(PI-009) Stable ozonides for a technological intervention against Incontinence Associated Dermatitis
Co-Author(s):
Lorella Bettaglio, Geriatrician – Social Health Operator, Geriatrics - Long Term Care, "Sacra Famiglia" Korian Nursing Home; Cristina Galuzzi, Geriatrician – MD, Geriatrics - Long Term Care, "Sacra Famiglia" Korian Nursing Home; Federica Maggi, Geriatrician – Social Health Operator, Geriatrics - Long Term Care, "Sacra Famiglia" Korian Nursing Home; Alessandra Miracca, Geriatrician – Medical Director, Geriatrics - Long Term Care, "Villa Antea" Korian Nursing Home
Introduction: Assisting the elderly means detecting and managing skin problems related to pressure above the bone prominencies (prevention of pressure injuries), to the maceration of sweating areas (groins, submammary and abdominal folds) and to aggression by urine and stool (IAD - Incontinence Associated Dermatitis). In Italy, zinc oxide paste has always been the first choice product to manage these problems; the aim of this work is to demonstrate that today there is a much more effective technological alternative with an absolutely advantageous cost-benefit ratio.
Methods: We collected data on 50 patients of which 30 (Treatment Group) with skin fold maceration and Incontinence Associated Dermatitis (IAD) and 20 (Prevention Group) with blanchable erythema (Linda Russel’s grade 0). All patients had treatment with a barrier cream containing Ozoile®(stable ozonides derived from olive oil)*. The treatment protocol provided the application of the product twice a day and, in case of IAD, at any napkin change. The observation time was 4 weeks. For the TGroup, healing, improvement and worsening were evaluated; for the PGroup healing, worsening of stage (from 0 to 1) and appearance of skin lesion.
Results: TGroup patients: 46.7% improved, 53.3% healed; no worsenings. PGroup patients: 85% healed; no worsenings. There is a significant reduction in the healing times of the submammary maceration lesions (less than 30 days), also and above all with the concomitant fungal colonization.
Discussion: Comparing the data obtained with those of the literature on zinc oxide paste, we can say that Ozoile® reduces the healing times of IAD and skin lesions from maceration by over 75% and reduces costs by over 40%. Technological dressings with active ingredients that interact with tissues represent the most recent evolution of wound care, destroying bacteria and fungi and accelerating tissue repair.
References: 1. Stamatas GN, Zvulunov A, Horowitz P, Grove GL. Dermatology research and practice: skin barrier protection. Hindawi Publishing Corporation, 2012 2. Mostosi C, Simonart T. Effectiveness of barrier creams against irritant contact dermatitis. in Dermatology, vol. 232, 2016, pp. 353-3623. 3. Cassino R et al. Creme barriera a confronto: tecnoalternativa all’ossido di zinco. AIUC (Italian Association of Skin Ulcers) 16th National Congress, 2021. Rome (Italy)