RNMeta-AnalysisAdvances in skin & wound care2023

Meta-analysis Investigating the Efficacy of Liquid Dressing and Ostomy Powder for the Treatment of Incontinence-Associated Dermatitis.

Jie Wang, Liang Ma, Dan Zhou and 1 others

PMID 37603316

WHAT IT FOUND

In hospitalized patients with incontinence-associated dermatitis, using liquid dressing and ostomy powder together was linked to better recovery or improvement, faster healing, and less recurrence than traditional skin care.

Key findings

01Compared with traditional skin care, liquid dressing and ostomy powder used together had a higher effective rate, defined as recovery or improvement (pooled odds ratio 21.42; 95% CI 8.58 to 53.44).

02Compared with traditional skin care, liquid dressing and ostomy powder used together shortened time to healing (pooled mean difference -10.73; 95% CI -12.92 to -8.54).

03Compared with traditional skin care, liquid dressing and ostomy powder used together lowered recurrence (pooled mean difference -2.03; 95% CI -2.30 to -1.77).

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only four articles met the inclusion criteria, and the sample sizes were relatively small. All included studies were carried out in China, so the results may not apply to other regions. Relevant studies published in other languages were not considered. One included study did not describe disease severity. The treatment groups received both liquid dressing and ostomy powder, so the study does not separate the contribution of either product alone.

The easy way to misread this

Do not conclude that liquid dressing alone or ostomy powder alone treats incontinence-associated dermatitis. The included studies used both products together, usually ostomy powder first and then liquid dressing, so the effect of either product on its own was not tested.

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