TABLE 1. Scoping Literature Review Study.

Reference	Study: Design/Type of Literature Review/Practice Guideline	Subjects and Setting	Pertinent Outcomes
Beitz and Colwell13	Study: Cross-sectional survey, content validation of management options for various peristomal skin complications	281 WOC nurses practicing in the United States	Nurses specialized in ostomy care ranked interventions for managing stoma and peristomal complications. Highest-ranking interventions for PMARSI relevant conditions were: Peristomal irritant contact dermatitis Identification and correction of etiology of skin/effluent/chemical contact Use of extended wear barrier with ileostomy or urostomy Application of light dusting of skin barrier powder Allergic or hypersensitivity response Identification of and discontinuing of the offending product/agent Application of topical anti-inflammatory sprays or products Introduction of new ostomy products one at a time Peristomal trauma Identification and elimination of the cause of trauma Sprinkle the injured area with skin, barrier powder, and cover with a thin hydrocolloid layer Application of non-alcohol-based skin barrier film to the injured area
Beitz and Colwell14	Study: Cross-sectional survey	281 WOC nurses practicing in the United States	Analysis of narrative comments received in the survey described previously. Frequently advocated interventions for PMARSI-related conditions were: Peristomal candidiasis Drying skin with a hair dryer on low or cool setting Application of antifungal cleanser or powder, followed by administration of a systemic antifungal agent if topical therapy is not successful Cleansing skin with 5%-10% cleanser Use of silver-impregnated material to decrease moisture and for an antimicrobial effect Peristomal folliculitis Removal of hair via electric clippers Reduce frequency of shaving peristomal skin Gentle removal of the ostomy skin barrier
Farris et al15	Study: Epidemiologic study of patients care for in a single-site study on 2 nursing units in the United States	Two inpatient care units in single acute care facility in the United States; data based on 1189 skin assessments over a 28-d data collection period	Measured prevalence of multiple corms of MARSI, including PMARSI over a 28-d period Patient prevalence of any form of MARSI: median 13%; range, 3.4%-25% Mean daily prevalence based on severity: mild, 5.6 per 1000 products days; moderate, 7.0 per 1000 product days; severe, 0.5 per 1000 product days 1000-d product based MARSI prevalence: median 56 per 1000 product days; range, 8-149 Product prevalence: median 56 per 1000 patient days; range, 8-149 per 1000 product days 3 events were deemed PMARSI, both were ranked as moderate, and all were identified as irritant contact dermatitis
Lund16	Integrative literature review	Not applicable	Summarized the challenges of using medical adhesives in premature, full-term, and chronically hospitalized infants Included ostomy pouching systems as relevant medical devices
McNichol et al10	Practice guideline	23 key opinion leaders	Reported the results of multidisciplinary consensus panel meeting. Participants agreed on 25 statements about assessment, prevention, and management of MARSI and identified gaps in research Included a systematic literature review of topic
Ousey and Wasek12	Study: Cross-sectional survey	918 clinicians (nurses, community nurses, district nurses, wound care specialty practice nurses, general practice physicians, geriatricians, podiatrists); all clinicians indicated practicing in the United Kingdom	Queried professional opinion of clinician perspectives on medical adhesive-related skin injuries, pertinent findings More than 50% of respondents indicated more than 60.6% of their patients have “fragile skin” (vulnerable to MARSI) Awareness of various forms of MARSI varied; more than 80% recognized skin (epidermal) stripping, skin tears, irritant contact dermatitis; less than 50% recognized maceration or folliculitis as prevalent forms 70.5% indicated MARSI is not documented in their facility 78% indicate use of a barrier film before applying medical adhesives as preventive intervention
Yates et al17	Consensus	≥250 WOC nurses practicing in North America	Reported 8 consensus statements about medical adhesives relevant to WOC nursing. Included a review of the state of the science in adhesive product technology Authors recommend conducting point prevalence for MARSI and taking action based on data
Zulkowski18	Integrative literature review	Not applicable	Described types of skin damage relevant to WOC nursing practice, distinguishing characteristics and general recommendations for prevention and treatment

Abbreviations: MARSI, medical adhesive-related skin injury; PMARSI, peristomal medical adhesive-related skin injury.