RESUMEN
Background Ostomy pouch odor can have a negative impact on the quality of life of people living with a stoma. This study assessed the effectiveness of malodor-reducing ostomy pouch additives under simulated conditions. Methodology The following six commercially available products with different odor control technologies plus a control were assessed: soyethyl morpholinium ethosulphate, zinc ricinoleate (ZnR), ZnR with orange terpenes (ZnR-Orange), a proprietary copper-based deodorant, a proprietary ion mix deodorant, and a terpene blend (TB). Each was added to an ostomy pouch with skatole (a substitute for human fecal odor). Professional olfactometrists rated odors according to intensity, hedonic tone (pleasantness), and character. Results The TB and ZnR-Orange had very weak (<1.0) malodor intensity, with mean (standard deviation [SD]) ratings of 0.6 (1.1) and 0.9 (0.9), respectively. All other products (2.7-3.0) and control (3.7) were statistically higher (stronger intensity) compared with the TB(p < 0.001). The mean (SD) hedonic tone for the TB was 0.8 (1.7) (considered slightly pleasant); all other products (-0.8 to 0.1) and control (-0.9) were statistically lower (p < 0.001). Odor character profiles were broadly comparable, but products with scent additives (TB and ZnR-Orange) were predominantly associated with fragrances. Conclusions This information may help nurses and other healthcare providers when educating ostomates about their options. Other factors such as application mode and recommended dosage may also influence the choice of product. Future research on real-world populations (i.e., ostomates), as well as assessment of lubrication properties, is warranted.
RESUMEN
For patients living with intestinal or urinary stomas, skin barriers play an essential role in protecting the peristomal skin and preventing peristomal complications. Convex baseplates press into the peristomal skin and are suitable for retracted stomas that do not protrude, peristomal skin with creases, folds, or dips, and stomas where frequent leaking can occur with flat pouching systems. However, there is a lack of data on the magnitude and location of tension applied to the abdomen by convex baseplates. We evaluated the impact of a range of convex baseplates applied to a simulated stoma site. A comparative finite element analysis investigation was conducted to evaluate the impact of eight different convex stoma system baseplates applied to an idealised flat abdomen, representing skin, subcutaneous tissue, and musculature layers. The baseplates considered had varying convexity with depths of 3.5 mm and 7 mm and internal structural diameters between ~30 mm and ~60 mm. The convex product range provided tension in the skin (maximum principal strain) and compression through the fat layer (minimum principal strain). Large differences in the locations and magnitudes of skin tension and fat layer compression were seen between the baseplates under analysis, with both the depth and diameter of convexity influencing the strain experienced across the abdominal topography. The results generated highlight the importance of having an appropriate range of convexity products available and selecting an appropriate option for use based on the stoma type and condition of the peristomal skin.