Evidence map›Paper›PMID 35916389›Full record

ArticleInternational wound journal2023

Bacterial invasion into the epidermis of rats with sodium lauryl sulphate-irritated skin increases damage and induces incontinence-associated dermatitis.

Sofoklis Koudounas, Takeo Minematsu, Yuko Mugita, Ayano Nakai, Hiromi Tobe, Chihiro Takizawa, Mao Kunimitsu, Gojiro Nakagami, Hiromi Sanada

Abstract read
In one paragraph

Article in International wound journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Silicone dressing combined with topical oxygen therapy alleviates incontinence-associated dermatitis via NF-κB p65/STAT1 signaling pathway.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sofoklis KoudounasDepartment of Skincare Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3915-2322
Takeo MinematsuDepartment of Skincare Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0001-5859-7290
Yuko MugitaDepartment of Gerontological Nursing, Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Ayano NakaiGlobal Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Hiromi TobeGlobal Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Chihiro TakizawaDepartment of Gerontological Nursing, Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mao KunimitsuDepartment of Gerontological Nursing, Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Gojiro NakagamiGlobal Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Hiromi SanadaGlobal Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Funding

Japan Society for the Promotion of Science Grant-in-Aid for Research Activity Start-up 19K24194
6 · The paper itself

Abstract

Incontinence-associated dermatitis (IAD) is caused by prolonged exposure to urine/liquid stool. It is a common and often painful skin condition in older incontinent adults because of poor prevention. Patients with urinary infections are at risk of developing IAD, and to guide the development of novel prevention strategies, we aimed to develop an animal model of IAD by urine and bacteria. First, contralateral sites on the dorsal skin of Sprague-Dawley rats were compromised by sodium lauryl sulphate (SLS), simulating frequent cleansing with soap/water. Filter discs were then placed inside ring-shaped chambers on foam dressings, inoculated with or without Pseudomonas aeruginosa, covered with agarose gels immersed in cultured filtrated urine, and secured in place with an occlusive dressing for 3 days. Untreated and SLS-compromised sites served as controls. The IAD was developed at bacteria-inoculated sites, characterised by severe IAD-like redness that persisted for up to 3 days post-exposure and higher disruption of the skin barrier function compared with non-inoculated sites. Pathological changes included epidermal thickening, partial skin loss, inflammatory cell infiltration, accumulation of red blood cells, and invasion of bacteria into the epidermis. This novel, clinically relevant IAD rat model can serve for future prevention developments.

Indexed as

DermatitisFecal IncontinenceUrinary IncontinenceAnimalsEpidermisRatsRats, Sprague-DawleySkin CareSodium Dodecyl SulfateSodium Dodecyl Sulfatebacterial infectionhistopathologyincontinence-associated dermatitisskin barrier functionurinary-incontinence

Identifiers

PMID35916389
PMCPMC9797936

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.