2016年6月6日 · It describes how to perform routine peristomal skin care; identifies the causes, clinical features, and prevention of these problems; and discusses appropriate interventions. Skin barriers (the wafers that adhere to the skin where the ostomy pouch attaches) come in two common types—two-piece and once-piece systems.

Peristomal skin breakdown is a common complication associated with surgical stomas. It is characterized by skin irritation, redness, inflammation, and even ulceration around the stoma. The skin around the stoma is called peristomal skin, and it must be dry and intact for an ostomy pouching system to adhere properly.

2023年7月14日 · Peristomal skin complications (PSCs) include inflammation, injury, or damage to the skin surrounding an abdominal stoma. PSCs are among the most common challenges faced by people living with an ostomy, with as high as 80% reported incidence.

This article focuses on three peristomal skin problems common in both inpatients and home healthcare patients—allergic contact dermatitis, irritant dermatitis, and fungal infection. It describes how to per-form routine peristomal skin care; identi-fies the causes, clinical features, and pre-vention of these problems; and discusses

2019年3月14日 · Practitioners need to have a good understanding of the causes of skin breakdown and how to treat and prevent it. Appliances and accessories need to be assessed to ensure they are appropriate for each individual stoma to prevent leakage of effluent and maintain healthy peristomal skin.

2016年9月3日 · Peristomal skin complications are shown to affect 18%–73% of patients. 1,4,6,8–12 Ileostomies, and in particular loop ileostomies, are responsible for the greatest proportion of peristomal skin complications. 1,2,4–6,11 Complications range from mild irritation to full thickness ulcerations leading to pain, anxiety, and in some cases ...

2019年3月14日 · This article focuses on good skin care regimens, preventing skin damage, particularly peristomal damage, assessing and treating specific peristomal skin conditions, and patient education. The majority (70%) of ostomates experience peristomal complications with the most prevalent being skin damage ( Gray et al, 2013 ).

In the following pages you will find examples of different peristomal skin conditions and we will provide suggestions for treatment and specific suggestions for intervention and management. Transient erythema or “blushing” of the skin is normal when removing an ostomy pouch.

The most common problems that can occur with the peristomal skin are: peristomal skin excoriation or irritation; mechanical irritation; allergy/sensitivity; folliculitis; and monilia. Other causes of skin irritation may be due to the construction/shape/size of the stoma, abdominal contours (dips and creases), changes in weight, or incorrect ...

2014年5月22日 · Use of chemical preparations (such as cleansers, liquid skin barriers, soaps, and adhesives) can also break down the peristomal skin. This type of skin breakdown is referred to as an irritant contact dermatitis; for example, if the soap used to clean the peristomal skin hadn’t been completely removed before the ostomy pouch was applied, the ...