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Introducing "Paediatric Incontinence-Associated Dermatitis: Canadian Best Practice Recommendations"

Updated: Oct 20, 2023

We are excited to announce the launch of the "Paediatric Incontinence-Associated Dermatitis: Canadian Best Practice Recommendations" document, an invaluable resource designed to enhance your expertise in preventing and managing PIAD in infants and children. This comprehensive guide provides evidence-based recommendations and practical information to assist caregivers, families, and healthcare professionals like you.

Diaper dermatitis, also known as incontinence-associated dermatitis (IAD), is a common acute inflammatory skin reaction that affects the diaper area, including the buttocks, perianal region, genitals, inner thighs, and waistline. While it primarily impacts infants aged 9-12 months and diapered children, it is essential to recognize that PIAD extends beyond the diaper-wearing stage. This document aims to address the unique needs of the broader paediatric population, emphasizing the importance of differentiating PIAD from other dermatological conditions.

Developed by a team of experts in wound, ostomy, and continence care, these best practice recommendations are specifically tailored to meet the needs of Nurses Specialized in Wound, Ostomy, and Continence (NSWOCs), registered nurses, physicians, and other allied healthcare professionals working with children. By adopting consistent definitions and terminology, this resource facilitates effective communication within the interprofessional team, enabling you to make informed decisions about prevention and management strategies.

We invite you to access the "Paediatric Incontinence-Associated Dermatitis: Canadian Best Practice Recommendations" document and the accompanying Quick Reference Guide, available online at We encourage you to share this announcement with your colleagues as well.

Please note that while these recommendations are evidence-informed and developed with utmost care, it is crucial to work within your scope of practice and adhere to your healthcare organization's policies and procedures.

Thank you for your ongoing dedication to providing the highest standard of care for our young patients. Together, we can make a significant difference in preventing and managing paediatric incontinence-associated dermatitis.


Stephanie Furtado, MClScWH, BScN, RN, NSWOC, WOCC(C)

Project Lead

Emily Woodgate, BScN, RN-AP, NSWOC, WOCC(C)

Paediatric Community of Practice Leader

Thank you to everyone who provided their time and expertise to help create this document:

Project Lead

Stephanie Furtado, MClScWH, BScN, RN, NSWOC, WOCC(C)

Community of Practice Contributors

  • Veronika Anissimova, MCIScWH, BMedSc, RN, NSWOC, WOCC(C)

  • Gail Creelman, RN (Retired), NSWOC, WOCC(C)

  • Paulo Da Rosa, MClScWH, BScN, RN, NSWOC, WOCC(C)

  • Caroline Daoust, MScN(A), PNP, BScN, RN, NSWOC

  • Tracy Dowds, MClScWH, BScN, RN, NSWOC, WOCC(C)

  • Louise Forest-Lalande, M.Ed., BSc, RN, NSWOC

  • Ashley Hudson, BSN, RN, NSWOC, IIWCC

  • Nicholas Joachimides, MClSc, MSc, BScN, RN, CHE, IIWCC, NSWOC, CPedN(C)

  • Lina Martins, MScN, BScN, RN, NSWOC, WOCC(C)

  • Shelley Masyoluk, BSN, RN, NSWOC, IIWCC

  • Carolyn Morin, BSN, RN, NSWOC

  • Tina Rutledge, BN, RN, NSWOC

  • Emily Woodgate, BScN, RN-AP, NSWOC, WOCC(C)

  • Christina Yadav, BScN, RN, NSWOC, WOCC(C)

The literature review and synthesis was conducted in collaboration with Queen’s University by Kevin Woo, PhD, BScN, RN, NSWOC, WOCC(C), FAPWCA.

The best practice recommendations were funded by unrestricted educational grants from 3M and Medline. Technical writer and project manager John Gregory, IIWCC, ISWA, Opencity Inc., edited and produced these best practice recommendations in collaboration with a paediatric community of practice of volunteers.

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