{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:43:01Z","timestamp":1777729381603,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,6,30]],"date-time":"2015-06-30T00:00:00Z","timestamp":1435622400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Intensive Care Society"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:p>There are limited data on the incidence and management of acute faecal incontinence with diarrhoea in the ICU. The FIRST\u2122 Observational Study was undertaken to obtain data on clinical practices used in the ICU for the management of acute faecal incontinence with diarrhoea in Germany, UK, Spain and Italy. ICU-hospitalised patients \u226518 years of age experiencing a second episode of acute faecal incontinence with diarrhoea in 24\u2009h were recruited, and management practices of acute faecal incontinence with diarrhoea were recorded for up to 15 days. A total of 372 patients had complete data sets; the mean duration of study was 6.8 days. At baseline, 40% of patients experienced mild or moderate-to-severe skin excoriation, which increased to 63% in patients with acute faecal incontinence with diarrhoea lasting &gt;15 days. At baseline, 27% of patients presented with a pressure ulcer, which increased to 37%, 45% and 49% at days 5, 10 and 15, respectively. Traditional methods (pads, sheets and tubes) were more commonly used compared to faecal management systems during days 1\u20134 (76% vs. 47% faecal management system), while the use of a faecal management system increased to 56% at days 5\u20139 and 61% at days 10\u201315. At baseline, only 26% of nurses were satisfied with traditional management methods compared to 69% with faecal management systems. For patients still experiencing acute faecal incontinence with diarrhoea after 15 days, 82% of nurses using a faecal management systems to manage acute faecal incontinence with diarrhoea were satisfied or very satisfied, compared to 37% using traditional methods. These results highlight that acute faecal incontinence with diarrhoea remains an important healthcare challenge in ICUs in Europe; skin breakdown and pressure ulcers remain common complications in patients with acute faecal incontinence with diarrhoea in the ICU.<\/jats:p>","DOI":"10.1177\/1751143715589327","type":"journal-article","created":{"date-parts":[[2015,7,1]],"date-time":"2015-07-01T21:09:45Z","timestamp":1435784985000},"page":"294-301","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Prevalence, clinical consequences and management of acute faecal incontinence with diarrhoea in the ICU: The FIRST\u2122 Observational Study"],"prefix":"10.1177","volume":"16","author":[{"given":"Rachel","family":"Binks","sequence":"first","affiliation":[{"name":"Airedale NHS Foundation Trust, West Yorkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrico","family":"De Luca","sequence":"additional","affiliation":[{"name":"Policlinico Tor Vergata, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Dierkes","sequence":"additional","affiliation":[{"name":"Hospital Barmherzige Br\u00fcder, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Franci","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliera Careggi, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Herrero","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Paz, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georg","family":"Niederalt","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,6,30]]},"reference":[{"key":"bibr1-1751143715589327","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2009.18.Sup3.41665"},{"key":"bibr2-1751143715589327","unstructured":"Bardsley A. More guidance on acute faecal incontinence is a priority.\n                      Continence UK Journal\n                      2007 (Suppl): 4."},{"key":"bibr3-1751143715589327","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2007.16.4.384"},{"key":"bibr4-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1046\/j.1198-743x.2001.00289.x"},{"key":"bibr5-1751143715589327","first-page":"56","volume":"52","author":"Beitz JM","year":"2006","journal-title":"Ostomy Wound Manage"},{"key":"bibr6-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1097\/01.WON.0000300279.82262.07"},{"key":"bibr7-1751143715589327","first-page":"5","volume":"1","author":"Binks R","year":"2007","journal-title":"Continence, UK"},{"key":"bibr8-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200003000-00007"},{"key":"bibr9-1751143715589327","unstructured":"Ousey K. An evaluation of the management of faecal incontinence in two intensive care units. Presented at the 7th Asia Pacific Nurses Convention (ASPAN), 30 June\u20132 July 2010, Singapore."},{"key":"bibr10-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1016\/j.enfi.2010.10.002"},{"key":"bibr11-1751143715589327","unstructured":"All Wales Guidelines for Faecal Management Systems. London, MA: Healthcare Ltd. Available at: http:\/\/www.welshwoundnetwork.org\/files\/6313\/8555\/6979\/all_wales-faecal_systems.pdf (2010, accessed 25 September 2013)."},{"key":"bibr12-1751143715589327","doi-asserted-by":"crossref","unstructured":"Cutting KF and White RJ. Maceration of the skin and wound bed 1: its nature and causes.\n                      J Wound Care\n                      2002; 11: 275\u2013278.","DOI":"10.12968\/jowc.2002.11.7.26414"},{"key":"bibr13-1751143715589327","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2011.16.8.382"},{"key":"bibr14-1751143715589327","unstructured":"European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. Available at: http:\/\/www.npuap.org\/wp-content\/uploads\/2012\/02\/Final_Quick_Prevention_for_web_2010.pdf (2010, accessed 18 June 2015)."},{"key":"bibr15-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1086\/589582"},{"key":"bibr16-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1086\/592710"},{"key":"bibr17-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1086\/502369"},{"key":"bibr18-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198901263200402"},{"key":"bibr19-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199908000-00006"},{"key":"bibr20-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1097\/01.WON.0000270820.91694.1f"},{"key":"bibr21-1751143715589327","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2007.27.4.42"},{"key":"bibr22-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2012.01.005"},{"key":"bibr23-1751143715589327","doi-asserted-by":"publisher","DOI":"10.3109\/00365529709011203"},{"key":"bibr24-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1177\/17511437130144S201"},{"key":"bibr25-1751143715589327","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-002-1487-z"}],"container-title":["Journal of the Intensive Care Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1751143715589327","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1751143715589327","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1751143715589327","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:55:00Z","timestamp":1777460100000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1751143715589327"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6,30]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,11]]}},"alternative-id":["10.1177\/1751143715589327"],"URL":"https:\/\/doi.org\/10.1177\/1751143715589327","relation":{},"ISSN":["1751-1437"],"issn-type":[{"value":"1751-1437","type":"print"}],"subject":[],"published":{"date-parts":[[2015,6,30]]}}}