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- Title
Prevention Strategies for Neonatal Skin Injury in the NICU.
- Authors
Behr, Jodi Herron; Wardell, Diane; Rozmus, Cathy L.; Casarez, Rebecca L.
- Abstract
Purpose: The purpose of this article was to determine specific skin injury prevention interventions for neonates in the NICU. Design: The design was a systematic review. Sample: PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Embase, and Scopus were systematically searched to identify quantitative studies identifying skin injury preventions for neonates in the NICU. Outcomes: The outcomes included skin integrity or skin condition. Results: Nineteen studies were included in the review. Twelve studies included a randomized design. Barriers were the main interventions for the prevention of pressure injury, medical adhesive skin injury, diaper dermatitis, and general skin condition. The types of barriers included hydrocolloids, polyurethane-based dressings, film-forming skin protectant, or emollients. Nonbarrier interventions included rotation between a mask and nasal continuous positive airway pressure (NCPAP) interfaces, utilization of prescribed guidelines to decrease pressure injuries, and use of a lower concentration of chlorhexidine gluconate as a disinfectant.
- Subjects
SKIN injuries; PREVENTION of injury; CHLORHEXIDINE; CINAHL database; CONTACT dermatitis; DERMATOLOGIC agents; DISINFECTION &; disinfectants; MEDICAL information storage &; retrieval systems; LANOLIN; MEDLINE; NEONATAL intensive care; ONLINE information services; SKIN care; SYSTEMATIC reviews; NEONATAL intensive care units; CONTINUOUS positive airway pressure
- Publication
Neonatal Network, 2020, Vol 39, Issue 6, p321
- ISSN
0730-0832
- Publication type
Article
- DOI
10.1891/0730-0832/11-T-623