GLOBIAD categorisation tool for monitoring of Incontinence-associated dermatitis

Abstract

Objective — to determine the categories of GLOBIAD in patients with incontinence­associated dermatitis (IAD) and to evaluate the effectiveness of topical use of camphor racemic solution in concentration of 0.1 g in 1 ml of sunflower oil.Materials and methods. Camphor racemic solution in concentration 0.1 g in 1 ml of sunflower oil was used in 104 patients with IAD to clean and protect the skin from urine and/or stool. Category evaluation of IAD wasmade by GLOBIAD categorisation tool. In 30 patients of the control group, routine skin care products were used. The comparison was performed before the start of treatment and in one month of treatment.Results and discussion. Topical application of the medication under study in patients with IAD resulted in significant decrease of the number of patients with 2B category — from 30 (28.8 %) to 16 (15.4 %) persons (χ2 = 22.1; p < 0.001) and in increase of the number of patients with 1A category — from 29 (27.9 %) to 52 (50.0 %) patients (χ2 = 21.0; p < 0.001). These results show similar efficacy of the test drug and of routine care regimen in both mild IAD (category 1A) and severe IAD with infection complications (category 2B).Conclusions. Topical application of camphor racemic solution to provide skin care stages in patients with IAD contributed to an improvement in the course of the disease by reducing the number of cases of patients with category 2B GLOBIAD and increasing the number of patients with category 1A, which reflected healing of erosion and eradication of concomitant local infection.