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Managing MASD Wound: Tips On How To Heal Macerated Skin

Managing MASD Wound: Tips On How To Heal Macerated Skin
Shweta Chaubey

Hard-to-heal wounds such as diabetic foot ulcers, pressure ulcers, and infected surgical wounds make your skin vulnerable to skin damage. This damage is often known as skin dermatitis, moisture wound, or MASD wound. Management of MASD wound is essential to expedite wound healing and prevent reinjury to the wound site.  

What is MASD wound? 

Moisture-Associated Skin Damage refers to skin damage due to excessive moisture or drainage. It can be a result of a certain health condition, such as -   

  • Incontinence   
  • Wound exudate  
  • Stoma leakage  
  • Catheter complication  
  • Sweat or mucus  

4 Types of MASD Wound  

1. Incontinence-associated dermatitis  

IAD is an inflammation of the perineal skin that occurs when urine or stool touches the perineal or peri-genital skin. According to a research paper on the same subject, IAD is a common problem that affects half of the people dealing with incontinence and using absorbent products.   

2. Intertriginous dermatitis  

Also known as intertrigo refers to superficial skin inflammation that often aggravates due to heat, friction, moisture, and maceration. A study published by the National Library of Medicine states that Intertrigo commonly becomes secondarily infected, notably with Candida.  

3. Peri-wound moisture-associated dermatitis  

Also known as peri-wound dermatitis, it refers to skin maceration from a bandage or wound drainage. When the wound heals, a yellow scab starts to form and produces exudate called serous fluid, which offers the wound nourishment and moisture required for healing. It comprises protein, sugar, electrolytes, and white blood cells. However, as the wound starts to weep, it may cause a maceration, rash, or irritation around the peri-wound skin.   

4. Peristomal moisture-associated dermatitis  

Another type of MASD wound is peristomal moisture-associated dermatitis. This type of skin damage results from moisture oozing out of stoma skin in individuals with ostomy, overactive bowel, diarrhea, or fistulas. Peristomal skin damage is also related to ostomy problems such as loose pouch or ostomy pancaking.    

Symptoms of moisture-associated skin damage  

Some of the common signs of MASD are -   

  • Itching  
  • Purulent exudate and scabbing  
  • Erythema – abnormally red wound skin  
  • Pain and swelling around the wound site  
  • Visible maceration or white skin around the wound  

How to heal macerated skin?  

Here are some tips for effective MASD wound care -   

1. Maintain proper hygiene  

Use a mild, pH-balanced wound cleanser and water to clean the affected area. Pat the skin dry with a soft and clean cloth. Do not rub the peri-wound skin vigorously. It can damage the fragile skin more.    


2. Use moisture barrier cream  

Barrier cream for MASD wounds helps keep the moisture in control and protects the skin from exposure to fecal and urinary irritants while keeping the skin moisturized but not too wet. When buying a moisture barrier cream, look for ingredients such as petrolatum, zinc oxide, or polymer films. These thickened skin protectants offer protection from viral or bacterial growth. Petrolatum contains a mix of hydrocarbons that repel the water and leave a greasy residue that prevents skin irritation due to adhesive. Similarly, a zinc oxide-based barrier cream coats and shields the skin from moisture and irritants.  


3. Use a wound dressing  

Choose a type of wound dressing that can handle the level of wound exudate. For instance, an injury with minimal exudate will require transparent films or hydrocolloid dressings. Similarly, a moderate to heavy exudate wound exudate will need foam or absorptive dressing. Moreover, change dressings to maintain a clean and dry wound environment.  



4. Management Your Condition  

Treating a moisture wound is only possible if the underlying condition is managed. If incontinence is the cause of the macerated skin, use incontinence products such as absorbent pads or adult diapers to keep the skin dry and change them regularly to prevent prolonged exposure to moisture.     


5. Offload pressure  

People with limited mobility or bedridden are most prone to pressure ulcers that can lead to moisture-associated skin damage. Use coccyx cushions and pressure relief mattresses to minimize pressure on vulnerable areas of the skin.


6. Use NSAID and opioid analgesics  

Pain management is essential to heal skin dermatitis. People who deal with chronic wounds are more prone to dermatitis. Using topical steroids and pain relievers helps keep inflammation and pain in control.   

7. Maintain nutrition  

Proper nutrition plays a vital role in wound healing. Ensure you eat well-balanced and have nutrients such as protein, vitamins, and minerals. Adequate nutrition helps the body repair damaged skin and tissues. Subsequently, make necessary changes in care routines to minimize the chances of further complications.    

When to call the doctor?  

Regularly assess the MASD wound for signs of healing or infection. It may warrant immediate medical attention if you notice increased redness, warmth, swelling, or purulent discharge. If the basic macerated skin treatment does not improve the wound, consult your doctor immediately. They would provide an advanced wound care treatment to treat the skin maceration. They will also help you address the underlying cause of the irritated skin to prevent the recurrence of moisture wound.   

Where can I find the best products to treat MASD Wounds?  

HPFY has been online since 2002. We carry an array of medical supplies, including wound healing products such as wound dressings and ointments. Explore our catalog today to find the right supplies for MASD wound care.  


Disclaimer: All content found on our website, including images, videos, infographics, and text were created solely for informational purposes. Our reviewed content should never be used for the purpose of diagnosis or treatment of any medical conditions. Content shared on our websites is not meant to be used as a substitute for advice from a certified medical professional. Reliance on the information provided on our website as a basis for patient treatment is solely at your own risk. We urge all our customers to always consult a physician or a certified medical professional before trying or using a new medical product.


HPFY Shweta Chaubey

Shweta Chaubey

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Shweta Chaubey, has been a Health Products For You contributor since 2021. An advocate-turned-writer, her desire to create meaningful and positive content has brought her to HPFY and what better than writing ...

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