Management of incontinence associated dermatitis

The incidence of incontinence associated dermatitis (IAD) is increasing as we are seeing individuals living longer with complex clinical needs. This article will discuss a practical approach to understanding risk factors to this skin problem alongside how to assess and manage continence and skin problems hand in hand.

The NHS estimates that between 3 and 6 million people in the UK have some degree of urinary incontinence.¹

Therefore, in this practical guide the focus will be on prevention and management of IAD through thorough continence assessment, management and skin care.

Definition

IAD is a type of contact dermatitis that occurs in individuals who have urinary or/and faecal incontinence, often causing significant discomfort, and reduced quality of life.² Buttocks, hips, genitals, and the perineum are the areas that may be affected.