Peristomal Medical Adhesive-Related Skin Injury: Results of an International Consensus Meeting.
Kimberly LeBlanc, Ian Whiteley, Laurie McNichol and 2 others
PMID 30844869WHAT IT FOUND
Expert consensus statements define peristomal medical adhesive-related skin injuries and outline assessment and management.
No validated tools or clinical trials exist for these injuries. Recommendations rely on expert opinion rather than research evidence.
Key findings
01A consensus panel produced 21 statements on assessment, prevention, and management of peristomal medical adhesive-related skin injuries.
02No randomized or nonrandomized clinical trials have compared interventions for these injuries.
03No validated instrument for assessing peristomal skin complications has achieved widespread acceptance, and existing tools do not fully address adhesive-related injuries.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
No clinical trials were found to support the recommendations. Existing assessment tools do not fully capture adhesive-related skin injuries. The consensus is based on expert opinion, which may be biased or lack empirical grounding. The panel was limited to nurses, excluding other potential disciplines involved in wound care.
Declared interests
The consensus meeting was sponsored by Hollister Incorporated, a company that manufactures ostomy products.
The easy way to misread this
Do not treat these consensus statements as evidence-based guidelines. They represent expert opinion in the absence of clinical trials, and the sponsoring company manufactures the products discussed.