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

doi:10.1016/j.jtv.2021.01.008

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

J Tissue Viability. 2021 May;30(2):256-261. doi: 10.1016/j.jtv.2021.01.008. Epub 2021 Jan 26.

Authors

Sofoklis Koudounas¹, Yuko Mugita², Takeo Minematsu³, Gojiro Nakagami⁴, Carolina Weller⁵, Hiromi Sanada⁶

Affiliations

¹ Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, 113-0033, Tokyo, Japan. Electronic address: koudounas-tky@umin.ac.jp.
² Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, 113-0033, Tokyo, Japan. Electronic address: yukomgt@g.ecc.u-tokyo.ac.jp.
³ Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, 113-0033, Tokyo, Japan; Department of Skincare Science, Graduate School of Medicine, The University of Tokyo, 113-0033, Tokyo, Japan. Electronic address: tminematsu@g.ecc.u-tokyo.ac.jp.
⁴ Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, 113-0033, Tokyo, Japan; Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, 113-0033, Tokyo, Japan. Electronic address: gojiron@g.ecc.u-tokyo.ac.jp.
⁵ School of Nursing and Midwifery, Monash University, Level 5 Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia. Electronic address: carolina.weller@monash.edu.
⁶ Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, 113-0033, Tokyo, Japan; Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, 113-0033, Tokyo, Japan. Electronic address: hsanada-tky@umin.ac.jp.

PMID: 33579585
DOI: 10.1016/j.jtv.2021.01.008

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.

Keywords: Bacterial urinary infection; Incontinence-associated dermatitis; Skin health; Urinary incontinence; Urinary tract infections.

Publication types

Review

MeSH terms

Bacterial Infections / complications
Correlation of Data
Dermatitis, Contact / etiology*
Dermatitis, Contact / physiopathology
Humans
Prevalence
Urinary Incontinence / complications*
Urinary Tract Infections / complications*
Urinary Tract Infections / microbiology