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Iatrogenic Skin Disorders and Related Factors in Newborn Infants

Zsanett Renáta Csoma1, Angéla Meszes2, Rita Ábrahám2

  • 1Department of Dermatology and Allergology, University of Szeged, Szeged, Hungary. csoma.zsanett@med.u-szeged.hu.

Pediatric Dermatology
|September 7, 2016
PubMed

Insights

Iatrogenic skin injuries (ISIs) affect many neonates in intensive care. Key risk factors include prematurity, invasive procedures like mechanical ventilation, and certain medical conditions, necessitating improved prevention protocols.

Area of Science:

  • Neonatal intensive care
  • Medical complications
  • Pediatric surgery

Background:

  • Technological advances have improved neonatal survival rates.
  • Invasive procedures in neonatal intensive care units (NICUs) increase the risk of iatrogenic events.
  • Assessing iatrogenic complications in neonates is crucial for improving care.

Purpose of the Study:

  • To evaluate iatrogenic complications in neonates admitted to a NICU.
  • To identify factors contributing to iatrogenic injuries in critically ill newborns.
  • To investigate the prevalence of iatrogenic skin injuries (ISIs) and associated risk factors.

Main Methods:

  • A prospective, cross-sectional cohort study was conducted over two years in a level III NICU.
  • Investigated correlations between intensive therapeutic interventions and complications.
  • Examined factors influencing prognosis and the prevalence of iatrogenic skin injuries (ISIs).

Main Results:

  • Out of 460 neonates admitted, 83 (18%) developed ISIs.
  • Major risk factors included low birth weight, young gestational age, and prolonged NICU stay.
  • Other significant risk factors were the intubation-surfactant-extubation (INSURE) technique, mechanical ventilation, umbilical arterial catheterization, and specific medical conditions.

Conclusions:

  • Careful consideration of identified risk factors is essential for preventing ISIs.
  • Development of targeted protocols for efficient treatment of iatrogenic injuries is needed.
  • Proactive management strategies can mitigate the incidence of ISIs in high-risk neonates.
Abstract

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