Incidência de dermatite associada à incontinência e fatores associados em pacientes clínicos de um hospital universitário

ABSTRACT | OBJECTIVE: To evaluate the incidence of incontinence-associated dermatitis in patients admitted to a medical ward at a university hospital, describe the identified lesions, and identify factors associated with their occurrence. METHODS AND MATERIALS: A prospective cohort study was carried out between August and November 2021 with 88 adult patients considered at risk for this type of lesion. Data were collected through physical examination and medical record review. Lesions were classified according to the GLOBIAD system. RESULTS: The mean age was 58.7 years (SD±17.1), with a male predominance (59.1%). The cumulative incidence was 27.3% (24/88). The mean time to lesion onset was 5.92 days (SD±4.74). The most frequent lesion categories were 1A (14.8%) and 2A (10.2%). A statistically significant association was found between lesion occurrence and diarrhea (OR=5.12; 95% CI: 1.85–14.2; p<0.001), systemic arterial hypertension (OR=4.49; p=0.02), and the use of enteral nutrition (OR=4.37; p<0.001). Four medical records showed a lack of prescribed treatment, and two indicated inappropriate management practices. CONCLUSION: The incidence was 27.3%, characterized predominantly by lesions without signs of infection and early onset during hospitalization. Diarrhea, systemic arterial hypertension, and the use of enteral nutrition were associated with the development of the lesion.