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LBF Sterile Barrier Film and LBF Barrier Cream range

Description


The LBF Sterile Barrier Film and LBF Barrier Cream product range is specifically designed to deal with the factors that can affect skin integrity including:

  • Exposure to bodily fluids such as urine, faeces, exudate and excessive perspiration
  • Regular changing of adhesive dressings and tapes
  • Friction damage from clothes or bedding rubbing against the skin.

LBF Barrier Cream is formulated to provide a barrier between intact skin and urine and faeces. It is designed to be an easy-to-apply formula, which moisturises and spreads across the skin providing a breathable layer of protective cream. It has the following benefits:


 

  • Waterproof 12 hour protection: non-greasy, long-lasting formulation that resists wash-off and reduces the number of applications needed
  • Non-blocking formulation: does not reduce incontinence pad absorbency
  • Cost effective: highly concentrated formula covers a large area of skin, so a little cream goes a long way
  • Infection control: individual 2g sachets for single use where there is a risk of cross-infection.

LBF Sterile Barrier Film is suitable for both intact and broken skin, leaving a long lasting transparent film that not only protects the skin but also provides an ideal surface for the adhesion of dressings and other medical devices. It has the following benefits:

  • Skin-friendly formulation: healthcare grade silicones, alcohol-, latex, -preservative- and fragrance-free, so will not sting even on sore skin 
  • Transparency: the film allows visual inspection and monitoring of at-risk skin, whilst providing film flexibility for easy movement
  • Choice: the LBF Sterile Barrier Film is available in three applications.

LBF Sterile Barrier Film Spray

  • Sterile: the spray undergoes a full sterilisation process, making it suitable for use on intact and broken skin
  • Infection control: bag-on-valve technology ensures that the contents remain sterile with every application, unlike traditional pump sprays
  • Touch-free: spray formulation enables application without the need to touch the skin, making it ideal for particularly sore or delicate areas
  • Easy to use: 360° dispensing and a uniform spray pattern offers total, uniform coverage, even in hard-to-reach areas
  • Patient comfort: no sting or cold sensation on application
  • Cost effective: 100% product delivery so no waste
  • Choice: available in two sizes – 30ml and 50ml. 

LBF Sterile Barrier Film Foam Applicator 

  • Infection control: individually packaged for single use where there is a risk of cross-infection
  • Precise: the foam applicator allows the sterile barrier film to be applied easily, exactly where it’s needed
  • Coverage: 1ml protects at least 15cm x 15cm of skin and 2ml protects at least 25cm x 25 cm of skin
  • Choice: available in two sizes – 1ml and 2ml applicator. 

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LBF Sterile Barrier Film Wipes 

  • Infection control: individually packaged for single use where there is a risk of cross-infection 
  • Coverage: protects an area of at least 15cm x 15cm 
  • Quick and discreet: easy for patients to carry and use 
  • Preferred choice: market-leading barrier film wipes. 

Available online at:
http://www.clinimed.co.uk/Wound-Care/Products.aspx

Indications

LBF Sterile Barrier Film Indications:

LBF Sterile Barrier Film is a liquid intended for external use as a film-forming product, suitable for both intact and broken skin. When applied to the skin, it forms a protective barrier between the skin and bodily fluids, adhesive products and friction, acting as a primary barrier against irritation. It also provide an ideal surface for the adhesion of medical devices.

  • LBF Sterile Barrier Film Spray - for use on intact and broken skin.
  • LBF Sterile Barrier Film Foam Applicator - individually packaged, single use application for use on intact and broken skin.
  • LBF Sterile Barrier Film Wipes - individually packaged, single use application for use on intact and broken skin. 

LBF Barrier Cream Indications

LBF Barrier Cream is indicated for the protection of skin that is at risk or likely to be compromised by corrosive bodily fluids (including urine, faeces, digestive enzymes), wound exudate, adhesives and friction. 

Contraindications

LBF Sterile Barrier Film Contraindications 

LBF Sterile Barrier Film products are not to be used as the only covering in situations that require dressing protection from bacterial contamination/penetration, e.g. intravenous therapy catheter sites and full or partial thickness wounds.  It is not to be used on infected skin or in cases when there is a known allergic sensitivity to any of the ingredients. 

Do not use if packaging is damaged. 

LBF Sterile Barrier Film, in liquid form, is flammable; use in a well-ventilated area.  Avoid use around flames and sources of ignition.

LBF Barrier Cream Contraindications

LBF Barrier Cream is for external use and should not be used on broken or infected skin.  The cream should not be used in cases where there is a known allergic sensitivity to any of the ingredients.

Do not use if packaging is damaged. 

Product plus points

  • LBF Barrier Cream has a waterproof formulation that resists wash-off for 12-hours . This provides long-lasting protection and reduces the amount of applications needed (Beldon, 2012)
  • LBF Barrier Cream’s non-blocking formulation means it will not clog incontinence pads (Fletcher, 2012), ensuring pad absorbency is not reduced. Similarly, it will not affect the adhesion of dressings or medical devices such as stoma pouches. As it is highly concentrated, small amounts can cover a large area of skin, improving cost-effectiveness (Fletcher, 2012)
  • Recent studies have shown how the silicone-based films, such as LBF, outperformed zinc oxide preparations and had the advantage of being easier to apply (Neander and Hesse, 2003; Cameron et al, 2005)
  • LBF film products provide  an economical way of protecting vulnerable skin across the age spectrum (Voegeli, 2008)
  • LBF Barrier cream has a balanced consistency, making it easy to apply and spread effortlessly across the skin (Beldon, 2012); forming a breathable layer on application. This reduces the time taken to apply the cream and maximises coverage. After the cream has absorbed into the skin, no thick or sticky residue is left
  • Being latex-free, fragrance-free, non-greasy and pH-balanced, LBF Barrier Cream is also skin-friendly, making it a popular choice for people with sensitive skin, or those just wanting a more comfortable feel on their skin (Fletcher, 2012)
  • No Sting Barrier Film Spray has a bag-on-valve technology, allowing the film to be applied uniformly and preventing particles being sucked back into the canister, reducing risk of cross infection (Wounds UK, 2013). 

How to use

Detailed instructions for use can be found on the product packaging. 

LBF Barrier Cream

  • Ensure the skin is clean and dry, removing any urine or faecal matter
  • Apply LBF Barrier Cream around the area sparingly as required
  • Repeat application after each incontinent episode/appliance removal or as required.

LBF Sterile Barrier Film Spray

  • Clean and dry the area where the barrier film is to be applied by removing any urine, faeces or wound exudate
  • Hold the spray nozzle 10–15cm (4–6 inches) from the skin and apply a smooth, uniform coating of film over the entire area, whilst moving the spray in a sweeping motion
  • The spray can be applied as required.  You should not need to remove the film as it will wear off naturally, however if removal is necessary a silicone medical adhesive remover such as Appeel Sterile can be used.

LBF Sterile Barrier Film Foam Applicator

  • Clean and dry the area where the barrier film is to be applied by removing any urine, faeces or wound exudate
  • Apply a uniform coating of film to the area using the foam applicator.  Each 1ml applicator will cover an area of at least 15cm x 15cm and the 2ml applicator will cover an area of at least 25cm x 25cm.

LBF Sterile Barrier Film Wipes

  • Clean and dry the area where the barrier film is to be applied by removing any urine, faeces or wound exudate
  • Apply the wipe evenly over the skin and allow it to dry for a few seconds.
  • Each wipe can cover a surface area of 15cm x 15cm.

Ordering information

CliniMed Product Code

Description

Quantity

PIP Code

NHS Supply Chain Code

3821

LBF Barrier Cream, 100g

1 tube

368-8397

GCC1398

3822

LBF Barrier Cream, 2g

1 box of 20 sachets

374-4307

GCC1396

3823

LBF Barrier Cream, 30g

1 tube

372-3335

GCC1397

3826

LBF Sterile Barrier Film Spray, 50ml 

1 can

399-9828 

ELY512

3827

LBF Sterile Barrier Film Spray, 30ml 

1 can

399-9810 

ELY475

3824

LBF Sterile Barrier Film Foam Applicator, 1ml 

1 box of 5 foam applicators

376-2358

ELY474

3825

LBF Sterile Barrier Film Foam Applicator, 2ml 

1 box of 5 foam applicators

390-2756

GCF296 

3820

LBF Sterile Barrier Film Wipes 

1 box of 30 wipes

289-6439

ELZ011

References


 

Beldon P (2012) Incontinence-associated dermatitis: protecting the older person. Br J Nurs 21(7): 402–07

Cameron J, Hoffman D, Wilson J, Cherry G (2005) Comparison of two peri- wound skin protectants in venous leg ulcers: a randomised controlled trial. J Wound Care 14(5): 233–36

Fleming L, Zala K & Ousey K (2014) Investigating the absorbency effects of LBF barrier cream. Wounds UK 10(2): 24-29

Fletcher J (2012) The use of a skin barrier cream in patients with incontinence. Wounds UK 8(1): 130–36

Neander KD, Hesse F (2003) The protective effects of a new preparation on wound edges. J Wound Care 12(10): 369–71

Wounds UK (2013) The use of skin barrier films in patients with moisture lesions. Clinical evaluation: LBF® No Sting Barrier Film. Wounds UK. Available online (accessed 1 February, 2016)

Evidence base

Beldon P (2012) Incontinence-associated dermatitis: protecting the older person. British Journal of Nursing 21(7): 402–407

This article examines older people’s skin and the way it is subject to dehydration, environmental factors and continence problems, which can lead to particularly painful incontinence-associated dermatitis (IAD), or even formation of moisture lesions. The author examines whether use of an effective barrier cream, which provides protection while not interfering with the efficiency of continence pads, can be an invaluable means of preventing IAD in older people.

The author outlines the pathophysiology of IAD in older patients as well as highlighting that quality of life studies demonstrate the detrimental effect of incontinence. She goes on to explain the benefits of skin assessment, skin cleansing and barrier creams, finally looking at recommendations for practice, which include using a barrier cream that contains dimethicone to provide an almost invisible barrier that does not affect the absorbency of body-worn continence pads.

The author provides three case studies of patients with urosepsis and associated skin damage; incontinence dermatitis owing to a combination of urinary and faecal incontinence; and Clostridium difficile and dehydration.

In each case the skin was improved through the use of LBF Barrier Cream, leading the author to conclude that the use of LBF Barrier Cream as part of a skin care regimen can ‘enhance the individual’s quality of life by providing protection from the deleterious effects of urine and faeces’.

Fleming L, Zala K, Ousey  K (2014)  Investigating the absorbency effects of LBF barrier cream. Wounds UK 10(2): 24–29

The authors explain that maintaining skin integrity and managing the microclimate around the skin in incontinence patients is of paramount importance.  They describe that when incontinence pads and barrier creams (both methods of protecting the skin from moisture contact) are used in conjunction, some reports have suggested the use of barrier creams will hinder the efficacy of incontinence products.  The study examined the effect of LBF barrier cream and three other commonly used barrier creams in two ways on the pads.  Firstly the amount of cream transferred to the incontinence pad from the patient’s skin and secondly the effects of that cream transfer on the capacity of the incontinence pad.

The study showed that LBF barrier cream was consistent with the other market-leading creams tested; the test indicated that LBF remained on the skin and was able to fulfil the role of providing a barrier to moisture for the skin.  Further testing with synthetic urine showed that in all cases the absorbency of the pads were affected by the barrier creams trialled, however the LBF barrier cream performed consistently and did not significantly impact the incontinence pads.

The authors concluded that there was cream transfer to incontinence pads in all four creams tested and a reduction in absorbency for all pads; however LBF performed favourably and the benefits of using an effective barrier cream outweigh the reduction of performance of incontinence pads, particularly when used in conjunction with higher absorbency pads.

Fletcher J (2012)  The use of a skin barrier cream in patients with incontinence.  Wounds UK 8(1): 30–36

This article examines the role skin plays in holistic health, providing a barrier against microbial invasion, minor trauma, chemical assault and dehydration. The author highlights how the skin can be damaged in a number of ways, one of which is incontinence.

Incontinence of urine, faeces or both can have a significant impact on the skin, most commonly resulting in incontinence-associated dermatitis (IAD). The author cites research suggesting that urine and faeces may cause damage to the skin individually, but that significant damage can occur when they are mixed.

When treating any patient with incontinence, preventing the development of IAD is paramount. The clinician must identify the cause of the incontinence and then catheters or faecal collection devices may be considered appropriate, particularly if the skin is very damaged and painful. Protecting and rehydrating the skin is also important using products such as barrier creams, skin protectors and emollients.

The author uses case studies of patients with spinal cord injuries to investigate a barrier cream’s ability to prevent skin breakdown. Following use of LBF Barrier Cream, all three patients showed improved skin colour and skin condition.

Voegeli D (2008)  LBF® ‘no-sting’ barrier wipes: skin care using advanced silicone technology. British Journal of Nursing 17(7): 472–76

Recently, there has been a growth in the use of silicone-based products, with various applications including disposable contact lenses, urinary catheters, and the development of innovative wound and skin care products.

The current development of topical silicone treatments to protect the skin reflects the need to protect vulnerable areas of patients’ skin and the prevent skin breakdown. These are basic principles of care that apply across the various specialties of care.

This article looks at how a silicone-based barrier film, such as CliniMed’s LBF No Sting Barrier Wipes, act to prevent and manage skin breakdown.

Beldon P (2013)  The use of skin barrier films in patients with moisture lesions. Clinical evaluation:  LBF® No Sting Barrier Film. Wounds UK.  2013. Available to download from:

http://www.wounds-uk.com/case-studies/the-use-of-skin-barrier-films-in-patients-with-moisture-lesions-clinical-evaluation-of-lbf-no-sting-barrier-film

(Last accessed 1 February, 2016)

Excessive moisture on the skin can give rise to a plethora of problems, including maceration, incontinence-associated dermatitis and, in severe cases, moisture lesions. This damage can be caused by chronic wound exudate, urinary or faecal incontinence, or perspiration and the cost in human and financial terms can be considerable.

Moisture lesions result in a host of distressing symptoms including pain and discomfort and it is important that healthcare professionals are able to diagnose and manage it correctly.  This involves treating the cause of skin damage systemically as well as locally.

Clinicians have found barrier film useful in protecting the skin and keeping excess moisture from incontinence and wound fluid at bay.

This document highlights the damage caused by excessive moisture and uses case studies to investigate the efficacy of LBF No Sting Barrier Film.