Prevalence of neonate adhesive skin injuries in a Jordanian intensive care unit

Habiballah, Laila

doi:10.7748/ncyp.2017.e966

Cited by 21 publications

(14 citation statements)

References 18 publications

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“…The respondents reported that in their clinical practice, skin complications surrounding PIVC sites occurred rarely or sometimes. This is in contrast to studies which highlight that vascular access devices are among the most common device related to neonatal pressure and adhesive injuries (August et al, 2017;Habiballah, 2017;Liversedge et al, 2018;Nist et al, 2016;Sweeney et al, 2018). It may also reflect a lack of understanding of skin injuries and reactions that seem innocuous such as redness and adhesive related injuries.…”

Section: Discussionmentioning

confidence: 90%

Peripheral intravenous catheter practices in Australian and New Zealand neonatal units: A cross-sectional survey

August

Ullman

Rickard

et al. 2019

Journal of Neonatal Nursing

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A B S T R A C TPeripheral intravenous catheters (PIVCs) are important tools for the provision of treatment for unwell and premature neonates. This study aimed to explore current PIVC practices (i.e. insertion, product selection, complications and management priorities) within Australian and New Zealand neonatal units, to identify areas for innovation and practice change. The survey was distributed via Australian and New Zealand neonatal nursing associations, with 180 respondents (54% Australia; 46% New Zealand). Respondents reported an average of 2-3 insertion attempts were required per PIVC, with variability in cleansing agents, decontamination techniques, skin barrier films and PIVC dressing products used. The large majority of respondents reported seeing skin complications associated with PIVCs within their practice (94%). Infection prevention was the highest management priority, and skin complication prevention, the lowest priority. High quality research is necessary to inform neonatal PIVC insertion and management practices, to improve patient safety and treatment provision. plications, and (d) PIVC management priorities.

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Section: Discussionmentioning

confidence: 90%

Peripheral intravenous catheter practices in Australian and New Zealand neonatal units: A cross-sectional survey

August

Ullman

Rickard

et al. 2019

Journal of Neonatal Nursing

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“…The excoriation was the most frequent skin lesion in our study, and this was caused by medical adhesives used to fix devices (plaster and microporous tape) to protect the skin (microporous adhesive tape and hydrocolloid plate) and electrodes for cardiac monitoring. Similarly, a study from university hospital in Jordan discovered that lesions were also caused by fixing medical devices to the skin (Habiballah, ).…”

Section: Discussionmentioning

confidence: 99%

Factors associated with skin and mucosal lesions caused by medical devices in newborns: Observational study

Faria

Ferreira

Felix

et al. 2019

Journal of Clinical Nursing

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Aim and objective To identify the occurrence of skin and mucosal lesions and factors related to the use of medical devices in newborns admitted to a neonatal intensive care unit. Background The use of medical devices increases the risk of injury in newborns due to the immaturity and fragility of their skin and mucosa. Design Observational and longitudinal study. Methods The study included 85 newborns admitted to in a neonatal intensive care unit from a public teaching hospital. Data were collected from February–August 2018. For the evaluation, the Neonatal Skin Condition Score was used, as well as an instrument covering sociodemographic and clinical variables, medical devices in use and materials for skin protection. The study followed the recommendations STROBE. Simple frequency, measures of central tendency and variability, Pearson's correlation coefficient and multiple linear regression analysis were used for data analysis. Results Of the n = 85 newborns evaluated, n = 62 (72.9%) presented skin or mucosal lesions caused using medical devices, excoriations being the most observed n = 55 (64.7%), and n = 32 (37.6%) had 1–3 lesions. As the number of devices increased, so did the number of lesions. On the other hand, the age of the newborn and the number of lesions were inversely proportional. Conclusion Most participants, n = 62 (72.9%), had skin or mucosal lesions associated with medical devices. The number of medical devices used and the age of the newborn were predictors for this occurrence. Relevance to clinical practice The results show that it is fundamental that nurses know the factors that can interfere in the skin and mucosa conditions and, thus, promote the implementation of injury prevention measures in newborns, supporting safe and quality care.

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“…In the neonatal population, these limitations are particularly apparent and produce several unique adverse outcomes. The frequency of false alarms secondary to the frequent movement of newborns is associated with provider alarm fatigue, infant hearing loss, and a disruptive environment for development [ 8 , 9 , 10 , 11 , 12 ]. Additionally, the humid environment of neonatal incubators and the infant’s thin, underdeveloped skin cause the adhesive in electric leads to fail and require frequent changing.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, the humid environment of neonatal incubators and the infant’s thin, underdeveloped skin cause the adhesive in electric leads to fail and require frequent changing. The recurrent application of adhesive to the fragile premature skin causes breakdown and inflammation of their dermal barrier, introducing possible sources for infection [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Non-Contact Video-Based Neonatal Respiratory Monitoring

et al. 2020

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Respiratory rate (RR) has been shown to be a reliable predictor of cardio-pulmonary deterioration, but standard RR monitoring methods in the neonatal intensive care units (NICU) with contact leads have been related to iatrogenic complications. Video-based monitoring is a potential non-contact system that could improve patient care. This iterative design study developed a novel algorithm that produced RR from footage analyzed from stable NICU patients in open cribs with corrected gestational ages ranging from 33 to 40 weeks. The final algorithm used a proprietary technique of micromotion and stationarity detection (MSD) to model background noise to be able to amplify and record respiratory motions. We found significant correlation—r equals 0.948 (p value of 0.001)—between MSD and the current hospital standard, electrocardiogram impedance pneumography. Our video-based system showed a bias of negative 1.3 breaths and root mean square error of 6.36 breaths per minute compared to standard continuous monitoring. Further work is needed to evaluate the ability of video-based monitors to observe clinical changes in a larger population of patients over extended periods of time.

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Prevalence of neonate adhesive skin injuries in a Jordanian intensive care unit

Abstract: Adhesive skin injuries were found in more than one quarter of the neonates in this NICU and healthcare service providers should endeavour to minimise the occurrence of these injuries.

Cited by 21 publications

References 18 publications

Peripheral intravenous catheter practices in Australian and New Zealand neonatal units: A cross-sectional survey

Peripheral intravenous catheter practices in Australian and New Zealand neonatal units: A cross-sectional survey

Factors associated with skin and mucosal lesions caused by medical devices in newborns: Observational study

Non-Contact Video-Based Neonatal Respiratory Monitoring

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