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- Title
Negative pressure therapy is effective to manage a variety of wounds in infants and children.
- Authors
McCord, Shannon S.; Naik‐Mathuria, Bindi J.; Murphy, Kathy M.; McLane, Kathy M.; Gay, Andre N.; Bob Basu, C.; Downey, Cara R.; Hollier, Larry H.; Olutoye, Oluyinka O.
- Abstract
Negative pressure therapy (NPT) has been accepted as a valuable adjunct for wound closure in adults; however, reports on its effectiveness in young children and infants, including neonates, are limited. A retrospective chart review was conducted on children treated with NPT at a single institution between January 2003 and December 2005. Wound volumetric measurements were calculated at the start and end of therapy. Sixty-eight patients with 82 wounds were identified. The mean age was 8.5 years (range 7 days–18 years). Twenty patients (29%) were 2 years of age or younger, including eight neonates. Wound types included: pressure ulcers ( n=13), extremity wounds ( n=18), dehisced surgical wounds ( n=19), open sternal wounds ( n=10), wounds with fistulas ( n=3), and complex abdominal wall defects ( n=6). Low suction pressures (<100 mmHg) were generally used in children younger than 4 years of age. Following NPT, 93% of wounds decreased in volume. The average wound volume decrease was 80% ( p<0.01, n=56). NPT can be effectively used to manage a variety of wounds in children and neonates. No major complications were identified in our retrospective review. Prospective studies are required to better refine the use of this technology in children.
- Subjects
WOUND healing; REGENERATION (Biology); CHILDREN'S injuries; STERNUM fractures; BONE injuries; NEWBORN infants; ABDOMINAL wall; ABDOMINAL muscles; VOLUMETRIC analysis
- Publication
Wound Repair & Regeneration, 2007, Vol 15, Issue 3, p296
- ISSN
1067-1927
- Publication type
Article
- DOI
10.1111/j.1524-475X.2007.00229.x