Does the presence of bacterial urinary infection contribute to the development of incontinence-associated dermatitis? A scoping review

Sofoklis Koudounas, Yuko Mugita, Takeo Minematsu, Gojiro Nakagami, Carolina Weller, Hiromi Sanada

Research output: Contribution to journalReview ArticleResearchpeer-review

Abstract

Objective: Incontinence-associated dermatitis (IAD) is an inflammatory skin condition caused by the repeated exposure to urine and faeces. It is not common for urinary incontinence only to cause IAD, however patients with urinary tract infections (UTIs) are also at increased risk for IAD. This scoping review aimed to provide a summary of the relationship between bacterial urinary infections and IAD. Methods: We conducted a scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. PubMed, CINAHL, Medline, and Web of Science were searched for relevant articles from January 2007 through February 2020. Results: Based on eligibility criteria, 13 research studies and review articles were included. Despite the acknowledged role of bacterial infections can play in IAD and the importance of eradicating infections for the prevention of skin breakdown, there have been limited studies that have investigated how uropathogenic bacteria, in combination with urine, lead to skin damage and IAD. The use of urinary catheters also predisposes to UTIs; however, prevalence/incidence rates of IAD in these patients are not clear, as they were considered as continent of urine in the included studies. Conclusion: Further research is needed to elucidate the mechanisms of how bacteria, in combination with urine, lead to IAD.

Original languageEnglish
Pages (from-to)256-261
Number of pages6
JournalJournal of tissue viability
Volume30
Issue number2
DOIs
Publication statusPublished - May 2021

Keywords

  • Bacterial urinary infection
  • Incontinence-associated dermatitis
  • Skin health
  • Urinary incontinence
  • Urinary tract infections

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