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Paediatric pressure injuries - a review and recommendations for hospital providers

Adam Mosa1,2, George Ho1, Alan Rogers1,3

  • 1Division of Plastic, Reconstructive & Aesthetic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario.

Paediatrics & Child Health
|February 3, 2026
PubMed

Insights

Paediatric pressure injuries (PIs) are serious wounds in children. Early risk assessment and optimized skin care are crucial for preventing and managing these injuries in healthcare settings.

Area of Science:

  • Pediatric Nursing
  • Wound Care
  • Healthcare Management

Background:

  • Paediatric pressure injuries (PIs) present significant challenges, causing suffering, scarring, infection risk, and high healthcare costs.
  • Prevalence ranges from 1.4% in inpatient settings to 43% in critical care units.
  • Common causes include immobility and medical device pressure.

Purpose of the Study:

  • To provide healthcare providers with updated insights into paediatric pressure injury management.
  • To review the unique aspects of PIs in children compared to adults.
  • To offer recommendations for prevention, care, and treatment of paediatric PIs.

Main Methods:

  • A narrative literature review was conducted.
  • The review surveyed the current state of paediatric PI management.
  • Focus was on identifying updated insights for healthcare providers.

Main Results:

  • Paediatric PIs have unique aetiologies and locations due to differences in anatomy and physiology.
  • Structured risk assessment tools (e.g., Braden QD) within 8 hours of admission are recommended.
  • Optimizing skin health and managing medical devices are key prevention strategies.

Conclusions:

  • This article highlights the distinct characteristics of PIs in the pediatric population.
  • Recommendations for effective prevention, care, and treatment are provided.
  • Emphasizes the importance of prompt risk assessment and ongoing skin evaluation.
Abstract

Keywords:
Braden QDHospital-acquired pressure injuryMedical device-related pressure injury (MDRPI)Paediatric pressure injuries

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