Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: A Guide for Nurses

Abstract

Nurses are central to the care of patients with Stevens-Johnson syndrome and toxic epidermal necrolysis. Patients with these conditions present with nuanced symptoms and have complex nursing care needs. Although much of the exact pathophysiology of these diseases is not known, all nurses benefit from a fundamental understanding of the genesis of skin manifestations, associated pharmacology, and prognosis. The care of patients hospitalized with Stevens-Johnson syndrome and toxic epidermal necrolysis consists of wound care, infection prevention, comfort management, hydration and nutrition, psychosocial support, and the prevention of long-term complications. This article provides an overview of these diseases, including clinical diagnosis, history and physical assessment, related pharmacology, and nursing care priorities. A description of the current state of the science in clinical management for nurses at all levels is provided, with an emphasis on nursing’s contribution to the best possible patient outcomes.

Wound care in a child suffering from Stevens-Johnson syndrome in PICU: case report

“…Nursing care is crucial: care of patient hospitalized with Stevens-Johnson syndrome and Toxic Epidermal Necrolysis consists of wound care, infection prevention, comfort management, hydration and nutrition, psychosocial support, and prevention of long-term complications 1,4 .…”

Nursing-Specific Management on Toxic Epidermal Necrolysis (Ten) In Cml Patient: Case Report

“…However, in our setting, this patient is managed in haematology ward by nurses who are highly skilled in barrier nursing and infection prevention with the guidance of expert haematologists, dermatologist and infectious disease specialist. The major nursing role in TEN is supportive, revolving around skin and wound care, infection prevention, comfort management, hydration and nutrition, psychosocial support, and the prevention of long-term complications [10][11][12].…”

Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis

“…Medical staff should use protective equipment when in contact with patients to avoid oral and respiratory infections. It is important to avoid holding or pulling the patient strongly and to limit injury to the epidermis (blood pressure measuring tape, electrocardiogram) [73]. Bacteria, viruses, and Candida fungi from three skin lesions should be cultured.…”