Stoma care products represent a common and previously underreported source of peristomal contact dermatitis.
Stoma care products represent a common and previously underreported source of peristomal contact dermatitis.
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DOI：
10.1111/cod.12678
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发表时间：
2017-01
影响因子：
5.5
通讯作者：
Zippin JH
中科院分区：
文献类型：
--
作者：
Cressey BD;Belum VR;Scheinman P;Silvestri D;McEntee N;Livingston V;Lacouture ME;Zippin JH
造口周围皮炎是美国700000多例造口患者的常见并发症。造口皮肤护理产品（SSCP）在造口周围皮炎中的作用知之甚少。评价SSCP作为造口周围皮炎的原因。2010年1月至2014年3月4家学术医院的造口周围皮炎患者的回顾性病历审查。记录患者人口统计学、临床信息以及使用试验和斑贴试验结果。对18例确诊为造口周围皮炎的患者进行了检测。造口周围接触性皮炎的发生率为12/18。我们确定了许多造口皮肤护理产品作为刺激性和/或过敏性接触性皮炎的触发器。使用的和/或涉及皮炎的最常见造口皮肤护理产品是Cavilon™无刺屏障膜。我们的数据支持一种范式转变，即医疗保健工作者治疗造口周围皮炎患者，目前认为主要是对体液的反应，现在必须考虑这些用于保护皮肤的产品作为这种疾病的潜在触发因素。因此，造口周围皮炎患者应测试其造口皮肤护理剂，以确定是否需要删除或更换这些产品。此外，制造商的完整成分标签将有助于识别新的过敏原和刺激物。
Peristomal dermatitis is a common complication for the 700000+ patients in the US with an ostomy. The role of stoma skin care products (SSCP) in peristomal dermatitis is poorly understood. To evaluate SSCPs as a cause of peristomal dermatitis. Retrospective chart review of patients with peristomal dermatitis at 4 academic hospitals from Jan 2010 to March 2014. Patient demographics, clinical information, and use test and patch test results were documented. 18 patients identified with peristomal dermatitis were tested. The frequency of peristomal contact dermatitis was 12/18. We identified numerous stoma skin care products as triggers of irritant and/or allergic contact dermatitis. The most common stoma skin care product used and/or involved in dermatitis was Cavilon™ No Sting Barrier Film. Our data support a paradigm shift where health care workers treating patients with peristomal dermatitis, currently considered a reaction mainly to bodily fluids, must now consider those products used to protect the skin as potential triggers for this disease. Therefore, patients with peristomal dermatitis should be tested to their stoma skin care agents to determine the need for removing or changing these products. Additionally, full ingredient labeling by manufacturers would help identify new allergens and irritants.
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影响因子：
5.5
作者：
Lazarov, A;Trattner, A
通讯作者：
Trattner, A
影响因子：
3.7
作者：
Meisner, Soren;Lehur, Paul-Antoine;Jemec, Gregor Borut Ernst
通讯作者：
Jemec, Gregor Borut Ernst
影响因子：
5.5
作者：
Goossens, A;Detienne, T;Bruze, M
通讯作者：
Bruze, M
DOI：
10.1016/s0190-9622(98)70587-0
发表时间：
1998-06-01
影响因子：
13.8
作者：
Marks, JG;Belsito, DV;Taylor, JS
通讯作者：
Taylor, JS
影响因子：
10.3
作者：
Al-Niaimi, F.;Beck, M.;Lyon, C.
通讯作者：
Lyon, C.