Lesions requiring wound management in a central tertiary neonatal intensive care unit
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Lesions requiring wound management in a central tertiary neonatal intensive care unit Angéla Meszes, Gyula Tálosi, Krisztina Máder, Hajnalka Orvos, Lajos Kemény, Zsanett Renáta Csoma Szeged, Hungary
Methods: Data were extracted from medical records of neonates who needed wound management in our Neonatal Intensive Care Unit between January 31, 2012 and January 31, 2013. Information about gestational age, sex, birth weight, area of involvement, wound aetiology, and therapy were collected. Results: Among the 211 neonates observed, wound management was required in 10 cases of diaper dermatitis, 7 epidermal stripping, 6 extravasation injuries, 5 pressure ulcers, 1 surgical wound and infection, 1 thermal burn, and 5 other lesions. Conclusions: International guidelines in neonatal wound care practice are not available, and further research concerns are clearly needed. Dressings and antiseptic agents should be chosen with great care for application to neonates, with particular attention to the prevention of adverse events in this sensitive population. Team work among dermatologists, neonatologists and nurses is crucial for the successful treatment of neonates. World J Pediatr November 2016; Online First
Author Affiliations: Department of Dermatology and Allergology, University of Szeged, Szeged, Hungary (Meszes A, Kemény L, Csoma ZR); Department of Pediatrics, University of Szeged, Szeged, Hungary (Tálosi G, Máder K); Department of Obstetrics and Gynecology, University of Szeged, Szeged, Hungary (Orvos H); MTA-SZTE Dermatological Research Group, Szeged, Hungary (Kemény L) Corresponding Author: Angéla Meszes, H-6720 Szeged, Korányi fasor 6, Hungary (Tel: +36-30-3733275; Fax: +36-62-545954; Email: [email protected]) doi: 10.1007/s12519-016-0070-6 ©Children's Hospital, Zhejiang University School of Medicine, China and Springer-Verlag Berlin Heidelberg 2016. All rights reserved.
World J Pediatr, Online First, November 2016 . www.wjpch.com
Key words: epidermal stripping; extravasation injury; neonatal intensive care unit; surgical wound; wound care in neonates
Original article
Background: Most of the skin disorders that occur in neonatal intensive care units are due in part to the immaturity and vulnerability of the neonatal skin. Various iatrogenic diagnostic and therapeutic procedures are also conducive to iatrogenic damage. This study was to review the neonates admitted to our neonatal intensive care unit who needed wound management, and to assess the most common skin injuries and wounds, and their aetiology.
Introduction
W
ith the increase in the survival rate of premature neonates in recent years, the skin care and wound management in this special patient group poses an ever greater challenge to practitioners. Skin and wound complications remain a significant source of morbidity and mortality in these vulnerable infants. The basic structural differences between preterm neonate, term neonate and adult skin play a considerable role in clinical practice.[1-7] The immaturity of the stratum corneum, and hence of t
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