PIDComparison of Film-forming and Lipophilic Skin Protectants for Prevention of Incontinence-associated Dermatitis in Elderly Care

This study focuses on a skin condition called incontinence-associated dermatitis (IAD). IAD is a skin inflammation caused by prolonged contact with urine and/or stool, commonly affecting elderly and care-dependent individuals who experience incontinence. The goal of this research is to compare the effectiveness of two different skin protection products in preventing IAD, as currently, there's no clear evidence favoring one product over another. The study involves elderly nursing home residents and geriatric patients in Berlin, Germany, who are over 65 years old and experience urinary and fecal incontinence, but do not show severe IAD symptoms. The importance of this study lies in its potential to improve skin care routines and prevent IAD in the elderly population. During the 14-day study, participants are randomly divided into two groups. Each group receives a different skin protection product, either film-forming or lipophilic, in addition to their standard skin care routine. Every other day, investigators examine the skin and measure redness using special instruments. They also assess any IAD-related pain and itching. The primary outcome of the study is to determine the number of participants who develop IAD. The severity of IAD is classified using the Ghent Global IAD Categorisation Tool (GLOBIAD), which ranges from persistent redness without infection to skin loss with infection.