Derma Protective Plus Skin Protectant Barrier Cream

Product Information

Most emollients can be used safely and effectively with no side effects. However, burning, stinging, redness, or irritation may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Overhydration of the skin, particularly the stratum corneum, can precipitate inflammation by facilitating the passage of irritants into the skin, leading to dermatitis. The exact mechanisms by which excessive moisture causes irritation are still debatable and, to date, comparatively little work has been done to explore the mechanisms involved in each type of MASD. However, histological studies have shown that moisture damage appears to be a result of the intercellular lipid ‘mortar’ of the stratum corneum and the corneocytes being disrupted and, in effect, ‘dissolving’ the physical barrier ( Warner et al, 2003). While the threats to skin integrity presented by pressure, shear and friction are well known, frequent exposure of a patient's skin to excessive moisture is often overlooked as a major cause of skin breakdown.

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If your doctor has prescribed this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Disruption of these carefully balanced mechanisms can lead to either excessive skin dryness (xerosis) or too much water (which can predispose the skin to MASD), both of which can cause the skin barrier to fail. Skin damage from IAD and MASD can be reversed with the incorporation of an effective moisture barrier into the skin care regimen What practices do you use to help prevent skin damage from incontinence in the patients for whom you care? A major function of healthy, intact skin ( Figure 2) is the maintenance of a physical barrier against the external environment. This prevents the entry of noxious substances and pathogens, as well as providing an important moisture barrier, preventing excessive fluid gain and loss from the body.A 68-year-old woman attended the continence clinic for management of recurrent and refractory urinary tract infections. The patient's older husband is her sole carer and she is a wheelchair user; she uses pads to manage urine leakage. For some time, she had been complaining of burning and irritation of her perinanal skin. In attempt to manage this, she applied liberal amounts of petroleum jelly daily. The patient had also recently developed antibiotic-associated diarrhoea (since hospitalisation for treatment with antibiotics) which increased the frequency of skin wiping with dry paper. The skin barrier is further enhanced by the maintenance of an acidic surface with a pH of 4–6, termed the acid mantle. This helps to maintain a healthy balance of resident skin bacteria; it is also recognised that skin pH plays an important role in regulating skin health and stratum corneum cohesion ( Ali and Yosipovitch, 2013).

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Extremely dry skin may also benefit from the regular application of Derma Protective Plus as the constituents of dimeticone and polyethylene glycol 3350 also aid vital moisture retention in this indication. The term moisture-associated skin damage (MASD) has been adopted to describe the spectrum of damage that results from prolonged exposure of a patient's skin to various sources of moisture, including urine or stool, perspiration, wound exudate, mucus and saliva ( Voegeli, 2019). However, MASD is a general umbrella term to describe any skin damage caused by moisture, and generally considered to include four commonly encountered separate conditions that often coexist. These are: incontinence-associated dermatitis (IAD); intertrigo; periwound moisture-associated dermatitis; and peristomal moisture-associated dermatitis ( Figure 1). The provision of optimal skin care is one of the most important actions that can be taken. Ideally, skin care provided to any patient with any form of MASD should be based on a structured regimen and involve the use of a gentle skin cleanser, a protectant (barrier product) and moisturiser (if indicated). The use of ordinary soap and water should be avoided as, in most cases, the pH of the soap is too alkaline and may contribute to the skin irritation ( Voegeli, 2012). Many newer cleansing products combine a cleanser with a protectant and moisturiser, and are pH balanced to help maintain the normal, slightly acidic skin pH. This is a medicine; Consult your doctor or pharmacist if you have an underlying medical condition, are taking any other medication or complementary therapy, or if symptoms persist. The promotion and maintenance of skin integrity is a common challenge in all care settings and is often used as an indicator of the overall quality of nursing care provided. In simple terms, skin integrity can be defined as the skin being ‘whole, intact and undamaged’ and disruption to skin integrity can have a negative effect on patient wellbeing and quality of life ( Woo et al, 2017; Fletcher et al, 2020).

Derma Protective Plus is licensed for external use only and should not be used in infected, incised, deep or penetrating wounds. The manufacturer also advises against its use in cases of serious burns and animal bites. Once saturated, wet skin is more susceptible to damage caused by friction and shearing forces, and further irritation and inflammation can occur as the normal skin flora is able to penetrate the disrupted skin barrier and activate the skin's well-developed immune defences ( Newman et al, 2007). Incontinence-associated dermatitis Seek advice before using if you are breast feeding, pregnant, planning to become pregnant, or suffer from allergies. If untreated, IAD can rapidly lead to excoriation and skin breakdown. In obese individuals, it often coexists with a degree of intertrigo in the skin folds. This be followed by infection by the skin flora (eg candida), leading to a vicious circle of increased inflammation and skin breakdown. Although IAD is one of the forms of MASD that attract the most interest, the exact mechanisms remain poorly understood ( Koudounas et al, 2020). Derma Protective Plus; IAD; Incontinence-associated dermatitis; MASD; Moisture-associated skin damage.

Barrier Products for use in adults in Primary Care for the

Some ways to help prevent dry skin include using lukewarm (not hot) water when bathing, taking baths/showers less often (such as every 1-2 days), keeping baths/showers short, and using a humidifier when the air is very dry.Derma Protective Plus has proven its effectiveness against MASD and IAD and provides a 60% cost saving to the NHS

13.2.2 Barrier preparations

Prolonged exposure of a patient's skin to excessive moisture is a major cause of skin breakdown but is often overlooked Some products may worsen acne. If your skin is prone to acne breakouts, look for the word "non-comedogenic" (will not clog pores) on the label. Some products may stain/discolor clothing. Ask your doctor or pharmacist for more details.Introducing an effective and long-lasting moisture barrier can help prevent damage to skin vulnerable to IAD and moisture-associated skin damage (MASD) If you have any of the following health problems, consult your doctor or pharmacist before using this product: skin cuts/infections/sores. Son GM, Lee IY, Yun MS, Youn JH, An HM, Kim KH, Yeo SM, Ku B, Kwon MS, Kim KH. Son GM, et al. Ann Surg Treat Res. 2022 Dec;103(6):360-371. doi: 10.4174/astr.2022.103.6.360. Epub 2022 Dec 8. Ann Surg Treat Res. 2022. PMID: 36601338 Free PMC article. Immediate application of Derma Protective Plus over antifungal treatment is not contraindicated if it is allowed to dry completely before applying. Good compliance with skin management regimen was facilitated by the carers, with obvious positive results. Case 3. Moderate damage Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).