Investigation and analysis on occurrence of incontinence-associated dermatitis of ICU patients with fecal incontinence

Objective: To describe the occurrence of incontinence-associated dermatitis of ICU patients with fecal incontinence, and analyze the risk factors of its occurrence. Methods: ICU Patients with fecal incontinence of a three-level first grade hospital in Suzhou were taken as study objects. Data of every patient were collected with self-made "Data list of patients with fecal incontinence" until these patients left ICU, were dead, or healed in dermatitis. All the results were analyzed. Results: Among 104 patients with fecal incontinence, 30 patients had IAD with occurrence rate of 28.85%. The median time to form IAD is 3 days, and the score on the 3rd day is the highest. The average healing time is 8 day. Logistic regression analysis shows that vasoactive agent, sensory ability, friction force, and shear force are the risk factors of IAD occurrence. Conclusion: IAD formation of patients with fecal incontinence in ICU is featured with short time and rapid development. Vasoactive agent, sensory ability, friction force, and shear force are the risk factors of IAD occurrence.