Lesiones por humedad. Revisión de conocimientos
Lesiones por humedad. Revisión de conocimientos
La dermatitis asociada a la incontinencia, una manifestación clínica de lesiones de la piel asociadas a la humedad, es un estado caracterizado por irritación e inflamación, y es una consideración común en pacientes con incontinencia urinaria y/o fecal. Debido a la localización y apariencia de estas "lesiones por humedad", a menudo se confunden con las úlceras por presión. Objetivo: Llevar a cabo una revisión bibliográfica acerca del término "lesiones por humedad". Método: Se realizó una búsqueda de datos mediante el metabuscador Gerion del Sistema Sanitario Público de Andalucía. El término empleado para la búsqueda fue el concepto "lesiones por humedad" en inglés ("moisture lesions"). La recolección de datos fue realizada por una sola persona. Se identificaron y analizaron 18 artículos en los que se trata el concepto "lesiones por humedad". Resultados y conclusiones: El diagnostico diferencial, usualmente basado en el examen visual, puede ayudar a determinar si está presente una úlcera por presión o una lesión por humedad. Los objetivos del tratamiento incluyen proteger la piel de un daño adicional por la exposición a irritantes y establecer un ambiente orientado a la curación. Esta revisión de la literatura subraya la escasa cantidad de información basada en la evidencia disponible y destaca la necesidad de realizar más estudios.Esto debería alentar a las enfermeras a prestar más atención a las lesiones por humedad y a su evaluación y tratamiento.
Incontinence-associated dermatitis, a clinical manifestation of moisture-associated skin damage, is a condition characterized by irritation and inflammation, and is a common consideration in patients with fecal and/or urinary incontinence. Due to the location and appearance of "moisture lesions", they are often mistaken for pressure ulcers. Objective: To perform a literature review about the term "moisture lesions". Methods: We conducted a search of data through the metasearch Gerion Andalusian Public Health System. The term used for search centered on the concept: "moisture lesions". Data extraction was performed by a single person. We identified and analyzed 18 articles in which the term "moisture lesions" is treated. Results and conclusions: Differential diagnosis, usually based on visual examination, can help determine whether incontinence-associated dermatitis or a pressure ulcer is present.Treatment goals include protection of the skin from further exposure to irritants and establishment of a healing environment. This review of literature underscores the scant amount of evidence-based information available and highlights the need for further studies. This should encourage nurses to pay closer attention to moisture lesions and its assessment and treatment.
Medical Subject Headings::Disciplines and Occupations::Health Occupations::Medicine::Public Health, Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Urological Manifestations::Lower Urinary Tract Symptoms::Urinary Incontinence, Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Motivation::Goals, Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Inflammation, Medical Subject Headings::Diseases::Skin and Connective Tissue Diseases::Skin Diseases::Dermatitis, Medical Subject Headings::Diseases::Skin and Connective Tissue Diseases::Skin Diseases::Dermatitis::Eczema, Medical Subject Headings::Psychiatry and Psychology::Psychological Phenomena and Processes::Psychophysiology::Arousal::Attention, Medical Subject Headings::Chemicals and Drugs::Chemical Actions and Uses::Specialty Uses of Chemicals::Irritants, Medical Subject Headings::Anatomy::Integumentary System::Skin, Medical Subject Headings::Diseases::Skin and Connective Tissue Diseases::Skin Diseases::Skin Ulcer::Pressure Ulcer, Medical Subject Headings::Named Groups::Persons::Single Person, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnosis, Differential, Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Disciplines and Occupations::Health Occupations::Medicine::Public Health, Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Urological Manifestations::Lower Urinary Tract Symptoms::Urinary Incontinence, Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Motivation::Goals, Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Inflammation, Medical Subject Headings::Diseases::Skin and Connective Tissue Diseases::Skin Diseases::Dermatitis, Medical Subject Headings::Diseases::Skin and Connective Tissue Diseases::Skin Diseases::Dermatitis::Eczema, Medical Subject Headings::Psychiatry and Psychology::Psychological Phenomena and Processes::Psychophysiology::Arousal::Attention, Medical Subject Headings::Chemicals and Drugs::Chemical Actions and Uses::Specialty Uses of Chemicals::Irritants, Medical Subject Headings::Anatomy::Integumentary System::Skin, Medical Subject Headings::Diseases::Skin and Connective Tissue Diseases::Skin Diseases::Skin Ulcer::Pressure Ulcer, Medical Subject Headings::Named Groups::Persons::Single Person, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnosis, Differential, Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
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