[Development of items for the assessment of paediatric incontinence-associated dermatitis in German: Delphi study].

Development of items for the assessment of paediatric incontinence-associated dermatitis in German: Delphi study Abstract:

Background

Paediatric incontinence-associated dermatitis (PIAD) is a common problem in premature infants, neonates, infants and young children. Standardized instruments for the assessment of PIAD can support clinical decision-making, but no standardized instrument is yet available for German-speaking countries. Aim: Selection, development and agreement of appropriate items for the assessment of PIAD in newborns, infants and young children in German (aIADchild Delphi). Method: Using a Delphi technique, international items were formulated in German by a steering committee, the items were assessed by panellists using an online survey, and a consensus (I-CVI > = 75%, comments) was formed by the steering committee and panellists.

Results

54 experts from four German-speaking countries were recruited. 44 (1st round) and 33 (2nd round) completed the questionnaire in full. Twelve items for the assessment of PIAD were rated as relevant, comprehensive and comprehensibility: erythema, skin change without and with damage to the skin surface, exudation, bleeding, oedema, overheating, signs of mycotic/bacterial superinfection, pain, itching, localization/extension and duration.

Conclusion

The items aIADchild Delphi for the assessment of PIAD in German should be tested for their measurement properties prior to clinical use and the construction of an instrument.