Iatrogenic Skin Injuries in Neonatal Icu- A Cross Sectional Hospital-Based Study

Abstract

BACKGROUND Neonatal skin injuries caused by various equipment, adhesives and life saving devices are a common entity in the intensive care unit (ICU). Structural and physiological limitations of the neonatal skin make it more prone to develop injury, but many of them are preventable. METHODS 100 consecutive neonates admitted in the neonatal ICU were enrolled and screened for presence of iatrogenic skin injuries. Detailed clinical examination was done to find out the morphology of each lesions. RESULTS Out of 100 consecutive neonates admitted in the NICU, 61 had some form of iatrogenic injury. They were more commonly seen in preterm, low birth weight or very low birth weight babies. Abrasion followed by chemical burns or irritant dermatitis were the most common morphological conditions observed. Adhesives and disinfectants were the most common responsible agents. CONCLUSIONS Neonates, particularly preterm and low birth weight babies should be thoroughly examined for the presence of iatrogenic injury.