Prevalence and Factors Associated with Incontinence-Associated Dermatitis in the Isolation Critical Care Units of Vajira Hospital: A Retrospective Study
Keywords:
Incontinence Associated-Dermatitis, critically ill patients, Intensive care unitAbstract
This study is a retrospective chart review aimed at determining the prevalence and associated factors of incontinence-associated dermatitis (IAD). The sample consisted of 264 patients admitted to the isolation intensive care unit at Vajira Hospital. Retrospective data were collected from 1 October 2023 to 31 August 2024. The research instrument was a self-constructed record form with a content validity index (CVI) of 1.0. Data were analyzed using descriptive statistics, Chi-square tests, and simple logistic regression analysis. Associations were presented as crude odds ratios (ORs) with 95% confidence intervals (CIs). The prevalence of IAD was 36.70%. Clinical factors associated with IAD included bowel movement frequency, enteral feeding, serum albumin levels, Barden scale, SOFA scale, length of hospital stay, PAT score, and endotracheal intubation. Medication factors associated with IAD were 10% potassium chloride syrup, sodium phosphate, magnesium sulfate salt, piperacillin/tazobactam, vancomycin, laxatives, vasopressors, meropenem, and sedatives. Personal factors were not significantly associated with IAD. These findings can contribute to developing guidelines for preventing IAD in critically ill patients.
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