Evidence-based skin care in preterm infants

Pediatric Dermatology

Volumn 36, Issue 1, 2019, Pages 16-23

  Kusari, Ayan ^a,b   Han, Allison M ^a,b   Virgen, Cesar A ^c   Matiz, Catalina ^d   Rasmussen, Maynard ^e   Friedlander, Sheila F ^a,b   Eichenfield, Dawn Z ^b  

^a RADY CHILDREN'S HOSPITAL   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d KAISER PERMANENTE   (United States)

^e SHARP HEALTHCARE   (United States)

Author keywords

barrier; bath; catheter; cord care; dressings; emollients; evidence based; infant; neonatal; neonate; newborn; premature; preterm; skin; skin care; systematic review; thermoregulation; vasomotor

Indexed keywords

EMOLLIENT AGENT; PETROLATUM; SUNFLOWER OIL;

CLINICAL EFFECTIVENESS; CLINICAL PRACTICE; EVIDENCE BASED MEDICINE; HEAT LOSS; HUMAN; INFANT CARE; INFECTION CONTROL; INFECTION RISK; INSTRUMENT STERILIZATION; MASSAGE; PATIENT SAFETY; PERMEABILITY BARRIER; PRACTICE GUIDELINE; PREMATURITY; PRIORITY JOURNAL; REVIEW; SKIN CARE; SKIN TEMPERATURE; STRATUM CORNEUM; UMBILICAL CORD; FUNCTIONS OF THE SKIN AND ITS APPENDAGES; INFANT; NEWBORN; PATHOPHYSIOLOGY; PROCEDURES; SKIN;

EVIDENCE-BASED MEDICINE; HUMANS; INFANT; INFANT, NEWBORN; INFANT, PREMATURE; INFANT, PREMATURE, DISEASES; SKIN; SKIN CARE; SKIN PHYSIOLOGICAL PHENOMENA;

EID: 85058387242     PISSN: 07368046     EISSN: 15251470     Source Type: Journal    
DOI: 10.1111/pde.13725     Document Type: Review

References (51)

1. Blume-Peytavi U, Hauser M, Stamatas GN, Pathirana D, Garcia Bartels N. Skin care practices for newborns and infants: review of the clinical evidence for best practices. Pediatr Dermatol. 2012;29(1):1-14.
2. Eichenfield LF, Frieden IJ, Esterly NB. Neonatal Dermatology, 3rd edn. Philadelphia, PA: Saunders Elsevier; 2015.
3. Okah FA, Wickett RR, Pickens WL, Hoath SB. Surface electrical capacitance as a noninvasive bedside measure of epidermal barrier maturation in the newborn infant. Pediatrics. 1995;96(4 Pt 1):688-692.
4. Kalia YN, Nonato LB, Lund CH, Guy RH. Development of skin barrier function in premature infants. J Invest Dermatol. 1998;111(2):320-326.
5. Akiba T. Studies on biological actions of vernix caseosa. J Jpn Obstet Gynecol Soc. 1955;2(4):396.
6. Visscher MO, Narendran V, Pickens WL, et al. Vernix caseosa in neonatal adaptation. J Perinatol. 2005;25(7):440.
7. Wilson DR, Maibach HI. Transepidermal water loss in vivo. Premature and term infants. Biol Neonate. 1980;4:180-185.
8. Rutter N, Hull D. Water loss from the skin of term and preterm babies. Arch Dis Child. 1979;54(11):858-868.
9. Kim SM, Lee EY, Chen J, Ringer SA. Improved care and growth outcomes by using hybrid humidified incubators in very preterm infants. Pediatrics. 2010;125(1):e137-e145.
10. Agren J, Sjors G, Sedin G. Ambient humidity influences the rate of skin barrier maturation in extremely preterm infants. J Pediatr. 2006;148(5):613-617.
11. Harpin VA, Rutter N. Barrier properties of the newborn infant's skin. J Pediatr. 1983;102(3):419-425.
12. Harpin VA, Rutter N. Sweating in preterm babies. J Pediatr. 1982;100(4):614-619.
13. Lee JC, Lee Y, Park HR. Effects of bathing interval on skin condition and axillary bacterial colonization in preterm infants. Appl Nurs Res. 2018;40:34-38.
14. Tapia-Rombo CA, Morales-Mora M, Alvarez-Vazquez E. Variations of vital signs, skin color, behavior and oxygen saturation in premature neonates after sponge bathing. Possible complications. Rev Invest Clin. 2003;55(4):438-443.
15. Loring C, Gregory K, Gargan B, et al. Tub bathing improves thermoregulation of the late preterm infant. J Obstet Gynecol Neonatal Nurs. 2012;41(2):171-179.
16. Visscher M, Odio M, Taylor T, et al. Skin care in the NICU patient: effects of wipes versus cloth and water on stratum corneum integrity. Neonatology. 2009;96(4):226-234.
17. Darmstadt GL, Badrawi N, Law PA, et al. Topically applied sunflower seed oil prevents invasive bacterial infections in preterm infants in Egypt: a randomized, controlled clinical trial. Pediatr Infect Dis J. 2004;23(8):719-725.
18. Campbell JR, Zaccaria E, Baker CJ. Systemic candidiasis in extremely low birth weight infants receiving topical petrolatum ointment for skin care: a case-control study. Pediatrics. 2000;105(5):1041-1045.
19. AlKharfy T, Ba-Abbad R, Hadi A, AlFaleh K. Use of topical petroleum jelly for prevention of sepsis in very low-birthweight infants: a prospective, randomised controlled trial. Paediatr Int Child Health. 2014;34(3):194-197.
20. Edwards WH, Conner JM, Soll RF, Vermont Oxford Network Neonatal Skin Care Study G. The effect of prophylactic ointment therapy on nosocomial sepsis rates and skin integrity in infants with birth weights of 501 to 1000 g. Pediatrics 2004;113(5):1195-1203.
21. Darmstadt GL, Saha SK, Ahmed AS, et al. Effect of skin barrier therapy on neonatal mortality rates in preterm infants in Bangladesh: a randomized, controlled, clinical trial. Pediatrics. 2008;121(3):522-529.
22. Kanti V, Grande C, Stroux A, Bührer C, Blume-Peytavi U, Bartels NG. Influence of sunflower seed oil on the skin barrier function of preterm infants: a randomized controlled trial. Dermatology. 2014;229(3):230-239.
23. Salam RA, Darmstadt GL, Bhutta ZA. Effect of emollient therapy on clinical outcomes in preterm neonates in Pakistan: a randomised controlled trial. Arch Dis Child Fetal Neonatal Ed. 2015;100(3):F210-F215.
24. Summers A, Visscher M, Khatry S, et al. Indicators of skin barrier integrity among newborns massaged with mustard oil in rural Nepal. J Perinatol. 2018;38(1):64.
25. Beeram M, Olvera R, Krauss D, Loughran C, Petty M. Effects of topical emollient therapy on infants at or less than 27 weeks’ gestation. J Natl Med Assoc. 2006;98(2):261-264.
26. Kiechl-Kohlendorfer U, Berger C, Inzinger R. The effect of daily treatment with an olive oil/lanolin emollient on skin integrity in preterm infants: a randomized controlled trial. Pediatr Dermatol. 2008;25(2):174-178.
27. Strunk T, Pupala S, Hibbert J, Doherty D, Patole S. Topical coconut oil in very preterm infants: an open-label randomised controlled trial. Neonatology. 2018;113(2):146-151.
28. Lane AT, Drost SS. Effects of repeated application of emollient cream to premature neonates’ skin. Pediatrics. 1993;92(3):415-419.
29. Nopper AJ, Horii KA, Sookdeo-Drost S, Wang TH, Mancini AJ, Lane AT. Topical ointment therapy benefits premature infants. J Pediatr. 1996;128(5 Pt 1):660-669.
30. Conner JM, Soll RF, Edwards WH. Topical ointment for preventing infection in preterm infants. Cochrane Database Syst Rev. 2004;1:CD001150.
31. Vohra S, Frent G, Campbell V, Abbott M, Whyte R. Effect of polyethylene occlusive skin wrapping on heat loss in very low birth weight infants at delivery: a randomized trial. J Pediatr. 1999;134(5):547-551.
32. Vohra S, Roberts RS, Zhang B, Janes M, Schmidt B. Heat Loss Prevention (HeLP) in the delivery room: a randomized controlled trial of polyethylene occlusive skin wrapping in very preterm infants. J Pediatr. 2004;145(6):750-753.
33. Rohana J, Khairina W, Boo NY, Shareena I. Reducing hypothermia in preterm infants with polyethylene wrap. Pediatr Int. 2011;53(4):468-474.
34. Shafie H, Syed Zakaria SZ, Adli A, Shareena I, Rohana J. Polyethylene versus cotton cap as an adjunct to body wrap in preterm infants. Pediatr Int. 2017;59(7):776-780.
35. Knauth A, Gordin M, McNelis W, Baumgart S. Semipermeable polyurethane membrane as an artificial skin for the premature neonate. Pediatrics. 1989;83(6):945-950.
36. Donahue ML, Phelps DL, Richter SE, Davis JM. A semipermeable skin dressing for extremely low birth weight infants. J Perinatol. 1996;16(1):20-26.
37. Lund CH, Nonato LB, Kuller JM, Franck LS, Cullander C, Durand DJ. Disruption of barrier function in neonatal skin associated with adhesive removal. J Pediatr. 1997;131(3):367-372.
38. Dollison EJ, Beckstrand J. Adhesive tape vs pectin-based barrier use in preterm infants. Neonatal Netw. 1995;14(4):35-39.
39. Cutting K. Impact of adhesive surgical tape and wound dressings on the skin, with reference to skin stripping. J Wound Care. 2008;17(4):157-162.
40. McLane KM, Bookout K, McCord S, McCain J, Jefferson LS. The 2003 national pediatric pressure ulcer and skin breakdown prevalence survey: a multisite study. J Wound Ostomy Continence Nurs. 2004;31(4):168-178.
41. Dykes P, Heggie R, Hill S. Effects of adhesive dressings on the stratum corneum of the skin. J Wound Care. 2001;10(2):7-10.
42. Rippon M, White R, Davies P. Skin adhesives and their role in wound dressings. WOUNDS UK. 2007;3(4):76.
43. McGowan J. A neonatal intensive care unit team imperative: eliminating central line associated bloodstream infections. Am J Infect Control. 2018;46(6):S80.
44. Tamma PD, Aucott SW, Milstone AM. Chlorhexidine use in the neonatal intensive care unit: results from a national survey. Infect Control Hosp Epidemiol. 2010;31(8):846-849.
45. Klieger SB, Potter-Bynoe G, Quach C, Sandora TJ, Coffin SE. Beyond the bundle: a survey of central line–associated bloodstream infection prevention practices used in US and Canadian pediatric hospitals. Infect Control Hosp Epidemiol. 2013;34(11):1208-1210.
46. Bringue Espuny X, Soria X, Sole E, et al. Chlorhexidine-methanol burns in two extreme preterm newborns. Pediatr Dermatol. 2010;27(6):676-678.
47. Janssen LMA, Tostmann A, Hopman J, Liem KD. 0.2% chlorhexidine acetate as skin disinfectant prevents skin lesions in extremely preterm infants: a preliminary report. Arch Dis Child Fetal Neonatal Ed. 2017;13(103):F97-F100.
48. Kieran EA, O'Sullivan A, Miletin J, Twomey AR, Knowles SJ, O'Donnell CPF. 2% chlorhexidine–70% isopropyl alcohol versus 10% povidone–iodine for insertion site cleaning before central line insertion in preterm infants: a randomised trial. Arch Dis Child Fetal Neonatal Ed. 2018;103(2):F101-F106.
49. Evens K, George J, Angst D, Schweig L. Does umbilical cord care in preterm infants influence cord bacterial colonization or detachment? J Perinatol. 2004;24(2):100-104.
50. Zupan J, Garner P, Omari AA. Topical umbilical cord care at birth. Cochrane Database Syst Rev. 2004;3:CD001057.
51. Arifeen SE, Mullany LC, Shah R, et al. The effect of cord cleansing with chlorhexidine on neonatal mortality in rural Bangladesh: a community-based, cluster-randomised trial. Lancet. 2012;379(9820):1022-1028.