Publication details

Léčba nehojících se ran u novorozenců s využitím silikonových materiálů vlhkého hojení

Title in English Treatment of non-healing wounds in neonates with the use of silicone wet materials and dressing
Authors

POKORNÁ Andrea DVOŘÁKOVÁ Jana DVOŘÁKOVÁ Vlasta

Year of publication 2017
Type Article in Periodical
Magazine / Source Pediatrie pro praxi
MU Faculty or unit

Faculty of Medicine

Citation
Field Other medical specializations
Keywords newborn; wounds; soft silicone therapeutic materials; objective evaluation
Description Aim: Newborns' skin is fragile, requiring careful treatment while minimizing secondary trauma. Yet in the treatment of certain post-partum trauma inappropriate materials are used, which can harm the newborn. To evaluate the effect of silicone materials in the treatment of newborns' skin and mucosal traumas. Method: Prospective study with no control group (in the period from 2008 till 2014) at 8 newborns with non-healing wound caused in the early postpartum period (birth related trauma). Objective evaluation of the newborn skin condition (skin integrity) was done with Neonatal Skin Condition Score (NSCS) and pain evaluation with Neonatal/Infant Pain Scale (NIPS). Results/Discussion: For all newborns in those therapeutic silicone materials were used, it has been assessed high efficiency in local changes of their skin according Neonatal Skin Condition Score (NSCS). During dressing changes newborns responded calmly and a lower incidence of crying and other pain symptoms (changes in vital signs - breath, heart rate) was identified. Conclusion: Silicone therapeutic materials are effective in the treatment of local skin and mucosal traumas in newborns of different aetiologies. Those materials allow a reduction in the frequency of dressing changes, appropriate pain management while minimizing the secondary traumatization fragile skin.
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