Point prevalence and incidence of iatrogenic skin damage in neonatal intensive care
Point prevalence and incidence of iatrogenic skin damage in neonatal intensive care
Neonates admitted to neonatal units are at risk of skin damage. Medical devices are frequently implicated, although several other forms of skin damage have been reported. A cross-sectional point prevalence study and prospective cohort incidence study were thus carried out looking at all forms of skin damage in two large neonatal intensive care units. Point prevalence of 39% (n = 21) and incidence of 71% (n = 36) were found. Although skin damage was frequent, it was typically superficial, with only 7% of injuries in the prevalence study and 14% in the incidence study representing broken skin. A range of medical devices were implicated in the development of skin damage, with immobility-related pressure ulcers and diaper dermatitis also observed. Greater degree of prematurity was associated with a higher risk of any skin damage. Clinicians, researchers, and industry must work together to ensure that medical devices used on neonatal skin are safe for this purpose.
Liversedge, Hannah L.
82a515c8-2a8c-4fb3-bb20-fc8ba58c7565
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Bader, Dan L.
06079726-5aa3-49cd-ad71-402ab4cd3255
Worsley, Peter R.
6d33aee3-ef43-468d-aef6-86d190de6756
11 June 2024
Liversedge, Hannah L.
82a515c8-2a8c-4fb3-bb20-fc8ba58c7565
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Bader, Dan L.
06079726-5aa3-49cd-ad71-402ab4cd3255
Worsley, Peter R.
6d33aee3-ef43-468d-aef6-86d190de6756
Liversedge, Hannah L., Schoonhoven, Lisette, Bader, Dan L. and Worsley, Peter R.
(2024)
Point prevalence and incidence of iatrogenic skin damage in neonatal intensive care.
Journal of Neonatal Nursing.
(doi:10.1016/j.jnn.2024.04.005).
Abstract
Neonates admitted to neonatal units are at risk of skin damage. Medical devices are frequently implicated, although several other forms of skin damage have been reported. A cross-sectional point prevalence study and prospective cohort incidence study were thus carried out looking at all forms of skin damage in two large neonatal intensive care units. Point prevalence of 39% (n = 21) and incidence of 71% (n = 36) were found. Although skin damage was frequent, it was typically superficial, with only 7% of injuries in the prevalence study and 14% in the incidence study representing broken skin. A range of medical devices were implicated in the development of skin damage, with immobility-related pressure ulcers and diaper dermatitis also observed. Greater degree of prematurity was associated with a higher risk of any skin damage. Clinicians, researchers, and industry must work together to ensure that medical devices used on neonatal skin are safe for this purpose.
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Iatrogenic Injuries in Neonates_2024
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Accepted/In Press date: 7 April 2024
e-pub ahead of print date: 11 June 2024
Published date: 11 June 2024
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© 2024
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Local EPrints ID: 491721
URI: http://eprints.soton.ac.uk/id/eprint/491721
ISSN: 1355-1841
PURE UUID: 60794759-2415-4a56-afda-80b03c0f7bf2
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Date deposited: 03 Jul 2024 16:39
Last modified: 12 Jul 2024 01:49
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Author:
Hannah L. Liversedge
Author:
Dan L. Bader
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