Incontinence-associated dermatitis: moving prevention forward

Incontinence-associated dermatitis (IAD) represents a significant health challenge worldwide and is a well-recognised risk factor for pressure ulcer development. Recent consensus work has identified gaps in our current understanding and practice. The ability of clinicians to deliver evidence-based practice is hampered by lack of standardised definitions and terminology, high-quality studies, and international or national guidelines.

In September 2014, a group of international experts met in London to review knowledge deficits in IAD and to advance best practice principles to address these gaps. Key topics included: risk assessment for IAD; the role of IAD in pressure ulcer development; assessment and categorisation of IAD; and development of a severity-based approach to treatment. Following the meeting, an initial draft was developed and underwent extensive review by the expert working group. The document was then sent to a wider group of experts for further review.


For the clinician providing hands-on patient care, the information presented in this document details practical guidance on how to assess, prevent and manage IAD based on available evidence and expert opinion. For clinical leaders, a step-by-step guide for advancing IAD prevention within their care setting is provided in addition to information on developing a structured prevention programme. It is the expert panel’s intention that this document will help promote effective skin care strategies for the prevention of IAD, improving patient quality of life and clinical outcomes worldwide. It is also hoped that this document will raise awareness of the need for accurate, standardised data collection for IAD, and the development of high-quality studies to advance our evidence base.



Supported by 3M



Dimitri Beeckman Professor, University Centre for Nursing and Midwifery, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Belgium (Chair)
Jill Campbell Clinical Nurse, Skin Integrity Services, Royal Brisbane and Women's Hospital, Brisbane, Australia
Karen Campbell Field Leader, Masters of Clinical Science Wound Healing, Western University, Wound Project Manager, ARGC, Lawson Research Institute, London, Ontario, Canada
Denise Chimentão Charge Nurse (Pediatrics) and IAD Group Coordinator, Samaritano Hospital, Sao Paulo, Brazil
Fiona Coyer, Professor, School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, Australia
Rita Domansky Stoma Therapy Nurse, University Hospital, Department of Stomatherapy the State University of Londrina, Londrina, Brazil
Mikel Gray Professor and Nurse Practitioner, University of Virginia and School of Nursing, Virginia, USA
Heidi Hevia Assistant Professor, Andrés Bello University, Vina del Mar, Chile
Joan Junkin Wound Educator and Consultant, The Healing Touch Inc, Nebraska, USA
Ayise Karadag Professor, School of Nursing, Koç University, Istanbul, Turkey
Jan Kottner Clinical Research Centre for Hair and Skin Science, Department of Dermatology and Allergy Charité- Universitätsmedizin, Berlin, Germany
Mary Arnold Long Wound Ostomy and Continence Clinical Specialist, Roper Hospital, Roper Saint Francis Healthcare, Charleston, USA
Laurie McNichol Wound Ostomy and Continence Clinical Specialist; Director, Practice and Quality at Advanced Home Care, North Carolina, USA Sylvie Meaume Chef de Service de Gériatrie, Plaies et Cicatrisation, Hôpital Rothschild, Paris, France
Denise Nix Wound Ostomy and Continence Specialist and Consultant, Minnesota Hospital Association, Minneapolis, USA
Mounia Sabasse Wound Care Ostomy and Diabetic Foot Specialist and Clinical Educator, Dubai, United Arab Emirates
Hiromi Sanada Professor, Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, University of Tokyo, Japan
Po-Jui Yu Lecturer, School of Nursing, National Taiewan University, Taiwan
David Voegeli Associate Professor, Continence Technology & Skin Health Group, Faculty of Health Sciences, University of Southampton, UK
Ling Wang Chairman of Wound Ostomy Continence Committee, China Nursing Association, Peking University People's Hospital, China