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Incontinence Associated Dermatitis

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Moisture Barrier:<br />

Vulnerable at the<br />

Extremes of Life<br />

Neonates: less efficient moisture barrier,<br />

especially in premature infants 1<br />

– More hydrophobic than older infants; result is<br />

dryer more brittle skin 2<br />

– TEWL ; ; skin capacitance <br />

Cornification begins about GW 20<br />

– Full-term skin contains 10-20 layers of SC, skin<br />

in premature baby has 2-32<br />

3 layers of SC<br />

– Ability to regenerate skin cells considerable<br />

1. Lund C et al. JOGNN 1999; 28(3): 241.<br />

2. Matsumoto T et al. Journal of Dermatology 2007; 34: 447.

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