What is Peristomal infection?
Peristomal viral infections are less common than fungal or bacterial infections, but when they do occur, they can present treatment challenges, particularly as they relate to increased pain and interference with the skin barrier-to-skin adhesion. Perhaps the most common are herpes zoster (shingles) and herpes simplex.
What is Peristomal?
The peristomal skin is the skin right around the stoma. It’s the skin that the ostomy wafer adheres to. In adults, the are of peristomal skin is approximately 4 x 4 inches around the stoma.
What is a Peristomal abscess?
Peristomal abscesses in the immediate postoperative period are most commonly seen in the setting of stoma revision or reconstruction of a stoma at the same site, mainly due to preoperative colonization of the peristomal skin and perioperative seeding of the surgical site.
What is Peristomal excoriation?
Cutting pouch appliances too large exposes the peristomal skin to ileostomy output, which is rich in enzymes. The exposed stratum corneum becomes scalded or excoriated. Excoriated skin is defined as that which has been traumatized, worn away, or abraded, often in the presence of maceration due to incontinence.
What is a Peristomal fistula?
A peristomal fistula (PF) is an abnormal passage between the stoma and/or the intestine and peristomal skin. They are relatively uncommon, with a reported incidence of 1% to 7% of the population. 1 ,2. Despite their low incidence, PFs can be difficult to manage.
How do you treat Peristomal skin?
Tips for management: Remove the pouch gently, and use adhesive remover to loosen the seal when removing; use skin barrier powder to treat the skin injury, and dust off excess powder; be sure the pouch fits appropriately.
What causes Peristomal skin?
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.
What should the Peristomal skin look like?
As a general rule, healthy peristomal skin should look the same as skin anywhere else on the body. Often times, when the barrier is removed, the may notice some redness from the adhesive. This is normal. If the redness does not go away, however, it could be a sign of a peristomal skin issue.
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.
Can I use baby wipes on my stoma?
Do not use alcohol or any other harsh chemicals to clean your skin or stoma. They may irritate your skin. Do not use baby wipes or towelettes than contain lanolin or other oils, as these can interfere with the skin barrier adhesive and may irritate your skin.
How do you tell if your stoma is infected?
A bulge in the skin around your stoma. Skin color changes from normal pink or red to pale, bluish purple, or black. A rash around the stoma that is red, or red with bumps – this may be due to a skin infection or sensitivity, or even leakage.