Paediatric incontinence-associated dermatitis (PIAD) is a globally common occurrence that has many names, nappy rash, diaper rash, diaper dermatitis, irritant contact dermatitis etc. It can cause painful problems for infants, children and youth who are incontinent of stool, urine or both. Although many times it can be resolved with simple treatments, in some cases it can be quite severe. Inconsistencies in the approach to treatment can create increased risk for painful skin breakdown, increased cost, and can lead to delays in healing. These factors will negatively impact one’s quality of life which may lead to a fecal or urinary diversion, implementation of fecal or urinary management device/procedure, or even sedation.
The newly formed NSWOC paediatric community of practice has started to create the first Canadian best practice guideline for PIAD. This will detail an inclusive, consistent method of assessing, managing, and re-evaluating most presentations of incontinence-associated skin irritation and associated infections. Most exciting for healthcare professionals is the inclusion of a one page algorithm for quick reference on basic PIAD care. Although targeted at healthcare professionals, we believe that this could also be a helpful tool for caregivers. This session will review the background on the project, our updated progress and present the first draft of the algorithm as we start the peer review process.