Moisture‐associated skin damage (MASD): A best practice recommendation from Wund‐D.A.CH

Summary Wund‐D.A.CH., as the umbrella organization of German‐speaking wound treatment societies, has currently developed a best practice recommendation for skin damage caused by body fluids, which is known as moisture‐associated skin damage (MASD) in English‐speaking countries. In this expert consen...

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Bibliographic Details
Published in:Journal der Deutschen Dermatologischen Gesellschaft 2021-06, Vol.19 (6), p.815-825
Main Authors: Dissemond, Joachim, Assenheimer, Bernd, Gerber, Veronika, Hintner, Marianne, Puntigam, Magareta Jukic, Kolbig, Norbert, Koller, Sonja, Kurz, Peter, Läuchli, Severin, Probst, Sebastian, Protz, Kerstin, Steiniger, Alfred, Strohal, Robert, Traber, Jürg, Kottner, Jan
Format: Article
Language:English
Subjects:
Body fluids
Cofactors
Contact dermatitis
Dermatitis
Gram-negative bacteria
Intertrigo
Irritation
Skin
Skin diseases
Wounds
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Summary:Summary Wund‐D.A.CH., as the umbrella organization of German‐speaking wound treatment societies, has currently developed a best practice recommendation for skin damage caused by body fluids, which is known as moisture‐associated skin damage (MASD) in English‐speaking countries. In this expert consensus, the diseases incontinence‐associated dermatitis (IAD), intertriginous dermatitis, including intertrigo, gram‐negative bacterial toe web infection and toxic contact dermatitis, including periwound and peristomal dermatitis are presented in a differentiated manner. A common feature of these clinical diseases is a deterioration of skin integrity due to prolonged exposure to body fluids such as urine, stool, sweat or wound exudate with associated physical‐irritative and/or chemical irritation. In addition, other comorbidities and cofactors play an important role. The diagnosis of these interdisciplinary and interprofessionally relevant MASD is difficult in everyday clinical practice because there are currently no uniform definitions and many relevant differential diagnoses. Effective strategies for the prevention and therapy of these skin diseases are, for example, continence management, use of efficient, absorbent aids with good retention as well as consistent skin protection and adequate skin care. Another important aspect is the education of patients and relatives about the origin, treatment and prevention of MASD.
ISSN:1610-0379
1610-0387
DOI:10.1111/ddg.14388