1. Clinical and cost effectiveness of a cleanser protectant lotion for treatment of perineal skin breakdown in low-risk patients with incontinence.
- Author
-
Warshaw E, Nix D, Kula J, and Markon CE
- Subjects
- Aged, Aged, 80 and over, Cost-Benefit Analysis, Dermatitis etiology, Female, Humans, Male, Middle Aged, Ointments, Risk Factors, Treatment Outcome, Dermatitis drug therapy, Dermatitis economics, Detergents economics, Detergents therapeutic use, Fecal Incontinence complications, Fecal Incontinence economics, Perineum, Protective Agents economics, Protective Agents therapeutic use, Urinary Incontinence complications, Urinary Incontinence economics
- Abstract
Perineal dermatitis due to urinary and/or fecal incontinence is a common problem. A multicenter, open label, phase II product evaluation was conducted to determine the effectiveness of a new cleanser protectant lotion in reducing perineal erythema and pain in patients at low-risk for perineal dermatitis and to compare the cost of this product to standard protocols of care. Nineteen elderly patients (14 male, 5 female, mean age 73.1 years) participated in the study. Average baseline scores for erythema and pain were 2.3 (+/- 0.5) and 1.5 (+/- 1.0), respectively (scale 0 to 4). After 7 days, both scores were significantly lower (mean scores 0.6 +/- 0.8 and 0.3 +/- 0.8, respectively; P < 0.01). Based on an average of 2.6 perineal episodes per day, the one-step product evaluated would cost $136 per patient/year less than standard protocols of care while reducing caregiver time (average 23 seconds per episode of care). Optimal perineal care may reduce the incidence of complications; studies to ascertain the safety and effectiveness of commonly used products and procedures are needed.
- Published
- 2002