References

Beeckman D, Van Lancker A, Van Hecke A, Verhaeghe S. A systematic review and meta-analysis of incontinence-associated dermatitis, incontinence, and moisture as risk factors for pressure ulcer development. Res Nurs Health. 2014; 37:(3)204-18 https://doi.org/10.1002/nur.21593

Incontinence-associated dermatitis: moving prevention forward. 2015. https://tinyurl.com/jmssftc (accessed 1 August 2022)

Dissemond J, Assenheimer B, Gerber V Moisture-associated skin damage (MASD): a best practice recommendation from Wund-D.A.CH. J Dtsch Dermatol Ges. 2021; 19:(6)815-825 https://doi.org/10.1111/ddg.14388

Dowsett C, Allen L. Moisture-associated skin damage made easy. Wounds UK. 2013; 9:(4)1-4

Dowsett C. T.I.M.E. to improve patient outcomes: use of a clinical decision support tool to optimise wound care. Br J Community Nurs. 2019; 24:S6-S11 https://doi.org/10.12968/bjcn.2019.24.Sup3.S6

Gray M, Black JM, Baharestani MM Moisture-associated skin damage: overview and pathophysiology. J Wound Ostomy Continence Nurs. 2011; 38:(3)233-241 https://doi.org/10.1097/WON.0b013e318215f798

Gray M, Bliss DZ, McNichol L, Cartwright D. Moisture-associated skin damage: a historic step forward. J Wound Ostomy Continence Nurs. 2021; 48:(6)581-583 https://doi.org/10.1097/WON.0000000000000827

Guest JF, Ayoub N, McIlwraith T Health economic burden that different wound types impose on the UK's National Health Service. Int Wound J. 2017; 14:(2)322-330 https://doi.org/10.1111/iwj.12603

Moore Z, Butcher G, Corbett LQ, McGuiness W, Snyder RJ, van Acker K. Exploring the concept of a team approach to wound care: managing wounds as a team. J Wound Care. 2014; 23:S1-S38 https://doi.org/10.12968/jowc.2014.23.Sup5b.S1

Moore Z, Dowsett C, Smith G TIME CDST: an updated tool to address the current challenges in wound care. J Wound Care. 2019; 28:(3)154-161 https://doi.org/10.12968/jowc.2019.28.3.154

Medicareplus International. Skin moisture alert reporting tool. https://tinyurl.com/2p9p4ukj (accessed 1 August 2022)

National Pressure Injury Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers/injuries: clinical practice guideline International guidelines. 2019. https://www.internationalguideline.com (accessed 1 August 2022)

Parnham A, Copson D, Loban T. Moisture-associated skin damage: causes and an overview of assessment, classification and management. Br J Nurs. 2020; 29:S30-S37 https://doi.org/10.12968/bjon.2020.29.12.S30

Schultz GS, Sibbald RG, Falanga V Wound bed preparation: a systematic approach to wound management. Wound Repair Regen. 2003; 11:S1-28 https://doi.org/10.1046/j.1524-475x.11.s2.1.x

Shaked E, Gefen A. Modeling the effects of moisture-related skin-support friction on the risk for superficial pressure ulcers during patient repositioning in bed. Front Bioeng Biotechnol. 2013; 1 https://doi.org/10.3389/fbioe.2013.00009

Surber C, Kottner J. Skin care products: What do they promise, what do they deliver. J Tissue Viability. 2017; 26:(1)29-36 https://doi.org/10.1016/j.jtv.2016.03.006

Voegeli D. Moisture-associated skin damage: aetiology, prevention and treatment. Br J Nurs. 2012; 21:(9)517-521 https://doi.org/10.12968/bjon.2012.21.9.517

World Health Organization. EK02.2. Irritant contact dermatitis due to friction, sweating or contact with body fluids. ICD-11 for Mortality and Morbidity Statistics. (version: 02/2022). 2022. https://tinyurl.com/2p824fxz (accessed 1 August 2022)

Tissue Viability

Moisture-associated skin damage: a framework to guide decision making

11 August 2022
Comment
02 August 2022
Volume 31 · Issue 15

Moisture-associated skin damage (MASD) is the term used to describe a range of skin damage caused by the direct contact of body fluids with the skin (Gray et al, 2021). Recently, the International Classification of Diseases-11 (ICD-11) (World Health Organization, 2022) referred to this class of skin damage as irritant contact dermatitis due to friction, sweating or contact with body fluids (EK02.2). The MASD umbrella term currently incorporates incontinence-associated dermatitis, intertriginous dermatitis (intertrigo), periwound dermatitis and peristomal dermatitis (Dowsett and Allen, 2013).

ICD-11 expanded the classification of skin damage by adding two categories: contact dermatitis due to saliva and dermatitis due to contact with prostheses or surgical appliances. At present, there is still no international consensus on terminology and no international evidence-based published guidelines on MASD. For this reason, clinicians must follow local guidance when documenting MASD. Documentation has implications for healthcare providers and institutions looking to quantify the quality of care and benchmark against other institutions internationally. An international consensus framework would also inform evidence-based guideline development in the prevention and treatment of MASD.

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