Moisture-associated skin damage

Overview and pathophysiology

Mikel Gray, Joyce Marie Black, Mona M. Baharestani, Donna Z. Bliss, Janice C. Colwell, Margaret Goldberg, Karen L. Kennedy-Evans, Susan Logan, Catherine R. Ratliff

Research output: Contribution to journalArticle

113 Citations (Scopus)

Abstract

Moisture-associated skin damage (MASD) is caused by prolonged exposure to various sources of moisture, including urine or stool, perspiration, wound exudate, mucus, saliva, and their contents. MASD is characterized by inflammation of the skin, occurring with or without erosion or secondary cutaneous infection. Multiple conditions may result in MASD; 4 of the most common forms are incontinence-associated dermatitis, intertriginous dermatitis, periwound moisture-associated dermatitis, and peristomal moisture-associated dermatitis. Although evidence is lacking, clinical experience suggests that MASD requires more than moisture alone. Instead, skin damage is attributable to multiple factors, including chemical irritants within the moisture source, its pH, mechanical factors such as friction, and associated microorganisms. To prevent MASD, clinicians need to be vigilant both in maintaining optimal skin conditions and in diagnosing and treating minor cases of MASD prior to progression and skin breakdown.

Original languageEnglish (US)
Pages (from-to)233-241
Number of pages9
JournalJournal of Wound, Ostomy and Continence Nursing
Volume38
Issue number3
DOIs
StatePublished - May 1 2011

Fingerprint

Skin
Dermatitis
Friction
Irritants
Exudates and Transudates
Mucus
Coinfection
Saliva
Urine
Inflammation
Wounds and Injuries

ASJC Scopus subject areas

  • Medical–Surgical
  • Advanced and Specialized Nursing

Cite this

Gray, M., Black, J. M., Baharestani, M. M., Bliss, D. Z., Colwell, J. C., Goldberg, M., ... Ratliff, C. R. (2011). Moisture-associated skin damage: Overview and pathophysiology. Journal of Wound, Ostomy and Continence Nursing, 38(3), 233-241. https://doi.org/10.1097/WON.0b013e318215f798

Moisture-associated skin damage : Overview and pathophysiology. / Gray, Mikel; Black, Joyce Marie; Baharestani, Mona M.; Bliss, Donna Z.; Colwell, Janice C.; Goldberg, Margaret; Kennedy-Evans, Karen L.; Logan, Susan; Ratliff, Catherine R.

In: Journal of Wound, Ostomy and Continence Nursing, Vol. 38, No. 3, 01.05.2011, p. 233-241.

Research output: Contribution to journalArticle

Gray, M, Black, JM, Baharestani, MM, Bliss, DZ, Colwell, JC, Goldberg, M, Kennedy-Evans, KL, Logan, S & Ratliff, CR 2011, 'Moisture-associated skin damage: Overview and pathophysiology', Journal of Wound, Ostomy and Continence Nursing, vol. 38, no. 3, pp. 233-241. https://doi.org/10.1097/WON.0b013e318215f798
Gray, Mikel ; Black, Joyce Marie ; Baharestani, Mona M. ; Bliss, Donna Z. ; Colwell, Janice C. ; Goldberg, Margaret ; Kennedy-Evans, Karen L. ; Logan, Susan ; Ratliff, Catherine R. / Moisture-associated skin damage : Overview and pathophysiology. In: Journal of Wound, Ostomy and Continence Nursing. 2011 ; Vol. 38, No. 3. pp. 233-241.
@article{dbbb7323f1694456b6aad6112f80e41f,
title = "Moisture-associated skin damage: Overview and pathophysiology",
abstract = "Moisture-associated skin damage (MASD) is caused by prolonged exposure to various sources of moisture, including urine or stool, perspiration, wound exudate, mucus, saliva, and their contents. MASD is characterized by inflammation of the skin, occurring with or without erosion or secondary cutaneous infection. Multiple conditions may result in MASD; 4 of the most common forms are incontinence-associated dermatitis, intertriginous dermatitis, periwound moisture-associated dermatitis, and peristomal moisture-associated dermatitis. Although evidence is lacking, clinical experience suggests that MASD requires more than moisture alone. Instead, skin damage is attributable to multiple factors, including chemical irritants within the moisture source, its pH, mechanical factors such as friction, and associated microorganisms. To prevent MASD, clinicians need to be vigilant both in maintaining optimal skin conditions and in diagnosing and treating minor cases of MASD prior to progression and skin breakdown.",
author = "Mikel Gray and Black, {Joyce Marie} and Baharestani, {Mona M.} and Bliss, {Donna Z.} and Colwell, {Janice C.} and Margaret Goldberg and Kennedy-Evans, {Karen L.} and Susan Logan and Ratliff, {Catherine R.}",
year = "2011",
month = "5",
day = "1",
doi = "10.1097/WON.0b013e318215f798",
language = "English (US)",
volume = "38",
pages = "233--241",
journal = "Journal of Wound, Ostomy and Continence Nursing",
issn = "1071-5754",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Moisture-associated skin damage

T2 - Overview and pathophysiology

AU - Gray, Mikel

AU - Black, Joyce Marie

AU - Baharestani, Mona M.

AU - Bliss, Donna Z.

AU - Colwell, Janice C.

AU - Goldberg, Margaret

AU - Kennedy-Evans, Karen L.

AU - Logan, Susan

AU - Ratliff, Catherine R.

PY - 2011/5/1

Y1 - 2011/5/1

N2 - Moisture-associated skin damage (MASD) is caused by prolonged exposure to various sources of moisture, including urine or stool, perspiration, wound exudate, mucus, saliva, and their contents. MASD is characterized by inflammation of the skin, occurring with or without erosion or secondary cutaneous infection. Multiple conditions may result in MASD; 4 of the most common forms are incontinence-associated dermatitis, intertriginous dermatitis, periwound moisture-associated dermatitis, and peristomal moisture-associated dermatitis. Although evidence is lacking, clinical experience suggests that MASD requires more than moisture alone. Instead, skin damage is attributable to multiple factors, including chemical irritants within the moisture source, its pH, mechanical factors such as friction, and associated microorganisms. To prevent MASD, clinicians need to be vigilant both in maintaining optimal skin conditions and in diagnosing and treating minor cases of MASD prior to progression and skin breakdown.

AB - Moisture-associated skin damage (MASD) is caused by prolonged exposure to various sources of moisture, including urine or stool, perspiration, wound exudate, mucus, saliva, and their contents. MASD is characterized by inflammation of the skin, occurring with or without erosion or secondary cutaneous infection. Multiple conditions may result in MASD; 4 of the most common forms are incontinence-associated dermatitis, intertriginous dermatitis, periwound moisture-associated dermatitis, and peristomal moisture-associated dermatitis. Although evidence is lacking, clinical experience suggests that MASD requires more than moisture alone. Instead, skin damage is attributable to multiple factors, including chemical irritants within the moisture source, its pH, mechanical factors such as friction, and associated microorganisms. To prevent MASD, clinicians need to be vigilant both in maintaining optimal skin conditions and in diagnosing and treating minor cases of MASD prior to progression and skin breakdown.

UR - http://www.scopus.com/inward/record.url?scp=79957986600&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79957986600&partnerID=8YFLogxK

U2 - 10.1097/WON.0b013e318215f798

DO - 10.1097/WON.0b013e318215f798

M3 - Article

VL - 38

SP - 233

EP - 241

JO - Journal of Wound, Ostomy and Continence Nursing

JF - Journal of Wound, Ostomy and Continence Nursing

SN - 1071-5754

IS - 3

ER -