Effect of catheter drainage combined with stoma bags in the management of fecal incontinence associated dermatitis: a Meta-analysis

Abstract

Objective To evaluate the effect and cost-benefit of catheter drainage combined with stoma bags in the management of fecal incontinence associated dermatitis. Methods Cochrane Library, PubMed, Embase, Web of Science, Chinese Biomedical Medical Disc, China National Knowledge Infrastructure, Wanfang database and VIP database were searched up to March 2016 for the relative randomized controlled trials of catheter drainage combined with stoma bags in the management of fecal incontinence associated dermatitis. Two researchers independently extracted data and evaluated the quality of literature. Then, meta-analysis was performed by using RevMan 5.3 software. Results A total of eight RCTs were involved and 788 patients were included in the research. Meta-analysis showed that compared with the traditional method, catheter drainage combined with stoma bags improved the effective rate of management in patients with fecal incontinence associated dermatitis (RR=1.40, 95%CI(1.13, 1.72), P=0.002); reduced the incidence rate of incontinence associated dermatitis [RR=0.16, 95%CI(0.09, 0.31), P<0.000 01]; and reduced nursing time [MD=-0.91, 95%CI(-1.31, -0.51), P<0.000 01]. Conclusions Meta-analysis showed that, the effect of catheter drainage combined with stoma bags in the management of fecal incontinence associated dermatitis is better than the routine skin care method. However, the included studies is not enough, so a large sample of high-quality RCTs are needed for further verification. Key words: Catheter drainage; Stoma bag; Incontinence associated dermatitis; Meta analysis