2020
DOI: 10.1590/0034-7167-2019-0352
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Patient safety in the prevention and care of skin lesions in newborns: integrative review

Abstract: Objective: to describe the main evidence available in the literature on safe practices in the prevention and care of skin lesions in newborns admitted to Neonatal Intensive Care Units. Methods: integrative literature review in the PubMed, BDENF, LILACS, MEDLINE, SciELO and Cochrane Library databases between 2013 and 2018. We included primary articles on: lesion prevention and skin care in newborns in Portuguese, English or Spanish and excluded editorials, thesis, dissertations and duplicate articles. For the … Show more

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Cited by 8 publications
(6 citation statements)
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“…Usually, the number of baths per day depends on the habits that the family establishes for the NB and even the type of climate in the region. The ideal is that the bath of the newborn is with warm water to avoid hypothermia and use of little liquid soap with neutral pH, restricting its use mainly in cases of more than one bath per day to avoid irritation and dryness of the skin of the NB since it is more sensitive and easier to absorb chemical substances (18)(19) . In addition, intimate hygiene should be performed in the anteroposterior direction, with longitudinal movements to prevent feces from coming into contact with the penis or vagina of the NB and reduce the risk of infections (20) .…”
Section: Discussionmentioning
confidence: 99%
“…Usually, the number of baths per day depends on the habits that the family establishes for the NB and even the type of climate in the region. The ideal is that the bath of the newborn is with warm water to avoid hypothermia and use of little liquid soap with neutral pH, restricting its use mainly in cases of more than one bath per day to avoid irritation and dryness of the skin of the NB since it is more sensitive and easier to absorb chemical substances (18)(19) . In addition, intimate hygiene should be performed in the anteroposterior direction, with longitudinal movements to prevent feces from coming into contact with the penis or vagina of the NB and reduce the risk of infections (20) .…”
Section: Discussionmentioning
confidence: 99%
“…The neonate's skin is complex and fragile, making it more susceptible to the appearance of lesions of various etiologies. According to the most frequent alterations, the use of topical antiseptics is the leading cause of erythema and may be the primary cause for the development of other types of lesions, such as dermatitis (11,(21)(22) .…”
Section: Discussionmentioning
confidence: 99%
“…To reduce damage and adverse events related to health care, the Brazilian Network of Nursing and Patient Safety (Rede Brasileira de Enfermagem e Segurança do Paciente) seeks to promote and protect human health and maintain the permanent improvement of services with quality. In 2013, patient safety protocols were instituted to prevent pressure injuries, which aims to prevent the occurrence of skin lesions (7,11) .…”
Section: Introductionmentioning
confidence: 99%
“…This condition can cause water loss and electrolyte and temperature disturbances. 14 The risk of newborns' skin to develop chemical irritation, local or systemic infections, 15 and several types of skin injuries 16 is greater as a result of the aforementioned features.…”
Section: Introductionmentioning
confidence: 99%
“…The skin of premature newborns remains under development; therefore, the impaired barrier function makes it more susceptible to permeability increase. This condition can cause water loss and electrolyte and temperature disturbances 14 . The risk of newborns' skin to develop chemical irritation, local or systemic infections, 15 and several types of skin injuries 16 is greater as a result of the aforementioned features.
…”
Section: Introductionmentioning
confidence: 99%