Incidência de lesões cutâneas relacionadas à adesivos médicos em uma unidade coronariana

Abstract

Introduction: Skin lesions related to medical adhesives known internationally by MARSI (Medical Adhesive-Related Skin Injuries) are common, poorly recognized and preventable, and may occur in all care settings. Objective: To analyze the incidence of skin lesions by medical adhesives in patients admitted to the Coronary Unit of a public hospital. Method: This is an observational, prospective cohort-type study. Inclusion criteria: Patients 18 years of age or older who were admitted to the Coronary Unit. The patients were followed for up to 15 days. Data were collected through anamnesis, physical examination, medical recordsand photographic records. Statistical analysis was performed using descriptive and inferential methods. Results: The incidence of MARSI was 25.3%. The variables gender, age, skin color, alcohol or tobacco use, allergy, comorbidity, diagnosis and type of treatment were not related to MARSI. The variables device, adhesive and days of hospitalization significantly influenced the presence of MARSI. The most appliedadhesives were electrodes (59.3%), transparent film (21.7%), micropore surgical tape (14.8%), adhesive plaster (2.7%), hydrocolloid (1.0%) and ostomy pouch (5%). It was verified the presence of 31 lesions, classified as skin stripping (77.4%), skin tear (16.1%), irritant contact dermatitis (3.2%) and tension injury (3.2%). Conclusion: Although MARSI is an adverse event, it was possible to observe that it is not treated as a damage that could be avoided since these lesions are not evolved, notified and there is no work focused on their prevention.