The influence of incontinence on the characteristic properties of the skin in bedridden elderly subjects

Background The mechanisms of skin breakdown induced by incontinence have been proposed from a variety of experimental studies. However, studies on the influence of skin properties caused by incontinence of bedridden subjects are very limited. Objective This work was conducted to reveal how incontine...

Full description

Saved in:

Bibliographic Details
Published in:	International journal of dermatology Vol. 55; no. 5; pp. e234 - e240
Main Authors:	Fujimura, Tsutomu, Makino, Mayumi, Takagi, Miyuki, Maki, Kumiko, Murakami, Emiko, Tasaka, Yoshiko, Sato, Noriko, Akiba, Shunichi, Hotta, Mitsuyuki, Kitahara, Takashi, Ando, Kikue
Format:	Journal Article
Language:	English
Published:	England Blackwell Publishing Ltd 01-05-2016
Subjects:	Adult Aged Aged, 80 and over Buttocks Case-Control Studies Fecal Incontinence - complications Female Humans Hydrogen-Ion Concentration Immobilization Male Middle Aged Skin - microbiology Skin Physiological Phenomena Urinary Incontinence - complications Water Loss, Insensible
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Background The mechanisms of skin breakdown induced by incontinence have been proposed from a variety of experimental studies. However, studies on the influence of skin properties caused by incontinence of bedridden subjects are very limited. Objective This work was conducted to reveal how incontinence influences skin properties by comparing bedridden incontinent elderly subjects with age‐matched healthy continent elderly and middle‐aged subjects. Methods Bedridden incontinent elderly subjects (n = 35, 83.5 ± 9.7 years, mean age ± SD), healthy continent elderly (n = 41, 75.9 ± 5.6 years), and middle‐aged (n = 20, 41.3 ± 2.8 years) were recruited for this study. Skin surface pH, capacitance/hydration, transepidermal water loss, and bacteria on forearm and buttock skin were measured. Results Hydration and transepidermal water loss values between healthy elderly subjects and incontinent elderly subjects were significantly different on buttock skin. Significant differences between those two groups were also observed regarding pH and total bacteria levels on buttock skin. The forearm skin showed no significant difference in these parameters. No significant influence was observed between with and without urination at the measurement time except for the pH of buttock skin. No significant correlation was observed except between pH and bacteria levels on buttock skin of incontinent elderly subjects. Conclusion In this study, we clarified the characteristic features of skin induced by incontinence. Our results indicate that these parameters are adequate not only to evaluate the characteristic skin features of bedridden incontinent subjects but also to develop new diapers to avoid the diaper dermatitis caused by incontinence.
Bibliography:	istex:75DEB942DB1AFF87FE99F0376646BAFBC9A59130 ark:/67375/WNG-Q25S8GZD-4 Kao Corporation ArticleID:IJD13170 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0011-9059 1365-4632
DOI:	10.1111/ijd.13170