Moisture-Associated Skin Damage: Important Terms to Know

DMCA.com Protection Status

by the WoundSource Editors

Denuded: The loss of epidermis, caused by prolonged moisture and friction.

Excoriation: Linear erosion of skin tissue resulting from mechanical means.

Maceration: The softening and breaking down of skin resulting from prolonged exposure to moisture.

Moisture-associated skin damage (MASD): Caused by prolonged skin exposure to sweat, urine, feces, saliva, and other moisture that can cause harmful effects to the skin. MASD can occur on the skin anywhere on the body. High-risk locations for MASD are characterized by areas that may be difficult to dry, get minimal exposure to air, or folds/creases of skin.

  • Incontinence-associated dermatitis (IAD): Inflammation and skin erosion associated with exposure to urine and/or stool.
  • Intertriginous dermatitis: Inflammation in areas of skin-to-skin or skin-to-device contact related to perspiration, friction, bacterial, and/or fungal bioburden.
  • Peristomal moisture-associated skin damage: Inflammation surrounding a stoma resulting from sustained contact of stool or urine. Peristomal moisture-associated skin damage can develop around any type of stoma. This includes tracheostomies, gastrostomies, urostomies, and colostomies.
  • Periwound moisture-associated skin damage: Wound exudate that has sustained contact with the skin and causes damage. Inflammation and erythema to skin with or without erosion.

Perineal environment: Factorial components and substances that impact perineal skin tissues, including types of incontinence, irritants, enzymes, skin pH, and fungi/bacteria.

Tissue tolerance: The ability of skin and its supporting structures to endure the effects of pressure without damaging effect. Tissue tolerance factors include age, health, nutrition, oxygen level/perfusion, and core body temperature.

February Practice Accelerator blog CTA

The views and opinions expressed in this blog are solely those of the author, and do not represent the views of WoundSource, Kestrel Health Information, Inc., its affiliates, or subsidiary companies.

Recommended for You

  • Worldwide Pressure Ulcer/Injury Prevention & Awareness Day
    October 10th, 2019

    By Cheryl Carver, LPN, WCC, CWCA, DAPWCA, FACCWS

    Worldwide Pressure Ulcer/Injury Prevention & Awareness Day is November 21st. This day is considered pretty much a holiday at my home. I have Stop Pressure Ulcer tee shirts, and I order a cake or STOP sign cookies every year...

  • October 29th, 2020

    By Susan Cleveland, BSN, RN, WCC, CDP

    The subject of my previous blog on skin assessment was interview; here in part 2, we will look at the elements of observation. Interviewing clients and significant others can provide the clinician with valuable information related to the...

  • Wound Care Certification
    June 13th, 2019

    Holly M. Hovan MSN, RN-BC, APRN-CNS, CWOCN-AP

    Not many people wake up one day and say, "Wow, I really want to be a continence nurse!" In fact, sometimes people don't even really understand what a continence nurse is, their role, or the specialty in general. I often tell nurses...

Important Notice: The contents of the website such as text, graphics, images, and other materials contained on the website ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The content is not intended to substitute manufacturer instructions. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or product usage. Refer to the Legal Notice for express terms of use.