Global variation in skin injures and skincare practices in extremely preterm infants

Jani, Pranav; Mishra, Umesh; Buchmayer, Julia; Maheshwari, Rajesh; D’Çruz, Daphne; Walker, Karen; Gözen, Duygu; Lowe, Krista; Wright, Alex; Marceau, James; Culcer, Mihaela; Priyadarshi, Archana; Kirby, Adrienne; Moore, James E.; Oei, Ju Lee; Shah, Vibhuti; Vaidya, Umesh; Khashana, Abdelmoneim; Godambe, Sunit; Cheah, Fook-Choe; Zhou, Wenhao; Hu, Xiaojing; Satardien, Muneerah

doi:10.1007/s12519-022-00625-2

Cited by 13 publications

(15 citation statements)

References 48 publications

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“…Following the international recommendations, the protocol elaborated in this study was organized under four main pillars: cardiopulmonary stabilization, and prevention of hypothermia, hypoglycemia and infection. Actions such as setting the ambient temperature, using a heated field, equipment for fractional oxygen supply and agility in obtaining venous access are important to meet these pillars, as observed in other studies (3)(4)(9)(10) .…”

Section: Discussionmentioning

confidence: 90%

“…International studies highlight the importance of implementing protocols, bundles or checklists as a strategy for improving the care provided to PTNBs (3)(4)(5)(9)(10) .…”

Section: Discussionmentioning

confidence: 99%

“…of PTNBs and that it is a predictive factor of morbidity and mortality, regardless of gestational age. Heat loss cannot be overcome by heat production, mainly in premature infants, and the team must carry out interventions for thermal control while caring for the PTNB (4,6,(22)(23) .…”

Section: Discussionmentioning

confidence: 99%

“…The Golden Hour strategy proposes a more efficient service based on evidence, structuring multidisciplinary teamwork and effective communication; reinforcing integrated work through standardization of care and the use of clinical protocols (4)(5) . During the Golden Hour, care team actions are carried out to effectively stabilize the health of premature newborns, via preparation for delivery, timely umbilical cord clamping, maintenance of normothermia, monitoring and provision of adequate respiratory support, transfer to the neonatal unit, vascular access and prevention of hypoglycemia, among other clinical care measures (3)(4)(5) .…”

Section: Introductionmentioning

confidence: 99%

“…The effective integration of evidence-based interventions into neonatal care, including adoption of advanced technologies have contributed to a significant reduction in neonatal morbidity and mortality rates globally (1)(2) . Implementation settings which focus on continual improvements in quality have the potential for continually better survival outcomes in PTNBs (3)(4)(5)(6)(7)(9)(10)(11) .…”

Section: Introductionmentioning

confidence: 99%

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Elaboration and implementation of a protocol for the Golden Hour of premature newborns using an Implementation Science lens

Silva

Primo

Gimbel

et al. 2023

Rev. Latino-Am. Enfermagem

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Objective: describe the process of designing and implementing a care protocol for the first hour of life of premature newborns. Method: a participatory research study using an implementation science framework, the Consolidated Framework for Implementation Research (CFIR) was employed to determine drivers and facilitators of implementation success of the Golden Hour protocol for newborns at a large university hospital in southeastern Brazil. A multi-professional team, including first line providers and managers participated in six stages of quality improvement: situational diagnosis; protocol elaboration; training protocol implementation; barrier and facilitator assessment; and protocol monitoring and review. Qualitative and monitoring data collected across these six stages were analyzed using descriptive statistics and content analysis. Results: the institution’s Golden Hour protocol was organized by the multi-professional team based on a collective and dialogical approach. The protocol prioritized the infant’s cardiopulmonary stability, as well as prevention of hypothermia, hypoglycemia and infection. After four months of implementation, the care team was evaluated the protocol as a good quality intervention, necessary for the service, low-cost and not very complex. One suggested improvement recommended was to carry out refresher training to address staff turnover. Conclusion: implementation of the Golden Hour protocol introduced an appropriate and feasible neonatal care quality improvement process, which requires periodic refresher training to ensure greater adherence and better neonatal results.

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Section: Discussionmentioning

confidence: 90%

“…International studies highlight the importance of implementing protocols, bundles or checklists as a strategy for improving the care provided to PTNBs (3)(4)(5)(9)(10) .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Elaboration and implementation of a protocol for the Golden Hour of premature newborns using an Implementation Science lens

Silva

Primo

Gimbel

et al. 2023

Rev. Latino-Am. Enfermagem

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Use of tissue adhesive for neonatal intravenous access devices: A scoping review

de Souza,

Takashima,

Silva

et al. 2024

Eur J Pediatr

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Neonates often require vascular access devices for medication or fluid therapy, but a third of devices fail before treatment completion or end with a complication. For adults and children, securing these devices with tissue adhesive (TA) increases the dwell and reduces complications. However, there is a lack of evidence for the neonatal population. This scoping review aimed to assess the evidence of TA for vascular access devices in neonates. The Arksey and O’Malley’s (2005) framework was used. The inclusion criteria covered studies published from 2007 (when TA was first reported for use in vascular access devices) to June 2024, available in English, Portuguese, and Spanish, across six databases. Two independent reviewers assessed the studies using Covidence software, with a third reviewer resolving conflicts. Quality assessment was performed using the Mixed Methods Appraisal Tool. From 981 identified studies, 12 were included. Most studies (n = 5, 41.7%) enrolled between 100 and 500 neonates with vascular access devices. Publications originated from four regions and were observational studies (n = 6, 50%), quasi-experimental (n = 3, 25%), and case series (n = 2, 16.7%) with one randomized controlled trial (8.3%) focusing on umbilical venous catheters (UVC). The most common TA composition used was a combination of n-butyl- and 2-octyl- cyanoacrylate (n = 4, 33.3%). The amount of TA applied varied across studies, and often TA was part of a bundle (n = 7, 58.3%). Most studies applied TA to central venous access devices (n = 10, 83.3%) and 2 (16.7%) in peripheral devices. Although there was variation in device failure, the studies generally indicated a reduction in complications such as dislodgment (central catheter: 11.3% [peripherally inserted central catheter {PICC}] to 24.6% [UVC] in non-TA group vs 0.7% [PICC] to 7.7% [UVC] in TA group), device-associated bloodstream infections (central: 7.7% [UVC] and incidence of 2.76/1000 catheter days [PICC] in non-TA group vs 3.1% [UVC] and incidence of 0.99/1000 catheter day [PICC] in TA group), and phlebitis (13% in non-TA group vs 3% in TA-group), as well as increased dwell time in peripheral catheters. Most studies included both term and preterm neonates but did not differentiate between them in their analyses. Skin assessment, life of first dressing, and follow-up of catheters and patients were not reported in most studies. Conclusion: TA may reduce complications in vascular access devices, but the evidence in neonates is limited and varied. Many studies include TA as part of bundle, making it difficult to isolate its effects. Additionally, the current evidence lacks robustness due to the design limitations of the studies. Future research should focus on randomized controlled trials to evaluate TA’s effectiveness and safety in preventing device failures and complications in neonates, considering different subgroups, to ensure the safety of TA in these nuanced populations. What is Known:• Research in adults and pediatrics provides evidence supporting the use of tissue adhesive (TA) for vascular access devices, showing a positive impact in reducing failures and complications.• The use of TA in neonates needs to be carefully considered due to their unique characteristics.What is New:• There is a gap in the literature on the use of TA for securing vascular access devices in neonates, particularly regarding its safety and effectiveness in preventing failures and complications.• Further studies are needed to provide robust evidence verifying the effectiveness and safety of TA in this population.

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Diaper dermatitis—a narrative review of clinical presentation, subtypes, and treatment

Chiriac,

Wollina

2023

Wien Med Wochenschr

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Global variation in skin injures and skincare practices in extremely preterm infants

Cited by 13 publications

References 48 publications

Elaboration and implementation of a protocol for the Golden Hour of premature newborns using an Implementation Science lens

Elaboration and implementation of a protocol for the Golden Hour of premature newborns using an Implementation Science lens

Use of tissue adhesive for neonatal intravenous access devices: A scoping review

Diaper dermatitis—a narrative review of clinical presentation, subtypes, and treatment

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