Efficacy of Double-Pocket Fecal Catheter System Combined With Camellia Oil Application in the Prevention and Treatment of Irritant Contact Dermatitis Due to Incontinence Among Patients in the Intensive Care Unit.
Qiulin Li, Chunli Wang, Fen Wang and 4 others
PMID 41082395WHAT IT FOUND
In ICU patients at high risk for incontinence dermatitis, double-pocket fecal catheter plus camellia oil had lowest incidence, longest onset, milder cases, lower cost and faster healing than zinc oxide alone.
The trial had no blinding reported and no stated primary outcome.
Key findings
01From 248 screened ICU patients, 204 high-risk patients with PAT scores of 7 to 12 were randomized to four groups of 51; dermatitis incidence was 21.57% with catheter plus camellia oil, 31.37% with catheter plus zinc oxide, 37.25% with camellia oil alone and 43.14% with zinc oxide alone. The overall difference was significant (P<.001). Catheter plus camellia oil was lower than zinc oxide alone (P<.001) and camellia oil alone (P=.005), but not significantly lower than catheter plus zinc oxide (P=.064).
02Catheter plus camellia oil delayed dermatitis onset to 7.41 days versus 4.64 days with zinc oxide alone (P<.001). It also had 9 mild, 1 moderate and 1 severe case, versus 10 mild, 6 moderate and 6 severe in the zinc oxide group (P<.001).
03Catheter plus camellia oil had lower daily cost than zinc oxide ($4.96 vs $7.45; P<.001), higher nursing effective rate (90.91% vs 68.18%; P=.037) and shorter healing time (4.15 vs 7.22 days; P<.001).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 204 patients from one ICU were included, and the authors state the sample was small. No blinding of participants, caregivers or outcome assessors is reported. No outcome was labelled primary, and several outcomes were compared. The best group combined a fecal catheter with camellia oil, so the contribution of oil alone cannot be separated. Cost and nursing efficiency used study-specific definitions, so they may not transfer to other settings.
The easy way to misread this
Do not read this as proof that camellia oil alone prevents dermatitis. The best group received a double-pocket fecal catheter plus camellia oil, and the catheter with zinc oxide was not significantly different from it for incidence.