Pediatr. praxi. 2017;18(3):186-191 | DOI: 10.36290/ped.2017.035

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

doc. PhDr. Andrea Pokorná, Ph.D.¹, Bc. Jana Dvořáková¹, PhDr. Vlasta Dvořáková, Ph.D.²

¹ Katedra ošetřovatelství LF Masarykovy univerzity, Brno

² Katedra zdravotnických studií, Vysoká škola polytechnická Jihlava

Aim: Newborns’ skin is fragile, requiring careful treatment while minimizing secondary trauma. Yet in the treatment of certainpost-partum trauma inappropriate materials are used, which can harm the newborn. To evaluate the effect of silicone materialsin 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 woundcaused 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 inlocal changes of their skin according Neonatal Skin Condition Score (NSCS). During dressing changes newborns responded calmlyand 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 differentaetiologies. Those materials allow a reduction in the frequency of dressing changes, appropriate pain management whileminimizing the secondary traumatization fragile skin.

Keywords: newborn, wounds, soft silicone therapeutic materials, objective evaluation

Published: August 1, 2017  Show citation