Managing Incontinence-Associated Dermatitis

Abstract:

Incontinence, defined as the involuntary loss of urine or feces, significantly impacts physical, emotional, and social well-being across all age groups. Despite its prevalence—particularly in older adults—social stigma and embarrassment often prevent individuals from seeking help. A major consequence of unmanaged incontinence is moisture-associated skin damage (MASD), particularly incontinence-associated dermatitis (IAD), which results from prolonged skin exposure to urine or feces. IAD often presents with redness, inflammation, and increased skin pH, and is frequently misdiagnosed as a pressure ulcer. Effective prevention and treatment rely on structured skin care, correct product use, and informed care practices.

Conclusion:

IAD is a widespread and often overlooked issue that can severely affect quality of life. Prevention begins with regular skin assessments, use of pH-balanced cleansers, and appropriate barrier products. Carer education and proper continence pad selection are essential. Early detection and targeted care not only reduce skin damage and infections but also lower healthcare costs and improve patient dignity and comfort. Healthcare professionals must adopt evidence-based protocols and ensure individualized care to manage and prevent IAD effectively.

Holroyd, S. (n.d.). Moisture-associated skin damage caused by incontinence. UCC Today. https://www.ucc-today.com/journals/issue/launch-edition/article/moisture-associated-skin-damage-incontinence