Share this article

Best practice recommendations: Prevention and management of Moisture-associated skin damage (MASD)

Anna Boyles, David Voegeli, Dimitri Beeckman, Jacqui Fletcher, Jan Kottner, Laurie McNichol, Madeleine Stenius, Nikki Sarkar, Sian Fumarola, Zena Moore
5 October 2020

Moisture-associated skin damage (MASD) represents a significant problem and can have a negative effect on patient wellbeing and quality of life.

A group of international experts met online via Zoom in June 2020 to discuss the key issues and knowledge gaps in MASD, and to formulate Best Practice Statements to guide the prevention and management of MASD.

For the purposes of this document, the wider term of MASD has been subdivided into key areas, with specific Best Practice Statements around prevention and management for each area.
These are:

  • Incontinence-associated dermatitis (IAD)
  • Peristomal dermatitis
  • Intertriginous dermatitis (intertrigo)
  • Periwound maceration.

During the meeting, we agreed to keep the umbrella term ‘MASD’, in order not to overload busy clinicians with differing terminology. However, it is important to note that ‘moisture’ is not the only relevant factor in these areas of skin damage, as explained in the document. This type of skin damage is now included under ICD-11 coding (WHO, 2020) as ‘irritant contact dermatitis due to friction, sweating or contact with body fluids’.

The aim of this document is to provide clinicians with guidance for best practice in these areas of MASD, thereby contributing to improving patient outcomes and reducing the incidence of these and related skin conditions, through skin-focused prevention and management plans.

Free for all healthcare professionals

Sign up to the Wounds Group journals

By clicking ‘Subscribe’, you are agreeing that the Wounds Group are able to email you periodic newsletters. You may unsubscribe from these at any time. Your info is safe with us and we will never sell or trade your details. For information please review our privacy policy.

Are you a healthcare professional? This website is for healthcare professionals only. To continue, please confirm that you are a healthcare professional below.

We use cookies responsibly to ensure that we give you the best experience on our website. If you continue without changing your browser settings, we’ll assume that you are happy to receive all cookies on this website. Read about how we use cookies.

I am not a healthcare professional.