Using a novel breathable silicone adhesive (Sil2 technology) in stoma appliances to improve peristomal skin health: answering the key questions

2021 ◽  
Vol 30 (Sup8) ◽  
pp. 19-24
Author(s):  
Fiona Le Ber
Keyword(s):  
Skin Damage ◽  
Skin Injury ◽  
Moisture Management ◽  
Silicone Adhesive ◽  
Peristomal Skin ◽  
Medical Adhesive ◽  
Key Questions ◽  
Stoma Care

Fiona Le Ber answers some of the questions that stoma care nurses may have regarding this novel silicone adhesive based technology, which helps to avoid medical adhesive related skin injury (MARSI) and moisture-associated skin damage (MASD). Whereas hydrocolloid stoma appliances absorb moisture, this has a non-absorptive method of moisture management that prevents peristomal skin becoming damp and excoriated.

Using a novel breathable silicone adhesive (Sil2™ technology) in stoma appliances to improve peristomal skin health: answering the key questions

2020 ◽  
Vol 29 (16) ◽  
pp. S16-S21
Author(s):  
Fiona Le Ber
Keyword(s):  
Skin Damage ◽  
Skin Injury ◽  
Moisture Management ◽  
Silicone Adhesive ◽  
Peristomal Skin ◽  
Medical Adhesive ◽  
Key Questions ◽  
Stoma Care

Fiona Le Ber answers some of the questions that stoma care nurses may have regarding this novel silicone adhesive based technology, which helps to avoid medical adhesive related skin injury (MARSI) and moisture-associated skin damage (MASD). Whereas hydrocolloid stoma appliances absorb moisture, this has a non-absorptive method of moisture management that prevents peristomal skin becoming damp and excoriated

Use of breathable silicone technology in an ostomy appliance flange

2021 ◽  
Vol 30 (Sup8) ◽  
pp. 25-35
Author(s):  
Peta Lager ◽  
Lisa Loxdale
Keyword(s):  
Preliminary Data ◽  
Transepidermal Water Loss ◽  
User Evaluation ◽  
Skin Damage ◽  
Healthcare Use ◽  
Skin Injury ◽  
Moisture Management ◽  
Peristomal Skin ◽  
Medical Adhesive ◽  
Over Time

Leaks and peristomal skin complications are highly prevalent among people with a stoma, reported by over 80% of ostomates within 2 years of surgery. This suggests that there is room for improvement in ostomy appliances, particularly in their hydrocolloid-based adhesive flanges. Hydrocolloid has an absorptive method of moisture management that, over time, risks maceration and skin stripping, potentially leading to moisture-associated skin damage (MASD) and medical adhesive-related skin injury (MARSI). The newly developed Genii ostomy appliances (Trio Healthcare) use novel Sil2 Breathable Silicone Technology to provide secure, effective adhesion and manage moisture levels by replicating natural transepidermal water loss (TEWL). This has the potential to increase appliance wear time, reduce incidence of MASD and permit atraumatic removal without adhesive remover, reducing the risks of MARSI, as well as time burdens on the user and economic burdens on the healthcare system. Meanwhile, the silicone flanges and water-resistant sports fabric pouches are lightweight, flexible and unobtrusive, and they are the first appliances to be available in colours to match different skin tones, all of which provides security, comfort, confidence and discretion. This article explores the features of Sil2 and Genii ostomy appliances, with reference to preliminary data from a user evaluation.

Preventing prescribing of antibiotics for peristomal moisture-associated skin damage (P-MASD)

2020 ◽  
Vol 18 (7) ◽  
pp. 18-26
Author(s):  
Sharon Colman
Keyword(s):  
Bacterial Resistance ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Skin Damage ◽  
Topical Antibiotic ◽  
Clinical Nurse ◽  
Appropriate Treatment ◽  
Peristomal Skin ◽  
Selection Of ◽  
Stoma Care

People living with a stoma may, at some point in their stoma journey, experience peristomal skin complications (PSCs). The majority of PSCs occur as a result of leakage of stomal output onto the peristomal skin, which often results from poor templating or selection of stoma appliance. PSCs typically manifest as hot, red, sore and weepy skin. The symptoms can be misinterpreted as signs of infection, and, as a consequence, professionals may incorrectly prescribe a systemic or topical antibiotic. This is especially problematic, as overuse of antibiotics has been leading to greater bacterial resistance to these treatments, and it is increasingly emphasised that they should not be prescribed unless absolutely necessary. However, an experienced clinical nurse specialist in stoma care should be able to correctly diagnose a PSC, prescribe the appropriate treatment and resolved the problem quickly, without the use of antibiotics.

scholarly journals Developments in silicone technology for use in stoma care

2021 ◽  
Vol 30 (Sup8) ◽  
pp. 7-18
Author(s):  
Thomas Swift ◽  
Gillian Westgate ◽  
Julie Van Onselen ◽  
Stewart Lee
Keyword(s):  
Water Loss ◽  
Wound Care ◽  
Contact Layer ◽  
Transepidermal Water Loss ◽  
Skin Damage ◽  
Wear Time ◽  
Barrier Films ◽  
Moisture Management ◽  
Medical Adhesive ◽  
The University

Soft silicone's flexibility, adhesive capacity and non-toxic, non-odourous and hypoallergenic nature have made it an established material for adhesive and protective therapeutic devices. In wound care, silicone is a component of contact layer dressings for superficial wounds and silicone gel sheeting for reducing the risk of scarring, as well as of barriers for incontinence-associated dermatitis. Regarding stoma accessories, silicone is established in barrier films to prevent contact dermatitis, adhesive removers to prevent skin stripping and filler gels to prevent appliance leaks. Until recently, silicone has not been used in stoma appliances flanges, as its hydrophobic nature has not allowed for moisture management to permit transepidermal water loss and prevent maceration. Traditional hydrocolloid appliances manage moisture by absorbing water, but this can lead to saturation and moisture-associated skin damage (MASD), as well as increased adhesion and resultant skin tears on removal, known as medical adhesive-related skin injury (MARSI). However, novel silicone compounds have been developed with a distinct evaporation-based mechanism of moisture management. This uses colloidal separation to allow the passage of water vapour at a rate equivalent to normal transepidermal water loss. It has been shown to minimise MASD, increase wear time and permit atraumatic removal without the use of adhesive solvents. Trio Healthcare has introduced this technology with a range of silicone-based flange extenders and is working with the University of Bradford Centre for Skin Sciences on prototype silicone-based stoma appliance flanges designed to significantly reduce the incidence of peristomal skin complications, such as MARSI and MASD. It is hoped that this will also increase appliance wear time, reduce costs and improve patient quality of life.

Prevalence of medical adhesive-related skin injury at peripherally inserted central catheter insertion site in oncology patients

2018 ◽  
Vol 19 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Huihan Zhao ◽  
Yu He ◽  
Huiqiao Huang ◽  
Ying Ling ◽  
Xuemei Zhou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Insertion Site ◽  
Skin Damage ◽  
Skin Injury ◽  
Oncology Patients ◽  
Cross Sectional ◽  
Skin Injuries ◽  
Frequent Event ◽  
Independent Risk Factors ◽  
Medical Adhesive

Introduction: The aim of our study was to identify the prevalence and risk factors of medical adhesive-related skin injuries (MARSI) at peripherally inserted central catheters (PICC) insertion site in oncology patients. Methods: A cross-sectional observational study lasting two weeks was carried out in four inpatient departments. Skin assessment data and photographs of skin were collected during PICC maintenance. Other related information came from medical records. The skin injuries were classified by dermatologists and PICC specialized nurses. MARSI prevalence was calculated and the associated factors were analyzed statistically. Results: All 419 patients were included. The prevalence of total MARSI at PICC insertion site was 125, (29.83%), including mechanical skin injury (73, 17.42%), contact dermatitis (CD) (39, 9.31%), moisture-associated skin damage (11, 2.63%), folliculitis (2, 0.48%). Multivariate analysis identified two independent risk factors for MARSI including age ≥50 y (p = 0.031, odds ratio [OR] = 4.521, 95% confidence interval [CI] [1.389, 20.620]) and hematologic malignancies (p = 0.000, OR = 2.514, 95% CI [1.590,3.97]. Oxaliplatin and arsenic trioxide infusion through PICC, history of skin allergies was associated with CD, with p = 0.020, OR = 3.492, 95% CI (1.220, 9.990); p = 0.003, OR = 4.565, 95% CI (1.661,12.547); p = 0.000, OR = 12.333, 95% CI (3.669, 41.454), respectively. Conclusions: MARSI at PICC insertion site is a frequent event among oncology patients. Epidemiological data and independent risk factors are presented in our study, which provide a basis for future study in this area.

scholarly journals Developments in silicone technology for use in stoma care

2020 ◽  
Vol 29 (6) ◽  
pp. S6-S15 ◽  
Author(s):  
Thomas Swift ◽  
Gillian Westgate ◽  
Julie Van Onselen ◽  
Stewart Lee
Keyword(s):  
Water Loss ◽  
Wound Care ◽  
Contact Layer ◽  
Skin Damage ◽  
Wear Time ◽  
Barrier Films ◽  
Moisture Management ◽  
Skin Tears ◽  
Medical Adhesive ◽  
The University

Soft silicone's flexibility, adhesive capacity and non-toxic, non-odourous and hypoallergenic nature have made it an established material for adhesive and protective therapeutic devices. In wound care, silicone is a component of contact layer dressings for superficial wounds and silicone gel sheeting for reducing the risk of scarring, as well as of barriers for incontinence-associated dermatitis. Regarding stoma accessories, silicone is established in barrier films to prevent contact dermatitis, adhesive removers to prevent skin stripping and filler gels to prevent appliance leaks. Until recently, silicone has not been used in stoma appliances flanges, as its hydrophobic nature has not allowed for moisture management to permit trans-epidermal water loss and prevent maceration. Traditional hydrocolloid appliances manage moisture by absorbing water, but this can lead to saturation and moisture-associated skin damage (MASD), as well as increased adhesion and resultant skin tears on removal, known as medical adhesive-related skin injury (MARSI). However, novel silicone compounds have been developed with a distinct evaporation-based mechanism of moisture management. This uses colloidal separation to allow the passage of water vapour at a rate equivalent to normal trans-epidermal water loss. It has been shown to minimise MASD, increase wear time and permit atraumatic removal without the use of adhesive solvents. Trio Healthcare has introduced this technology with a range of silicone-based flange extenders and is working with the University of Bradford Centre for Skin Sciences on prototype silicone-based stoma appliance flanges designed to significantly reduce the incidence of peristomal skin complications, such as MARSI and MASD. It is hoped that this will also increase appliance wear time, reduce costs and improve patient quality of life.

Preventing medical adhesive-related skin injury (MARSI)

2021 ◽  
Vol 30 (15) ◽  
pp. S48-S56
Author(s):  
Jan Hitchcock ◽  
David A Haigh ◽  
Nuria Martin ◽  
Siân Davies
Keyword(s):  
Health Professionals ◽  
Clinical Settings ◽  
Skin Damage ◽  
Skin Injury ◽  
Consensus Document ◽  
Medical Adhesive ◽  
Community Facilities

Medical adhesive-related skin injury (MARSI) is an overlooked and underestimated problem. While awareness of this issue is growing, it is not fully understood by health professionals in a variety of clinical settings. Medical adhesive products are often applied and removed incorrectly, which, albeit unintentionally, causes skin damage. In many cases, MARSI should be considered a preventable injury. Organisations should have processes in place to educate health professionals in acute and community facilities in preventing MARSI; these processes should include the use of products that help to prevent these injuries, including medical adhesive removers. This article will explore this topic and relate it to the most recent consensus document.

scholarly journals Peristomal Medical Adhesive-Related Skin Injury

2019 ◽  
Vol 46 (2) ◽  
pp. 125-136 ◽  
Author(s):  
Kimberly LeBlanc ◽  
Ian Whiteley ◽  
Laurie McNichol ◽  
Ginger Salvadalena ◽  
Mikel Gray
Keyword(s):  
Skin Injury ◽  
Medical Adhesive

scholarly journals Use of Betel Leaves in Pediatric Stoma Care

2014 ◽  
Vol 1 (2) ◽  
pp. 148-152
Author(s):  
Md. Ashraf Ul Huq ◽  
A K M Mizanur Rahman ◽  
Tahmina Hossain
Keyword(s):  
Zinc Oxide ◽  
Cost Effective ◽  
College Hospital ◽  
Mucosal Ulceration ◽  
Medical College ◽  
Betel Leaf ◽  
Number Of Patients ◽  
Peristomal Skin ◽  
Two Parameters ◽  
Stoma Care

Background: To find out a practicable, cost effective and easily available alternative of commercial stoma care devices for pediatric patients in a developing country.Methods: The study was conducted in the department of Pediatric Surgery in Dhaka Medical College Hospital, Bangladesh, during two years period from May 2009 to April 2011. Number of patients was 162 with age range 2 days to 7 years, mean age 2.3 years. As early as a colostomy or ileostomy had started functioning, a central hole was made in a betel leaf. The hole could just snugly accommodate the stoma. After applying a layer of zinc oxide paste over the peristomal skin the leaf was placed as such the stoma rotrudes through the hole. The smooth shiny surface of the leaf would face upwards and rough surface downwards. Another intact betel leaf with the shiny surface also facing upwards would cover the stoma. The leaves did not act as a reservoir rather simply acted as a barrier between the effluent and the peristomal skin. Fifty seven patients with colostomy and 11 with leostomy used stoma appliances (wafer with bag). Eighty six patients with colostomy and 8 patients with ileostomy used betel leaves and zinc oxide paste. Mean length of time between creation and closure of a colostomy was 9 months and that of an ileostomy was three months. It was ensured that each individual patient had used his or her respective stoma care method till closure of the stomas. Two parameters were used to evaluate the outcome of the above mentioned stoma care methods: (a) peristomal skin excoriation and (b) insultto the stomal mucosa in the form of ulceration.Results: Among the patients who used stoma appliances 21.53% developed peristomal skin excoriation, 7.69% developed mucosal ulceration and 6.34% patients developed local hypersensitivity reaction to stoma adhesive. On the contrary, patients who were managed with betel leaves 20.93% developed peristomal skin excoriation and 8.13% developed mucosal ulceration. No incidence of allergic reaction to local application of betel leaf and zinc oxide occurred. Average cost for betel leaves was less than 0.50 US$ per month in comparison to about 30 US$ for ostomy appliances.Conclusion: Betel leaves may be used as a cheap, easily available, non irritant and effective alternative of commercial appliances to protect the stomas and peristomal skin in pediatric patients.DOI: http://dx.doi.org/10.3329/jpsb.v1i2.19534

An overview of stoma care accessory products for protecting peristomal skin

2017 ◽  
Vol 15 (7) ◽  
pp. 25-34 ◽  
Author(s):  
Samantha Helen Evans ◽  
Jennie Burch
Keyword(s):  
Peristomal Skin ◽  
Stoma Care
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