In this section
Note: This guideline is currently under review.
The aim of this guidelines is to provide recommended perianal care for the Paediatric Oncology Patient at the Royal Children's Hospital. It outlines the prophylactic and reactive management required for optimal skin and mucosal integrity
Perianal care involves maintaining the integrity and function of the skin and mucosal surfaces of the perineum and anal region.
The skin and mucosal surfaces constitute the primary host defense against invasion by endogenous and acquired microorganisms. Any factor that bypasses or disrupts this integumentary barrier can mean there is increased susceptibility to infection.
The paediatric oncology patient is extremely vulnerable to alterations in skin and mucosal surfaces due to the adverse effects of chemotherapy, radiotherapy, immunosuppression and alterations in nutritional status.
The perianal region should be assessed daily by a clinician, either the treating doctor or the nurse managing the patients care.
Report discomfort, erythema, burning, itching, swelling, vesicles, etc.
Document all findings, decisions regarding management and proposed plan of care
The goal is to initiate preventative care of the skin and mucosal surfaces when there is an anticipated risk to the perianal area.
Recommended perianal care for the Paediatric Oncology Patient
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