How is Peristomal excoriation treated?

The RTD® Wound Dressing provides an effective option for treating peristomal excoriation related to trauma, fungal and bacterial infection, and pyoderma gangrenosum. In this case, the wound resolved in 1 week. The patient reported less pain following the use of RTD® (likely due to the dressing’s gentian violet).

What is a Peristomal wound?

Peristomal skin complications (PSCs) are defined as skin inflammation, injury, or damage that occurs within the 3 to 4 in of skin surface surrounding an abdominal stoma or skin covered by the adhesive portion of the pouching system (skin barrier and tape).

What causes Peristomal skin breakdown?

Irritated and damaged peristomal skin can occur for a variety of reasons. It can be caused by anything from a poor-fitting pouching system, to frequent skin barrier changes, to an allergic reaction to anything that contacts the skin, such as soaps or products used to prepare the peristomal skin.

How do you treat Peristomal skin problems?

Small ulcerations can usually be treated with stoma powder or antimicrobial powder covered by a piece of hydrocolloid. A foam dressing over the ulceration is helpful if the ulcer is particularly moist. Silver dressings in sheet form or calcium alginates have also been effective.

How do you take care of Peristomal skin?

Make sure your peristomal skin is completely dry before replacing your pouch and skin barrier. Dry skin ensures a good adhesive seal and helps reduce the risk of fungal infection. A skincare routine including skin barrier foam, spray or wipes can help ensure healthy, comfortable peristomal skin for years to come.

What is Peristomal infection?

Peristomal infection and abscess formation predisposes this area to fistulae formation. Peristomal pyoderma gangrenosum (PPG) is a painful and rare skin complication most often occurring in patients with inflammatory bowel disease.

How do you treat Peristomal dermatitis?

Reduce moisture by making sure your pouching system fits properly around your stoma. Dry off your pouching system promptly after showering, bathing, swimming, or any exposure to water. Use anti-fungal powder to absorb moisture from broken skin and treat the fungal infection.

How do you crust Peristomal skin?

What is crusting? This technique involves spreading stoma powder on the skin around your stoma (i.e. peristomal skin), especially at the site of irritation, and then sealing the powder in with a layer of skin barrier (wipe or spray – a no-sting formulation is recommended).

What should Peristomal skin look like?

Peristomal skin should look similar to the skin on the other side of your abdomen: smooth and not irritated. Once you know what healthy skin looks like, you can watch for signs of skin irritation.