Help Prevent IAD—A Risk Factor For Pressure Injuries with

Comfort Shield® Barrier Cream Cloths

Reduce risk of IAD and pressure injuries

Exposure to incontinence is a major risk factor for developing incontinence-associated dermatitis (IAD).1 Patients with IAD are also at risk for developing a pressure injury.2 In fact, patients with fecal incontinence were 22 times more likely to have pressure injuries than patients without fecal incontinence.2 Comfort Shield® Barrier Cream Cloths apply a consistent 3% dimethicone barrier to help protect your patients’ skin from incontinence moisture. START A TRIAL

Unique formulation effectively protects

Not all dimethicone-containing cloths are created equal. It’s essential to consider overall product formulation in order to make a comparison of products containing dimethicone that are designed to be a barrier. A study designed to test the effectiveness of incontinence barriers showed that Comfort Shield allowed 3-5 times less artificial urine to pass through than the leading competitors.3 Comfort Shield’s thick, lotion-based dimethicone barrier emulsion has been proven equivalent to traditional tube barrier creams.4

Proven effective

A randomized, controlled clinical trial published in the Journal of Wound, Ostomy and Continence Nursing found that using Comfort Shield significantly reduced the prevalence of IAD.5 A study published in Ostomy Wound Management of a nurse-driven intervention, featuring Comfort Shield, reduced the rate of IAD and hospital-acquired pressure injuries to zero-percent.6

Standardize your approach to patient hygiene

Sage can help standardize your patient hygiene protocol, reduce steps and eliminate basins with three proven interventions. Our products can also help you conserve water!

References:1. Gray M, et al., J Wound Ostomy Continence Nurs. 2007 Jan-Feb;34(1):45-54. 2. Maklebust J, Magnan MA, Adv Wound Care. Nov 1994;7(6):25, 27-8, 31-4 passim. 3. West D, Comparison of Skin Barrier Effectiveness for Products Containing Dimethicone. Poster presented at: Symposium on Advanced Wound Care, Fall 2014, Oct. 16-18; Las Vegas, NV. 4. West D, Northwestern Univ. Dept. of Dermatology, Chicago, IL, Feb 2000.5. Beekman D, et al., A 3-in-1 perineal care washcloth impregnated with dimethicone 3% versus water and pH neutral soap to prevent and treat incontinence-associated dermatitis Journal of Wound, Ostomy and Continence Nursing, Nov/Dec 2011;38(6). 6. Hall K, Clark R, A Prospective, Descriptive, Quality Improvement Study to Decrease Incontinence-Associated Dermatitis and Hospital-Acquired Pressure Ulcers, Ostomy Wound Management 2015;61(7):26-30

Comfort Shield Barrier Cream Cloths with Dimethicone


Incontinence is a significant risk factor for skin breakdown.1 Research shows that by applying a barrier after each incontinence episode, skin breakdown can be reduced.2 Shield Barrier Cream Cloths with dimethicone help you provide consistent patient care by applying an effective barrier every time. Each cloth delivers all-in-one skin cleansing, moisturizing, deodorizing, treatment and barrier protection.

REFERENCES: 1. Maklebust J, Magnan MA,Adv Wound Care. Nov 1994l7(6):25, 27-8, 31-4 passim. 2. Clever K, et al., Ost/Wound Mgmt. Dec 2002;48(12):60-7

Peri Check™ Guide

Promote Early Identification of a Major Pressure Injury Risk Factor

Comfort Shield Barrier Cream Cloths feature Peri Check Guide peel-and-stick labels to facilitate daily skin inspection. They empower staff to observe and report skin issues to the patient’s nurse, and promote rapid response through early identification of skin breakdown and Incontinence-Associated Dermatitis (IAD), a known risk factor for pressure injuries.

In one study, Peri Check helped reduce pressure injuries to zero in a facility.2 The same study found that Peri Check improved non-licensed staff’s knowledge about pressure injury development and “resulted in enhanced communication between non-licensed staff and RNs.”

REFERENCE: 1. Carr D, Benoit R, The role of interventional patient hygiene in improving clinical and economic outcomes. Advances in Skin and Wound Care, Feb 2009 22 (2): 74-78.

2010 WOCN Guideline for Prevention and Management of Pressure Ulcers Managing Incontinence3

“Combined products can be used to save time and make providing perineal care easier for the care giver. Combined products include moisturizing cleansers, moisturizer skin protectant creams, and disposable washcloths that incorporate cleansers, moisturizers, and skin protectants into a single product.” (Beeckman, et al., 2009)

REFERENCE: 3. Wound Ostomy and Continence Nurses Society. Guideline for Prevention and Management of Pressure Ulcers; June 2010.

Proven Clinical Outcomes

New Randomized Controlled Trial Proves Effectiveness

beakmanA four month study of 141 nursing home residents evaluated the use of Shield Barrier Cream Cloths versus water and pH neutral soap. Residents using Shield saw a reduction in the prevalence of IAD from 22% to 8%, while residents using soap and water saw IAD prevalence increase from 23% to 27%. The study also found a decrease in IAD severity in residents using Shield, while no improvement was seen with soap and water.5

REFERENCE: 5. Beeckman D, et al., A 3-in-1 perineal care washcloth impregnated with dimethicone 3% versus water and pH neutral soap to prevent and treat incontinence-associated dermatitis. Journal of Wound, Ostomy and Continence Nursing, Nov/Dec 2011; 38(6).


Comfort Shield Barrier Cream Cloths

8-pack peel and reseal package
8.5in x 9in
22cm x 23cm
48 packages/case
Reorder #7408
DIN 02245871

Comfort Shield Petite Barrier Cream Cloths

3-pack easy-tear package medium size cloths
8.5in x 5.5in
22cm x 22cm
90 packages/case
Reorder #7403
DIN 02245871


Incontinence Care Clean-up Cloths

8-pack easy-tear package
8in x 8in
30 packages/case
Reorder #7505


Comfort Shield Barrier Station

  • Removable adhesive strips
  • Wall-mounting near the bedside

24 stations/case
Reorder #7599

7938_new warmer


1 Cart/case
Reorder #7932
28”(shelf L) X 17”(shelf D) X 35”(cart H)

What the Experts Say

Incontinence Care & Pressure Ulcer Prevention (PDF)
What the experts say about the financial implications of pressure ulcers (PDF)

Clinical Support

How-to-Guide: Prevent Pressure Ulcers (PDF)
IHI – 5 Million Lives Campaign

Location, location, location: Getting your incontinence care process bedside yields reduction in skin injury (PDF)

Incontinence-Associated Dermatitis: Consensus Statements, Evidence-Based Guidelines for Prevention and Treatment, and Current Challenges
Doughty D, Junkin J, Kurz P, Selekof J, Gray M, Fader M, Bliss D, Beeckman D, Logan S

Click for a complete listing of clinical evidence to support your prevention efforts.

Clinical Information


Sage disclaims responsibility for any material produced by a third party. Healthcare providers should exercise their own professional judgement in making treatment decisions.

Evaluation Forms

Product Evaluation

IAD Assessment Tool

Download (PDF)

Lanyard Assessment Form

Order Lanyard Assessment Cards

Customizable Protocol

Warmer Cleaning Procedure Product #7944, 7945 (doc)

Training Posters


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