Christine A.S, Theresa A.M. Under pressure: preventingpressure ulcers in critically illinfants(11)
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2013 USA |
Quasi Experimental/(n=399 children from 0 to 3 months) |
To determine if Bundle on prevention of ulcers by pressure was associated with a significant reduction in ulcers by pressure on children in Neonatal and Pediatric Intensive Care Units. Bundle Components included: to ensure that patients were kept in correct surface support to decrease the pressure of tissue interface; frequent turning; management of incontinence; proper nutrition and education. |
The use of the Bundle was associated with a significant decrease in the incidence of ulcers by pressure from 18.8 to 6.8%. |
Pressure ulcers can be Prevented in the most vulnerable patients with the implementation consistent of interventions based in scientific evidence and support systems to assist the nurses by changing practice. |
Tina L, Carol B. Randomized, Controlled Trial Evaluating a Baby Wash Product on Skin Barrier Function in Healthy, Term Neonates(12)
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2013 England |
Randomized Controlled Study (n=242 newborn <1-month-old) |
To examine if a product formulated for the bath of newborn has different outcomes compared to bath with water alone. |
Significant differences were not found in pH measurements and transepidermal water loss between the two groups. |
The authors suggest the use of neutral product or other technically equivalente cleaners. |
Visscher M.O, Taylor T. Neonatal intensive care practices and the influence on skin condition(13)
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2013 USA |
Cohort Retrospective (n=130, being 97 preterm infants and 33 newborn at term) |
To examine the effects of prematurity and gestation age (time to adaptation) in maturation and integrity of stratum corneum in newborns Neonatal Intensive Care Units. |
The shorter gestational age, time of contact with the feces, the use of formulas and parenteral nutrition influence the appearance of lesion. |
The low exposure to feces and the longest time before the first contact with feces seem to be protective against skin damage. |
Simone V.S, Roberta C. Prevention of newborn skin lesions: knowledge of the nursing team (14)
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2015 Brazil |
Convergent care Care Research (n=14 nursing professionals) |
To determine the knowledge of the nursing teams about practice and prevention of skin lesions in newborns hospitalized in neonatal units. |
The results point that professionals have knowledge of particularities of the newborn's skin and recognize the need for care on thermal regulation, transepidermal water loss, hygiene, hydration and handling in addition to care with invasive procedures, prevention of pressure lesions, and care with venous and arterial punctures and the use of antiseptics. |
Despite the knowledge of staff in regarding skin care, it is necessary to ensure training and team discussion about the theme seeking to ensure the standardization and improvement of care provided. |
Simone V.S, Roberta C. Treatment of skin lesions in newborn children: meeting the needs of nursing staff(1)
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2014 Brazil |
Convergent care Care Research (n=14 nursing professionals) |
To know the Care needed for the treatment of skin lesions in NBs admitted to a Neonatal unit. |
The results showed that team presents difficulties to treat skin lesions in RN, seen that the findings revealed the lack of standardization of the conducts, which makes it difficult to take a decision and to keep assistance to RN. |
It is urgent the need the team know about the lesion treatment, in order to provide safer care to RN and favor the autonomy of nursing professional in care achievement |
Young DL, Chakravarthy D, Drower E, Reyna R. Skin Care Product Evaluation in a Group of Critically Ill, Premature Neonates(15)
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2014 USA |
Descriptive Study (n=29 PTN) |
To describe the impact of a specific product containing a gel or foam base cleaner, two moisturizers, including one with silicone and one protective cream with zinc oxide on the PTN skin. |
Statistics differences were not found in pain scores (p = 0.132), perineal erythema (p = 0.059) or skin condition (p = 0.603) of the RN between the beginning and end of study. |
The use of the new hygiene product has not improved significantly total skin condition, erythema and pain in newborns of the study. |
Michelle T.M, Sarah N.D. Skin lesions of newborns in a neonatal unit: descriptive study(16)
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2013 Brazil |
Longitudinal, observational study (n=40 NB) |
To describe the types of treatments according to lesions found in newborns. |
A total of 195 skin lesions were identified, with average of five lesions in each RN. The dermatitis caused by diaper was the most incident lesion, and lesion caused by adhesive labels and nasal lesions were less expressive. There was significant statistics for the antifungal use in dermatitis caused by diapers and the use of Essentials Fatty acids in treatment of lesions by adhesives labels and nasal lesions. |
The findings point to the need for preventive lesion treatment, which can improve the quality of life and consequently growth for newborns. |
Ulrike B.P, Tina L. Recommendations from a European Roundtable Meeting on Best Practice Healthy Infant Skin Care(17)
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2016 Germany |
Descriptive Study |
To provide information relating to care practices with newborns, such as the bath and cleaning, the exchange of diapers and hygiene of this area and the use of emollients and other formulated products. |
To use only water or liquid soaps properly produced. These can be used during the bath, without harming the process of skin maturation. |
It is expected that health professionals use these recommendations based on evidence to guide parents to respect of cleaning practices, bath, hydration and care with the diaper area. |
The diaper area should be kept clean and dry and can be gently cleaned with cotton squares/balls and water or using tissues properly developed. |
Oils appropriately formulated for babies can be applied to skin physiological dryness (transitional) and in small quantities for the bath. |
Lori D.M, Jodi H.B, Sandra L.S. Hydrocolloid to prevent breakdown of nares in preterm infants(18)
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2015 USA |
Cohort Retrospective (n = 53 NB of very low weight) |
To determine if a hydrocolloid double barrier dressing prevents the trauma of the nostrils and columella in very low weight NB (<1500g) receivingheated oxygen and humidified via high flow nasal cannula. |
There was no significant differences conditions of nostril skin between groups or throughout the time. |
No statistics difference between groups may have been caused by the greater surveillance of NICU nurses facing the risk of trauma to the skin. In addition, the replacement of nasal CPAP by heated oxygen and humidified via high flow nasal cannula, which makes less pressure on the tissues of the nostrils, is becoming more common. |
Amer M, Diab N, Soliman M, Amer A. Neonatal skin care: what should we do? A four-week follow-up randomized controlled trial at Zagazig University Hospitals(19)
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2017 Egypt |
Randomized Controlled Study (n=70 newborns) |
To evaluate effectiveness of skin care in the neonatal period, to promote normal skin development and protection of skin function great, to avoid the many different neonatal cutaneous disturbances that cause infections of skin. That is achieved by optimization of integrity of epidermal barrier, including the bath and the use of softeners, preventing and managing infections and lesions of the skin, and minimizing the transepidermal water loss (TEWL) and heat or absorption percutaneous toxins. |
There were significant differences between the group of newborns that received the conventional skin care without standardization of products, and the group that received care with cleaning products designed for the baby's skin, that is, with neutral ph and gentle. The last one had less allergic dermatitis. |
It is recommended the use of especially developed products for cleaning baby's skin with neutral pH and very gentle to prevent irritant dermatitis and allergic dermatitis. |