Polyethylene versus cotton cap as an adjunct to body wrap in preterm infants

Shafie, H; Zakaria, Syed Zulkifli Syed; Ali, Adli; Ishak, Shareena; Rohana, J

doi:10.1111/ped.13285

Cited by 14 publications

(23 citation statements)

References 19 publications

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“…The 2017 NeoCap study compares post‐stabilization temperature in a group of neonates bundled in polyethylene body wrap and cap to a group bundled in the polyethylene body wrap and a cotton cap. Neonates bundled in polyethylene body wrap and cap exhibit a higher post‐stabilization temperature than those bundled with a cotton cap …”

Section: Resultsmentioning

confidence: 99%

“…Neonates bundled in polyethylene body wrap and cap exhibit a higher post-stabilization temperature than those bundled with a cotton cap. 34 While impermeable wraps are typically used to reduce heat loss in the minutes following birth, semipermeable wraps have been used chiefly to reduce transepidermal water loss over a span of days or weeks. Impermeable wraps are typically used with radiant warmers rather than humidified isolettes, the latter of which minimizes TEWL through the addition of humidity.…”

Section: Emollients and Massagementioning

confidence: 99%

“…35,36 These studies show that semipermeable adhesive membranes decrease TEWL, reduce skin breakdown, and decrease erythema while applied, but may strip superficial skin layers when they are removed, leading to a transient post-removal increase in TEWL. 34 Furthermore, due to their semipermeable design, application of these adhesive membranes does not appear to decrease fluid requirement or affect electrolyte status in preterm neonates; 35 however, skin barrier function is disrupted following removal of plastic tape, with increased transepidermal water loss at sites of tape removal. 37 Another type of adhesive dressing consists of pectin, which is a gelling agent extracted from by-products of fruit juice production, such as citrus peels or apple pomace.…”

Section: Emollients and Massagementioning

confidence: 99%

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Evidence‐based skin care in preterm infants

Kusari

Han

Virgen

et al. 2018

Pediatric Dermatology

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Most guidelines on neonatal skin care emphasize issues pertaining to healthy, term infants. Few address the complex task of skin barrier maintenance in preterm, very preterm, and extremely preterm infants. Here, we provide an evidence‐based review of the literature on skin care of preterm neonates. Interestingly, the stratum corneum does not fully develop until late in the third trimester, and as such, the barrier function of preterm skin is significantly compromised. Numerous interventions are available to augment the weak skin barrier of neonates. Plastic wraps reduce the incidence of hypothermia while semipermeable and transparent adhesive dressings improve skin quality and decrease the incidence of electrolyte abnormalities. Tub bathing causes less body temperature variability than sponge bathing and can be performed as infrequently as once every four days without increasing bacterial colonization of the skin. Topical emollients, particularly sunflower seed oil, appear to reduce the incidence of skin infections in premature neonates—but only in developing countries. In developed countries, studies indicate that topical petrolatum ointment increases the risk of candidemia and coagulase‐negative Staphylococcus infection in the preterm population, perhaps by creating a milieu similar to occlusive dressings. For preterm infants with catheters, povidone‐iodine and chlorhexidine are comparably effective at preventing catheter colonization. Further studies are necessary to examine the safety and efficacy of various skin care interventions in premature infants with an emphasis placed on subclassifying the patient population. In the interim, it may be beneficial to develop guidelines based on the current body of evidence.

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Section: Resultsmentioning

confidence: 99%

Section: Emollients and Massagementioning

confidence: 99%

Section: Emollients and Massagementioning

confidence: 99%

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Evidence‐based skin care in preterm infants

Kusari

Han

Virgen

et al. 2018

Pediatric Dermatology

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“…Such occlusive skin wrappings also reduce the rate of metabolic heat production 16 . Polyethylene skin wraps have proven to be simple and effective in reducing the risk of neonatal hypothermia in both term and preterm neonates without any associated adverse reactions save for possible hindrance in the process of resuscitation, should need arises 17,19 .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Polyethylene Skin Wrap in Prevention of Hypothermia in Preterm and Low Birth Weight Neonates

Khan

Riaz

Aziz

et al. 2021

PAFMJ

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Objective: To establish the effectiveness of polyethylene skin wrap in prevention of neonatal hypothermia in preterm and low birth weight neonates. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Pediatrics, Combined Military Hospital Quetta, from May 2015 to Apr 2017. Methodology: A total of 176 neonates were enrolled according to the inclusion and exclusion criteria, through non-probability consecutive sampling. Eighty eight newborns were randomly distributed to each of group “A” and “B” by lottery method. The intervention group “A” infants were wrapped in a polyethylene skin wrap from shoulders down while the control group “B” newborns were wrapped with conventional blankets. After shifting to neonatal intensive care unit, axillary temperatures were recorded with similar pediatric digital thermometers upon admission and after one hour and two hours following admission in the two groups. Results: The mean temperatures measured at one hour and two hours after admission showed significant statistical improvements in the intervention group as compared to the control group (<0.05). Conclusion: The use of polyethylene skin wrap in preterm and low birth weight neonates potentially offers a useful intervenetion in prevention of neonatal hypothermia.

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“…Bayi prematur memerlukan perawatan khusus bahkan intensif, salah satu masalah pada bayi prematur adalah hipotermia (Rustina, 2015) (Rohana, et. al., 2011) v v v (Shafie, et. al., 2017) v v v Scopus (Doglioni, et.…”

Section: Pendahuluanunclassified

Efektifitas Skin Wrap dalam Mencegah Hipotermia pada Kelahiran Bayi Prematur

Casman¹

2018

JKH

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ABSTRAK Tujuan: untuk menelaah efektifitas skin wrap dalam mencegah hipotermia pada kelahiran bayi prematur. Metode: Studi literatur dipilih dimana artikel diambil dari 3 database yaitu ScienceDirect, Wiley dan Scopus. Semua artikel dicari dengan menggunakan kata kunci: skin wrap and premature infants. Dua puluh dua artikel berhasil terpilih. Hasil: Hanya 1 artikel yang tidak membuktikan bahwa penggunaan plastik tidak efektif mempertahankan suhu tubuh bayi (p=0.07). Penggunaan plastik rata-rata menggunakan plastik non steril dan plastik yang direkatkan ke tubuh bayi tanpa mengeringkan tubuh bayi. Perlekatan plastik pada bayi bisa seluruh tubuh dan kepala atau hanya sampai leher. Kesimpulan: penggunaan plastik segera setelah lahir dengan vynil isolation bag atau polyethylene plastic dapat mencegah kehilangan panas pada bayi prematur.

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Polyethylene versus cotton cap as an adjunct to body wrap in preterm infants

Abstract: Combined use of polyethylene body wrap and polyethylene cap was associated with a significantly higher mean post-stabilization temperature compared with polyethylene body wrap and cotton cap.

Cited by 14 publications

References 19 publications

Evidence‐based skin care in preterm infants

Evidence‐based skin care in preterm infants

Effectiveness of Polyethylene Skin Wrap in Prevention of Hypothermia in Preterm and Low Birth Weight Neonates

Efektifitas Skin Wrap dalam Mencegah Hipotermia pada Kelahiran Bayi Prematur

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