Incontinence-associated dermatitis: a cross-sectional prevalence study in the Australian acute care hospital setting

Campbell, Jill L. and Coyer, Fiona M. and Osborne, Sonya R. (2014) Incontinence-associated dermatitis: a cross-sectional prevalence study in the Australian acute care hospital setting. International Wound Journal, 13 (3). pp. 403-411. ISSN 1742-4801


The purpose of this cross-sectional study was to identify the prevalence of incontinence and incontinence-associated dermatitis (IAD) in Australian acute care patients and to describe the products worn to manage incontinence, and those provided at the bedside for perineal skin care. Data on 376 inpatients were collected over 2days at a major Australian teaching hospital. The mean age of the sample group was 62years and 52% of the patients were male. The prevalence rate of incontinence was 24% (91/376). Urinary incontinence was significantly more prevalent in females (10%) than males (6%) (χ2 =4⋅458, df=1, P=0⋅035). IAD occurred in 10% (38/376) of the sample group, with 42% (38/91) of incontinent patients having IAD. Semi-formed and liquid stool were associated with IAD (χ2 =5⋅520, df=1, P=0⋅027). Clinical indication of fungal infection was present in 32%(12/38) of patients with IAD. Absorbent disposable briefs were the most common incontinence aids used (80%, 70/91), with soap/water and disposable wash cloths being the clean-up products most commonly available(60%, 55/91) at the bedside. Further data are needed to validate this high prevalence. Studies that address prevention of IAD and the effectiveness of management strategies are also needed.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Published version cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Health, Nursing and Midwifery
Date Deposited: 15 Jul 2019 05:30
Last Modified: 26 Jul 2019 03:30
Uncontrolled Keywords: Acute care; Cross-sectional study; Incontinence; Incontinence-associated dermatitis; Prevalence
Fields of Research : 11 Medical and Health Sciences > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care)
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Identification Number or DOI: 10.1111/iwj.12322

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