Prevalence of intertrigo and associated factors: A secondary data analysis of four annual multicentre prevalence studies in the Netherlands

Jan Kottner; Irma Everink; Jolanda van Haastregt; Ulrike Blume-Peytavi; Jos Schols

doi:10.1016/j.ijnurstu.2019.103437

Prevalence of intertrigo and associated factors: A secondary data analysis of four annual multicentre prevalence studies in the Netherlands

Jan Kottner^*, Irma Everink, Jolanda van Haastregt, Ulrike Blume-Peytavi, Jos Schols

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Intertriginous dermatitis (intertrigo) is caused by occlusive conditions in skin folds increasing local heat and moisture and skin-on-skin friction.

OBJECTIVES: To measure the prevalence of intertrigo in hospitals, care homes, and home care and to identify demographic and health characteristics being associated with intertrigo.

DESIGN: Secondary data analysis of four cross-sectional multicentre prevalence studies conducted between 2013 and 2016.

SETTINGS: Care homes, hospitals, and home care in the Netherlands.

PARTICIPANTS: Subjects being 18 years and older who underwent skin examinations for intertrigo.

METHODS: Pairs of two trained nurse raters per participating institution conducted head-to-toe skin examinations.

RESULTS: Results of 40,340 subjects were included into the data analysis. The prevalence of intertrigo was highest in home care (9.6% (95% CI 8.6% to 10.6%)) followed by aged care facilities (6.7% (95% 6.4 to 7.0)) and hospitals (2% (95% CI 1.8% to 2.3%)). A high BMI, having diabetes mellitus and being care dependent was highly associated with the presence of intertrigo in all three settings.

CONCLUSIONS: Intertrigo is a common skin condition in care homes and home care. Obese and diabetic subjects, and subjects needing help with hygiene and getting dressed are at particular high risk. Adequate skin care strategies might be helpful to prevent this skin problem.

Original language	English
Article number	103437
Number of pages	7
Journal	International Journal of Nursing Studies
Volume	104
DOIs	https://doi.org/10.1016/j.ijnurstu.2019.103437
Publication status	Published - Apr 2020

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10.1016/j.ijnurstu.2019.103437

Cite this

@article{da295124bf8240afa52b91ac90b11280,

title = "Prevalence of intertrigo and associated factors: A secondary data analysis of four annual multicentre prevalence studies in the Netherlands",

abstract = "BACKGROUND: Intertriginous dermatitis (intertrigo) is caused by occlusive conditions in skin folds increasing local heat and moisture and skin-on-skin friction.OBJECTIVES: To measure the prevalence of intertrigo in hospitals, care homes, and home care and to identify demographic and health characteristics being associated with intertrigo.DESIGN: Secondary data analysis of four cross-sectional multicentre prevalence studies conducted between 2013 and 2016.SETTINGS: Care homes, hospitals, and home care in the Netherlands.PARTICIPANTS: Subjects being 18 years and older who underwent skin examinations for intertrigo.METHODS: Pairs of two trained nurse raters per participating institution conducted head-to-toe skin examinations.RESULTS: Results of 40,340 subjects were included into the data analysis. The prevalence of intertrigo was highest in home care (9.6% (95% CI 8.6% to 10.6%)) followed by aged care facilities (6.7% (95% 6.4 to 7.0)) and hospitals (2% (95% CI 1.8% to 2.3%)). A high BMI, having diabetes mellitus and being care dependent was highly associated with the presence of intertrigo in all three settings.CONCLUSIONS: Intertrigo is a common skin condition in care homes and home care. Obese and diabetic subjects, and subjects needing help with hygiene and getting dressed are at particular high risk. Adequate skin care strategies might be helpful to prevent this skin problem.",

author = "Jan Kottner and Irma Everink and {van Haastregt}, Jolanda and Ulrike Blume-Peytavi and Jos Schols",

year = "2020",

month = apr,

doi = "10.1016/j.ijnurstu.2019.103437",

language = "English",

volume = "104",

journal = "International Journal of Nursing Studies",

issn = "0020-7489",

publisher = "Elsevier Science",

}

TY - JOUR

T1 - Prevalence of intertrigo and associated factors

T2 - A secondary data analysis of four annual multicentre prevalence studies in the Netherlands

AU - Kottner, Jan

AU - Everink, Irma

AU - van Haastregt, Jolanda

AU - Blume-Peytavi, Ulrike

AU - Schols, Jos

PY - 2020/4

Y1 - 2020/4

N2 - BACKGROUND: Intertriginous dermatitis (intertrigo) is caused by occlusive conditions in skin folds increasing local heat and moisture and skin-on-skin friction.OBJECTIVES: To measure the prevalence of intertrigo in hospitals, care homes, and home care and to identify demographic and health characteristics being associated with intertrigo.DESIGN: Secondary data analysis of four cross-sectional multicentre prevalence studies conducted between 2013 and 2016.SETTINGS: Care homes, hospitals, and home care in the Netherlands.PARTICIPANTS: Subjects being 18 years and older who underwent skin examinations for intertrigo.METHODS: Pairs of two trained nurse raters per participating institution conducted head-to-toe skin examinations.RESULTS: Results of 40,340 subjects were included into the data analysis. The prevalence of intertrigo was highest in home care (9.6% (95% CI 8.6% to 10.6%)) followed by aged care facilities (6.7% (95% 6.4 to 7.0)) and hospitals (2% (95% CI 1.8% to 2.3%)). A high BMI, having diabetes mellitus and being care dependent was highly associated with the presence of intertrigo in all three settings.CONCLUSIONS: Intertrigo is a common skin condition in care homes and home care. Obese and diabetic subjects, and subjects needing help with hygiene and getting dressed are at particular high risk. Adequate skin care strategies might be helpful to prevent this skin problem.

AB - BACKGROUND: Intertriginous dermatitis (intertrigo) is caused by occlusive conditions in skin folds increasing local heat and moisture and skin-on-skin friction.OBJECTIVES: To measure the prevalence of intertrigo in hospitals, care homes, and home care and to identify demographic and health characteristics being associated with intertrigo.DESIGN: Secondary data analysis of four cross-sectional multicentre prevalence studies conducted between 2013 and 2016.SETTINGS: Care homes, hospitals, and home care in the Netherlands.PARTICIPANTS: Subjects being 18 years and older who underwent skin examinations for intertrigo.METHODS: Pairs of two trained nurse raters per participating institution conducted head-to-toe skin examinations.RESULTS: Results of 40,340 subjects were included into the data analysis. The prevalence of intertrigo was highest in home care (9.6% (95% CI 8.6% to 10.6%)) followed by aged care facilities (6.7% (95% 6.4 to 7.0)) and hospitals (2% (95% CI 1.8% to 2.3%)). A high BMI, having diabetes mellitus and being care dependent was highly associated with the presence of intertrigo in all three settings.CONCLUSIONS: Intertrigo is a common skin condition in care homes and home care. Obese and diabetic subjects, and subjects needing help with hygiene and getting dressed are at particular high risk. Adequate skin care strategies might be helpful to prevent this skin problem.

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DO - 10.1016/j.ijnurstu.2019.103437

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