Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. Valls-Matarín J, Del Cotillo-Fuente M, Ribal-Prior R, Pujol-Vila M, Sandalinas-Mulero I. Valls-Matarín J, et al. Enferm Intensiva. 2017 Jan-Mar;28(1):13-20. doi: 10.1016/j.enfi.2016.11.001. Epub 2017 Jan 16. Enferm Intensiva. 2017. PMID: 28110903 English, Spanish. Some products may worsen acne. If your skin is prone to acne breakouts, look for the word "non-comedogenic" (will not clog pores) on the label. Some products may stain/discolor clothing. Ask your doctor or pharmacist for more details. Once saturated, wet skin is more susceptible to damage caused by friction and shearing forces, and further irritation and inflammation can occur as the normal skin flora is able to penetrate the disrupted skin barrier and activate the skin's well-developed immune defences ( Newman et al, 2007). Incontinence-associated dermatitis Derma Protective Plus is up to 60% cheaper than other leading brands, and could therefore present a significant cost saving to the NHS. Case 1. Skin vulnerable to IAD

Derma Plus Topical: Uses, Side Effects, Interactions - WebMD Derma Plus Topical: Uses, Side Effects, Interactions - WebMD

It is generally agreed that urinary incontinence on its own does not necessarily lead to IAD but, when combined with faecal incontinence or the passage of liquid stool, the risk increases significantly. This is thought to be because of overhydration of the epidermis and an increase in the skin pH away from the protective slightly acidic range. The change to a more alkaline pH activates digestive enzymes present in the faeces, which then further contribute to the damage caused to the epidermis. Liquid stool tends to be richer in digestive enzymes, and this, when combined with its elevated water content, is particularly damaging to the skin ( Gray et al, 2012). Preventing and treating moisture-associated skin damage At 2-week follow-up, the skin was reviewed and the inflammation previously noted had disappeared. The patient was no longer experiencing burning and itchiness as the Derma Protective Plus allowed the continence management pads to absorb more effectively. As a result, the skin's integrity and resilience improved and the risk of incidental abrasions or moisture-associated damage was minimised. Case 2. Minor/early IAD Immediate application of Derma Protective Plus over antifungal treatment is not contraindicated if it is allowed to dry completely before applying. Good compliance with skin management regimen was facilitated by the carers, with obvious positive results. Case 3. Moderate damageThe information in this section is from the information leaflet provided with Derma Protective Plus (Ennogen, Dartford). The risks of moisture-associated skin damage and incontinence-associated dermatitis remain a perennial concern for people with all forms of incontinence. The pain and embarrassment of living with these conditions (not to mention their costly, time-consuming treatment at the expense of the NHS) can be avoided or mitigated by ensuring evidence-based skin management protocols, which include the application of a skin-protectant moisture barrier. Before using this product, tell your doctor or pharmacist if you are allergic to any of the ingredients in the product; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Plus Skin Protective Cream | For Moisture Damage - Vyne Proshield Plus Skin Protective Cream | For Moisture Damage - Vyne

Incontinence-associated dermatitis (IAD) presents a significant financial burden for healthcare systems The skin barrier is further enhanced by the maintenance of an acidic surface with a pH of 4–6, termed the acid mantle. This helps to maintain a healthy balance of resident skin bacteria; it is also recognised that skin pH plays an important role in regulating skin health and stratum corneum cohesion ( Ali and Yosipovitch, 2013). A 68-year-old woman attended the continence clinic for management of recurrent and refractory urinary tract infections. The patient's older husband is her sole carer and she is a wheelchair user; she uses pads to manage urine leakage. For some time, she had been complaining of burning and irritation of her perinanal skin. In attempt to manage this, she applied liberal amounts of petroleum jelly daily. The patient had also recently developed antibiotic-associated diarrhoea (since hospitalisation for treatment with antibiotics) which increased the frequency of skin wiping with dry paper.Tell your doctor right away if you have any serious side effects, including: unusual changes in the skin (such as turning white/soft/soggy from too much wetness), signs of skin infection. Skin damage from IAD and MASD can be reversed with the incorporation of an effective moisture barrier into the skin care regimen Son GM, Lee IY, Yun MS, Youn JH, An HM, Kim KH, Yeo SM, Ku B, Kwon MS, Kim KH. Son GM, et al. Ann Surg Treat Res. 2022 Dec;103(6):360-371. doi: 10.4174/astr.2022.103.6.360. Epub 2022 Dec 8. Ann Surg Treat Res. 2022. PMID: 36601338 Free PMC article. For information on locally preferred dressings please refer to the Wound Management Formulary below The term moisture-associated skin damage (MASD) has been adopted to describe the spectrum of damage that results from prolonged exposure of a patient's skin to various sources of moisture, including urine or stool, perspiration, wound exudate, mucus and saliva ( Voegeli, 2019). However, MASD is a general umbrella term to describe any skin damage caused by moisture, and generally considered to include four commonly encountered separate conditions that often coexist. These are: incontinence-associated dermatitis (IAD); intertrigo; periwound moisture-associated dermatitis; and peristomal moisture-associated dermatitis ( Figure 1).

Derma Protective Plus Skin Protectant - Coloplast Charter

More recent models of skin barrier function suggest it comprises four separate components involving different layers of the skin (surface microbiome, chemical barrier, physical barrier and immune barrier) working in harmony to maintain overall skin integrity and offer some insight into the mechanisms involved in MASD ( Eyerich et al, 2018). Prolonged exposure of a patient's skin to excessive moisture is a major cause of skin breakdown but is often overlooked

The promotion and maintenance of skin integrity is a common challenge in all care settings and is often used as an indicator of the overall quality of nursing care provided. In simple terms, skin integrity can be defined as the skin being ‘whole, intact and undamaged’ and disruption to skin integrity can have a negative effect on patient wellbeing and quality of life ( Woo et al, 2017; Fletcher et al, 2020). Do not store the foam canister near high heat, and do not store or use it near an open flame. Because foam canisters are under pressure, do not puncture or burn the canister. The provision of optimal skin care is one of the most important actions that can be taken. Ideally, skin care provided to any patient with any form of MASD should be based on a structured regimen and involve the use of a gentle skin cleanser, a protectant (barrier product) and moisturiser (if indicated). The use of ordinary soap and water should be avoided as, in most cases, the pH of the soap is too alkaline and may contribute to the skin irritation ( Voegeli, 2012). Many newer cleansing products combine a cleanser with a protectant and moisturiser, and are pH balanced to help maintain the normal, slightly acidic skin pH. If your doctor has prescribed this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Derma Protective Plus has proven its effectiveness against MASD and IAD and provides a 60% cost saving to the NHS

Barrier creams and ointments | Drugs | BNF | NICE

Barrier products are designed to repel moisture and protect the skin from the harmful effects of repeated exposure to excessive moisture. Basic barrier preparations consist of a lipid/water emulsion base with the addition of metal oxides (such as zinc or titanium), which form a thin layer on the surface of the skin to repel potential irritants. The more sophisticated ones, often contain a water-repellent, silicone-based ingredient dimethicone, such as Derma Protective Plus.If you are using this product to help treat diaper rash, clean the diaper area well before use and allow the area to dry before applying the product. Tevik K, Helvik AS, Stensvik GT, Nordberg MS, Nakrem S. Tevik K, et al. BMC Health Serv Res. 2023 Oct 6;23(1):1068. doi: 10.1186/s12913-023-10088-4. BMC Health Serv Res. 2023. PMID: 37803376 Free PMC article. Given the large number of patients affected, the prevention and management of IAD presents a significant financial burden for healthcare systems. Therefore, it is important to use a competitively priced effective product, such as Derma Protective Plus. Derma Protective Plus has proven its effectiveness against MASD and IAD and provides a 60% cost saving to the NHS compared with the brand leader. The product is effective in promoting optimum skin integrity in the management of both urinary and faecal incontinence. KEY POINTS Disruption of these carefully balanced mechanisms can lead to either excessive skin dryness (xerosis) or too much water (which can predispose the skin to MASD), both of which can cause the skin barrier to fail.