Contact Irritant Dermatitis

Well-defined erythema, edema or loss of epidermis

Reaction or inflammation caused by a chemical

Usually caused by the enzymatic drainage from ostomy

Reference: Emory University, 2013; WOCN, 2007

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Management:

Correct size opening of pouching system

Modification of pouching system—belt? convexity?

Consider crusting

Reference: WOCN, 2007

For peristomal skin irritation example irritant dermatitis consider new product called cyanoacrylate (example Marathon from Medline).

References: Knaff-Baker, 2013; Milne, Saucier, Trevellini, & Smith, 2011