Prevenção e tratamento de Dermatite Associada a Incontinência em recém-nascido

Abstract

Introduction: Incontinence-associated dermatitis (IAD) is one of the most common conditions in newborns. It is a physical and chemical irritation of the skin barrier, caused by exposure of the skin to feces and urine, evidenced by inflammation and erythema, with or without erosion of the epidermis, itching, blisters with clear exudates, burning pain and affects the genital area, perineum, buttocks and thighs. Objective:To identify scientific evidence for the prevention and treatment of dermatitis associated with incontinence in newborns. Method: this is an integrative review, the databases used for the research were: PUBMED-Central (PMC), Web of Science- Main collection, Virtual Health Library and Scopus (Elsevier), Complete articles available in full were included in the databases, studies in Portuguese, English and Spanish and without time frame. The articles were analyzed, discussed and cataloged using an information collection form and presented according to the similarities and differences in their results. Results: Six articles published in international journals were included in the research. Regarding the level of evidence: Five level II; three level III. Regarding prevention, we highlight cleaning the baby's genitalia with cotton wool and water, changing diapers every 4 hours, using ultra-absorbent diapers and for treatment: using a barrier cream based on petrolatum and zinc oxide, in addition to ointments. natural substrates such as chamomile and aloe vera and the use of breast milk in the region. Conclusion: the scientific evidence found points to the construction of institutional protocols and new research that uses photobiomodulation in the prevention and treatment of dermatitis associated with incontinence.