Herston  Queensland 4006 Australia"},{"name":"Visiting Professor, Institute for Skin Integrity and Infection Prevention, University of Huddersfield  Huddersfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Campbell","sequence":"additional","affiliation":[{"name":"Skin Integrity Services, Royal Brisbane and Women's Hospital, Metro North Hospital Health Service, Herston  Queensland 4006 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2009.00593.x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2016.02.004"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2009.04986.x"},{"key":"e_1_2_12_5_1","first-page":"e3","article-title":"Pressure ulcers and incontinence\u2010associated dermatitis: effectiveness of the pressure ulcer classification education tool on classification by nurses","volume":"19","author":"Beeckman D","year":"2010","journal-title":"Quality & Safety in Health Care"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2011.16.8.382"},{"key":"e_1_2_12_7_1","volume-title":"Incontinence\u2010Associated Dermatitis: Moving Prevention Forward","author":"Beeckman D","year":"2015"},{"key":"e_1_2_12_8_1","first-page":"15","article-title":"The dangers of faecal incontinence in the at\u2010risk patient","volume":"3","author":"Bianchi J","year":"2012","journal-title":"Wounds International"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e31822272d9"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200607000-00004"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e318220b703"},{"key":"e_1_2_12_12_1","unstructured":"BohnenkampS MuzzyA PriestlyG. (2013). Quality improvement initiative decreases incontinence\u2010associated dermatitis 92%. 23rd Annual meeting of the Wound Healing Society and the Symposium on Advanced wound Care joint meeting Denver USA. 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(1996). Comparison of the efficacy and cost\u2010effectiveness of three skin protectants in the management of incontinent dermatitis. 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