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Skin integrity in hospitalized infants and children: a prevalence survey

Catherine Noonan1, Sandy Quigley, Martha A Q Curley

  • 1Division of Plastic Surgery, Children's Hospital Boston, MA 02115, USA. catherine.noonan@childrens.harvard.edu <catherine.noonan@childrens.harvard.edu>

Journal of Pediatric Nursing
|November 15, 2006
PubMed

Insights

Hospitalized children frequently experience skin integrity issues, including dermatitis and pressure ulcers. Addressing these common pediatric skin problems requires targeted care strategies and staff education.

Area of Science:

  • Pediatric Nursing
  • Dermatology
  • Hospital Acquired Conditions

Background:

  • Skin integrity alterations are a significant concern in pediatric healthcare settings.
  • Effective skin care protocols are essential for hospitalized children.

Purpose of the Study:

  • To document the range of skin integrity issues in pediatric inpatients.
  • To identify specific skin care needs among this population.

Main Methods:

  • A 1-day prevalence audit was performed in a children's hospital.
  • Skin alterations were assessed, and risk for pressure ulcers was evaluated using the Braden Q Scale.

Main Results:

  • Common skin issues included diaper dermatitis, pressure ulcers, IV infiltrations, device-related injuries, and epidermal injuries.
  • Many children required specialized care for wounds, ostomies, and invasive devices.

Conclusions:

  • Skin integrity problems are prevalent and serious in hospitalized children.
  • Findings can inform staff education, resource allocation, and evidence-based care protocols.

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