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Prevention of radiation-induced moist desquamation in the tropics: A literature review of non-prescription skin care products

Wound Practice & Research: Journal of the Australian Wound Management Association
Volume 19 Issue 3 (Sept 2011)

Abstract: Introduction: Many patients undergoing radiation treatment experience moist desquamation, a severe acute skin reaction. The pain, discomfort and dressing applications subsequent to moist desquamation exacerbate the distress associated with the patients' cancer diagnosis and treatment. Background: Radiation oncology nurses in a tropical area of Australia believe that moist desquamation occurs more often in patients undergoing radiation treatment in the summer months. It is surmised that this increase is due to a combination of high humidity and the consistency of the preventative cream currently recommended by the clinical staff. Method: A narrative literature review was undertaken to identify a potential alternative non-prescription topical product, readily available in Australia, to prevent moist desquamation in a tropical environment. Research literature published in a 10-year time frame ending December 2010 was retrieved and reviewed. Main findings: Seven individual trials met our inclusion criteria. No non-prescription moisturising cream, lotion or gel that was trialled was significantly better than any other at preventing moist desquamation, and none were trialled in a tropical climate. The literature did indicate possible alternatives to the currently recommended preventative cream. Conclusion: There is no evidence to support recommending the use of any specific non-prescription topical product to prevent radiation-induced acute skin reactions. This literature review has informed a randomised controlled trial of two non-prescription creams in a tropical setting. It is anticipated that the trial will provide evidence-based preventative skin care recommendations for patients receiving radiation treatment in a tropical climate.

To cite this article: Laffin, N and Smyth, W. Prevention of radiation-induced moist desquamation in the tropics: A literature review of non-prescription skin care products [online]. Wound Practice & Research: Journal of the Australian Wound Management Association, Vol. 19, No. 3, Sept 2011: 136-144. Availability: <http://search.informit.com.au/documentSummary;dn=628056857624034;res=IELHEA> ISSN: 1837-6304. [cited 15 Feb 16].

Personal Author: Laffin, N; Smyth, W; Source: Wound Practice & Research: Journal of the Australian Wound Management Association, Vol. 19, No. 3, Sept 2011: 136-144 Document Type: Journal Article ISSN: 1837-6304 Subject: Health services administration; Dermatopharmacology; Skin--Care and hygiene; Radiotherapy--Complications; Cancer--Radiotherapy--Complications; Peer Reviewed: Yes Affiliation: (1) Clinical Nurse, Radiation Oncology Unit, Townsville Cancer Centre, The Townsville, Hospital, PO Box 670, Townsville, QLD 4814, email: Nadine_Laffin@health.qld.gov.au
(2) Nurse Manager - Research, Tropical Health Research Unit for Nursing and Midwifery Practice, Townsville Health Service District, and Adjunct Senior Research Fellow, School of Nursing, Midwifery and Nutrition, James Cook University, Townsville, QLD 4811, email: Wendy_Smyth@health.qld.gov.au, tel: (07) 4796 2666

Database: Health Collection