Efficacy of Acacia senegal for stoma care in children with colostomy.

Abstract

INTRODUCTION:

The creation of a stoma on the abdomen and the need for appliance on the peristomal skin make this region vulnerable to inflammatory skin disorders. In this study, we introduce a novel protection with Acacia senegal and compare the protective effects of this barrier with zinc sulfate ointment.

METHODS AND MATERIALS:

To examine the effect of protective interventions, a prospective, controlled, clinical study was conducted. Participants were all infants consecutively admitted to the pediatric surgery unit of the study hospitals for elective surgery of colostomy creation. After laparotomy and double barrel colostomy creation, patients were randomly assigned to use one barrier (gum acacia or zinc sulfate ointment) for 4 weeks.

RESULTS:

In this study, a total of 60 infants (30 as case and 30 as control) were evaluated. Results showed that there was a statistically significant difference in peristomal skin inflammation rate in groups; infants who had Acacia senegal barrier showed lower and less sever inflammation rates (p=0.05).

CONCLUSION:

Compared with zinc oxide, we found a lower rate of dermatitis in the Acacia group.

• Authors: Mehrdad Hosseinpour, Ali Fazeli, Masoome Agabeigi
• Journal: European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie (Eur J Pediatr Surg) Vol. 22 Issue 3 Pg. 234-7 (Jun 2012) ISSN: 1439-359X [Electronic] United States
• PMID: 22576305 (Publication Type: Controlled Clinical Trial, Journal Article, Randomized Controlled Trial)
• Copyright: Copyright © 2012 by Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Chemical References

• Dermatologic Agents
• Ointments
• Zinc Sulfate
• Gum Arabic

Topics

• Abdominal Wall (surgery)
• Colostomy
• Dermatitis (drug therapy, prevention & control)
• Dermatologic Agents (therapeutic use)
• Female
• Gum Arabic (therapeutic use)
• Humans
• Infant, Newborn
• Male
• Ointments
• Phytotherapy
• Prospective Studies
• Statistics, Nonparametric
• Surgical Stomas (adverse effects)
• Zinc Sulfate (therapeutic use)