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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Prevention Strategies for Neonatal Skin Injury in the NICU.

Jodi Herron Behr, Diane Wardell, Cathy L Rozmus

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    This systematic review identified skin injury prevention interventions for neonates in the Neonatal Intensive Care Unit (NICU). Barrier interventions, such as dressings and emollients, were found to be effective in preventing various skin injuries.

    Keywords:
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    Area of Science:

    • Neonatal care
    • Dermatology
    • Evidence-based practice

    Background:

    • Neonates in the Neonatal Intensive Care Unit (NICU) are susceptible to various skin injuries.
    • Effective prevention strategies are crucial for maintaining skin integrity in this vulnerable population.
    • Existing literature needs synthesis to identify optimal interventions.

    Purpose of the Study:

    • To determine specific skin injury prevention interventions for neonates in the NICU.
    • To synthesize evidence on the effectiveness of different preventive measures.

    Main Methods:

    • Systematic review of quantitative studies.
    • Searches conducted in PubMed, CINAHL, Embase, and Scopus.
    • Included studies focused on skin injury prevention in NICU neonates.

    Main Results:

    • Nineteen studies were included, with twelve employing a randomized design.
    • Barrier interventions (hydrocolloids, dressings, emollients) were primary for preventing pressure injuries, medical adhesive injuries, diaper dermatitis, and general skin conditions.
    • Non-barrier interventions included interface rotation, adherence to guidelines, and use of lower-concentration disinfectants.

    Conclusions:

    • Barrier interventions are key for preventing multiple types of skin injuries in NICU neonates.
    • Non-barrier strategies complement barrier methods for comprehensive skin protection.
    • Further research may refine these interventions for optimal neonatal skin care.