Nursing Interventions for Intertrigo

intertrigo

> Gently cleanse skin with a pH-balanced no-rinse cleanser

> Pat or air dry skin. Do not rub.

> Place InterDry® Ag Textile between skin fold or under medical device.

> Allow at least 2 inches of textile exposed outside of skin fold or brace/ splint.

>  Remove textile when bathing and replace when finished.

>  Replace the textile in 5 days or sooner if it becomes soiled with urine or stool.

> Take steps to eliminate friction, heat, and maceration by keeping folds cool and dry.

> Use air conditioning and absorbent powders, wearing moisture-wicking polyester underwear and socks (eg, Orlon) and expose skin folds to the air.

> Compresses with Burow solution 1:40, dilute vinegar, or wet tea bags often are effective, especially if followed by fanning or cool blow-drying.

> Skin surfaces in deep folds can be kept separated with cotton or linen cloth; however, be sure to avoid tight, occlusive, or chafing clothing or dressings.

> Use a knitted polyester fabric that is impregnated with silver complex to wick sweat out of the skin folds and away from the body.

> When providing care for a patient (initial assessment, routine bathing, turning, dressing, or providing incontinence care), closely assess skin fold areas.

> Look for changes such as redness and moisture build-up.

> Open-toed shoes or sandals may help reduce toe web-space moisture.

> Use Antifungal and Immunosuppressant agents such as tacrolimus and pimecrolimus as ordered.

> Monitor patients closely for the development of striae or a hidden infection if topical steroids are needed to control an inflammatory intertrigo.

 

Sources:

http://www.rightdiagnosis.com/i/intertrigo/intro.htm

https://books.google.com.ph/books?id=tSDR3GlFWYMC&pg=PT400&lpg=PT400&dq=intertrigo+nursing+interventions&source=bl&ots=OhPHBlAD0S&sig=22_BvP7NRaLVYvBusWsvtymh2ow&hl=en&sa=X&ved=0ahUKEwjq-JGnsqDMAhVJJZQKHZrMATI4ChDoAQgfMAE#v=onepage&q=intertrigo%20nursing%20interventions&f=false

http://emedicine.medscape.com/article/1087691-medication

https://www.researchgate.net/publication/5233441_Preventing_and_treating_intertrigo_in_the_large_skin_folds_of_adults_a_literature_overview

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