Skin Integrity in Hospitalized Infants and Children

Noonan, Catherine; Quigley, Sandy; Curley, Martha A. Q.

doi:10.1016/j.pedn.2006.07.002

Cited by 123 publications

(89 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2 In 2005, a one-day skin integrity audit performed on all inpatients hospitalized at another universityaffiliated tertiary-care children's hospital revealed that 43% of patients had a wound and/or surgical incision, 16% of patients with urine and/or stool incontinence developed diaper dermatitis, and 6% of patients were felt to be at risk for the development of pressure ulcers as based on Braden Q score assessment. 3 A 2003 multisite study examining the prevalence of pressure ulcers and skin breakdown in the pediatric inpatient population revealed a pressure ulcer prevalence of 4.0% and the prevalence of other forms of skin breakdown of 14.8%; 66% of pressure ulcers were facility associated. 4 A 1998 survey of 215 neonatal intensive care units reported that an average of 21% of extremely low birth weight neonates developed skin breakdown in the first week of life.…”

Section: Discussion Of Findings and Relevant Literature Prevalence Ofmentioning

confidence: 99%

“…25 In children, pressure ulcers related to medical devices are seen most frequently on the head and neck in association with the presence of a tracheostomy or noninvasive positive pressure ventilation interface, on the torso in association with placement of electrocardiography leads, and on the digits in association with use of pulse oximeter probes. 2,3,26 The Braden Q Scale and Modified Braden Q Scale were developed to allow for standardized assessment of pressure ulcer risk in pediatric patients. These scales are based on assessment of mobility, activity, sensory perception, moisture, friction/ shear, nutrition, and tissue perfusion/oxygenation (Fig.…”

Section: Wound Management Issues In Pediatricsmentioning

confidence: 99%

See 1 more Smart Citation

Dressings and Products in Pediatric Wound Care

King

Stellar

Blevins

et al. 2014

Advances in Wound Care

View full text Add to dashboard Cite

Significance: The increasing complexity of medical and surgical care provided to pediatric patients has resulted in a population at significant risk for complications such as pressure ulcers, nonhealing surgical wounds, and moistureassociated skin damage. Wound care practices for neonatal and pediatric patients, including the choice of specific dressings or other wound care products, are currently based on a combination of provider experience and preference and a small number of published clinical guidelines based on expert opinion; rigorous evidence-based clinical guidelines for wound management in these populations is lacking. Recent Advances: Advances in the understanding of the pathophysiology of wound healing have contributed to an ever-increasing number of specialized wound care products, most of which are predominantly marketed to adult patients and that have not been evaluated for safety and efficacy in the neonatal and pediatric populations. This review aims to discuss the available data on the use of both more traditional wound care products and newer wound care technologies in these populations, including medical-grade honey, nanocrystalline silver, and soft silicone-based adhesive technology. Critical Issues: Evidence-based wound care practices and demonstration of the safety, efficacy, and appropriate utilization of available wound care dressings and products in the neonatal and pediatric populations should be established to address specific concerns regarding wound management in these populations. Future Directions: The creation and implementation of evidence-based guidelines for the treatment of common wounds in the neonatal and pediatric populations is essential. In addition to an evaluation of currently marketed wound care dressings and products used in the adult population, newer wound care technologies should also be evaluated for use in neonates and children. In addition, further investigation of the specific pathophysiology of wound healing in neonates and children is indicated to promote the development of wound care dressings and products with specific applications in these populations. SCOPE AND SIGNIFICANCEGiven the lack of consensus on the optimal strategies for common wound care management issues in the neonatal and pediatric populations and the large number of wound care products on the market today, it can be challenging to make informed decisions regarding wound care in these populations. A comprehensive review of the literature on the following specific areas of focus: pressure ulcers, surgical wounds, epidermal stripping, intravenous extravasation injuries, moisture-associated skin damage (MASD), and use of negative-pressure wound therapy (NPWT) is presented, along with management recommendations based on the clinical experience of the authors.

show abstract

Section: Discussion Of Findings and Relevant Literature Prevalence Ofmentioning

confidence: 99%

Section: Wound Management Issues In Pediatricsmentioning

confidence: 99%

Dressings and Products in Pediatric Wound Care

King

Stellar

Blevins

et al. 2014

Advances in Wound Care

View full text Add to dashboard Cite

show abstract

“…They can also cause disfigurement or permanent alopecia, which may affect the (5-7). Any breaks y invasive medical devices, incontinence lesions, or other wounds may cause them to be susceptible to infection (8), and in severe cases infected pressure ulcers can lead to osteomyelitis (7,9). Pressure ulcers impose a financial burden both on health organizations and on individual patients (5).…”

Section: Introductionmentioning

confidence: 99%

A comparison of the performance of the Braden Q and the Glamorgan paediatric pressure ulcer risk assessment scales in general and intensive care paediatric and neonatal units

Willock

Habiballah

Long

et al. 2016

Journal of Tissue Viability

View full text Add to dashboard Cite

show abstract

“…We now know that pressure ulcers do occur in these patients [2][3][4] ; the reported incidence is 4% to 27%. [5][6][7][8][9] Despite the growing awareness of pressure ulcers in infants and children, little is known about the nuances of risk in this age group.…”

mentioning

confidence: 98%

“…Most of the research 2,5,10 to date has centered on tools to assess a patient's risk. Few specific data 4,11,12 are available on factors associated with the development of occipital pressure ulcers (OPUs), the type most common in infants and children.…”

mentioning

confidence: 99%

Factors Associated With Occipital Pressure Ulcers in Hospitalized Infants and Children

Manning¹,

Gauvreau²,

Curley³

2015

American Journal of Critical Care

View full text Add to dashboard Cite

Background The occiput is a common location for development of pressure ulcers in hospitalized infants and young children. However, risk factors associated with occurrence of the ulcers have not been fully described. Objective To identify factors associated with development of occipital pressure ulcers in acutely ill infants and children. Methods Charts of all patients with occipital pressure ulcers reported in a computerized safety event reporting system since its implementation in 2005 and of any patients with such ulcers recalled by members of the skin care special interest group were reviewed retrospectively. Results During a 4-year period, 60 cases of occipital pressure ulcers were identified: 40% stage I, 12% stage II, 30% unstageable, and 18% deep tissue Injury. The median age of the sample was 12 months. Among the patients, 86% were in the intensive care unit with cardiovascular or pulmonary problems. A total of 68% had comorbid conditions. Most of the patients were less than 1 year old; were critically ill, requiring high-risk therapies; and had multiple medical devices in place. Patients with the ulcers were commonly treated with mechanical ventilation (83%) and sedation (74%) and were described as agitated (42%). Many of these patients were receiving vasoactive medications (50%) and had vascular access devices in the neck that restricted head movement (45%). When documented, the median Braden Q score was 16. Conclusions Infants and children at risk for occipital pressure ulcers can be prospectively identified, allowing implementation of nursing interventions to prevent these ulcers.

show abstract

Skin Integrity in Hospitalized Infants and Children

Cited by 123 publications

References 24 publications

Dressings and Products in Pediatric Wound Care

Dressings and Products in Pediatric Wound Care

A comparison of the performance of the Braden Q and the Glamorgan paediatric pressure ulcer risk assessment scales in general and intensive care paediatric and neonatal units

Factors Associated With Occipital Pressure Ulcers in Hospitalized Infants and Children

Contact Info

Product

Resources

About