Stoma care products represent a common and previously underreported source of peristomal contact dermatitis.

TitleStoma care products represent a common and previously underreported source of peristomal contact dermatitis.
Publication TypeJournal Article
Year of Publication2017
AuthorsCressey BD, Belum VR, Scheinman P, Silvestri D, McEntee N, Livingston V, Lacouture ME, Zippin JH
JournalContact Dermatitis
Volume76
Issue1
Pagination27-33
Date Published2017 Jan
ISSN1600-0536
KeywordsAdult, Aged, Aged, 80 and over, Colostomy, Dermatitis, Allergic Contact, Female, Humans, Ileostomy, Male, Middle Aged, Ointments, Postoperative Complications, Retrospective Studies, Skin Care, Skin Cream, Surgical Stomas, Urinary Diversion
Abstract

BACKGROUND: Peristomal dermatitis is a common complication for the >700 000 patients in the United States with an ostomy. The role of stoma skin care products in peristomal dermatitis is poorly understood.

OBJECTIVE: To evaluate stoma skin care products as a cause of peristomal dermatitis.

METHODS: A retrospective chart review of patients with peristomal dermatitis at four academic hospitals from January 2010 to March 2014 was performed. Patient demographics, clinical information and use test and patch test results were documented.

RESULTS: Eighteen patients identified as having peristomal dermatitis were tested. Twelve of these had peristomal contact dermatitis. We identified numerous stoma skin care products as triggers of irritant and/or allergic contact dermatitis. The most common stoma skin care product used and/or involved in dermatitis was Cavilon™ No Sting Barrier Film.

CONCLUSIONS: Our data support a paradigm shift whereby healthcare workers treating patients with peristomal dermatitis, which is currently considered to be a reaction mainly to bodily fluids, must consider those products used to protect the skin as potential triggers for this disease. Therefore, patients with peristomal dermatitis should be tested with their stoma skin care agents to determine the need for removal or change of these products. Additionally, full ingredient labelling by manufacturers would help identify new allergens and irritants.

DOI10.1111/cod.12678
Alternate JournalContact Derm.
PubMed ID27576564
PubMed Central IDPMC5523875
Grant ListK08 CA160657 / CA / NCI NIH HHS / United States
P30 CA008748 / CA / NCI NIH HHS / United States