
Peristomal Medical Adhesive-Related Skin Injury
Author(s) -
Kimberly LeBlanc,
Ian Whiteley,
Laurie McNichol,
Ginger Salvadalena,
Mikel Gray
Publication year - 2019
Publication title -
journal of wound, ostomy, and continence nursing/journal of wocn
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.635
H-Index - 51
eISSN - 1528-3976
pISSN - 1071-5754
DOI - 10.1097/won.0000000000000513
Subject(s) - medicine , dermatology , general surgery
Stomal and peristomal skin complications (PSCs) are prevalent in persons living with an ostomy; more than 80% of individuals with an ostomy will experience a stomal or peristomal complication within 2 years of ostomy surgery. Peristomal skin problems are especially prevalent, and a growing body of evidence indicates that they are associated with clinically relevant impairments in physical function, multiple components of health-related quality of life, and higher costs. Several mechanisms are strongly linked to PSCs including medical adhesive-related skin injuries (MARSIs). Peristomal MARSIs are defined as erythema, epidermal stripping or skin tears, erosion, bulla, or vesicle observed after removal of an adhesive ostomy pouching system. A working group of 3 clinicians with knowledge of peristomal skin health completed a scoping review that revealed a significant paucity of evidence regarding the epidemiology and management of peristomal MARSIs. As a result, an international panel of experts in ostomy care and peristomal MARSIs was convened that used a formal process to generate consensus-based statements providing guidance concerning the assessment, prevention, and treatment of peristomal MARSIs. This article summarizes the results of the scoping review and the 21 consensus-based statements used to guide assessment, prevention, and treatment of peristomal MARSIs, along with recommendations for research priorities.