Which two peristomal skin complications require adhesive-less pouching systems?

• A. Pemphigus and psoriasis
• B. Dermatitis and eczema
• C. Herpes simplex and zoster
• D. Bacterial infections

Answer: (A)

When peristomal skin is fragile or has active lesions, minimizing trauma from adhesives is crucial. An adhesive-less pouching system reduces direct contact, friction, and pulling on the skin, allowing healing and reducing pain.

Pemphigus creates fragile bullae that rupture easily; any adhesive can tear the delicate skin or worsen new lesions. Using an adhesive-free system protects these sensitive areas and minimizes disruption to the skin while still containing the stoma safely. Psoriasis around the stoma can produce thick plaques and fissures that are prone to cracking or bleeding with adhesive removal. An adhesive-free approach avoids pulling on those plaques, lowers the risk of skin injury, and supports a gentler healing environment.

Dermatitis, eczema, herpes lesions, and bacterial infections involve factors where adhesives are not the primary concern or are managed with other treatments; they don’t inherently require an adhesive-free setup in the same way fragile, bullous or highly erosive skin conditions do.