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A semipermeable skin dressing for extremely low birth weight infants
M L Donahue1, D L Phelps, S E Richter
1Department of Pediatrics, Medical University of South Carolina, Charleston 29425-3313, USA.
Summary
Semipermeable skin dressings (SPD) protected extremely low birth weight infants from skin breakdown. While not reducing fluid needs, SPD application significantly improved skin integrity in premature infants.
Area of Science:
- Neonatal care
- Dermatology
- Pediatric intensive care
Background:
- Extremely low birth weight (ELBW) infants often experience skin breakdown.
- High fluid requirements are also a concern in ELBW neonates.
- Semipermeable skin dressings (SPD) are a potential intervention.
Purpose of the Study:
- To evaluate the efficacy of SPD in protecting the skin of ELBW infants.
- To determine if SPD application reduces fluid requirements in ELBW infants.
Main Methods:
- A randomized controlled trial was conducted on infants weighing < 1000 gm.
- SPD was applied to the chest, abdomen, and back within 12 hours of life.
- Skin integrity and fluid/electrolyte status were monitored.
Main Results:
- Infants receiving SPD showed non-erythematous, intact skin under the dressing.
- Uncovered skin in both groups experienced significant breakdown.
- No significant differences in fluid or electrolyte status were observed between groups.
Conclusions:
- SPD significantly improves skin integrity in ELBW infants.
- SPD does not appear to affect fluid requirements.
- The protective effect on skin may warrant SPD use in premature infants with fragile skin.
