Skin injuries in newborns in neonatal intensive care

Authors

  • Talita Faraj Faria Universidade de Brasília
  • Ivone Kamada Universidade de Brasília
DOI: https://doi.org/10.6018/eglobal.17.1.273671
Keywords: Skin, Wounds and injuries, Infant, Newborn, Intensive Care Units, Neonatal, Nursing

Abstract

Objective: To describe the occurrence of skin lesions in newborns admitted to the Neonatal Intensive Care Unit of a public hospital in Brasilia, Federal District, Brazil.
Method: Quantitative, descriptive and prospective study, which was conducted between September and December 2014. The target group consisted of 104 newborns. The descriptive analysis included absolute and relative frequencies, median and standard deviation.
Results: 42 newborns developed skin lesions, in 77 resulting injuries. The most incident was diaper rash (15.4%), erythema (13.5%) and infiltration (12.5%), Followed by ecchymosis (4.8%) and desquamation (3.8%).
Conclusion: It is essential to create protocols and/or to use instruments that aim to maintain the integrity of the newborn's skin, which can be useful for identifying any alteration, preventing or minimizing its impact and consequences.

Downloads

Download data is not yet available.

Author Biographies

Talita Faraj Faria, Universidade de Brasília

Enfermeira. Mestre em Enfermagem pelo Programa de Pós-graduação em Enfermagem da Universidade de Brasília, Distrito Federal, Brasil.

Ivone Kamada, Universidade de Brasília

Enfermeira. Doutora em Enfermagem. Professora Associada do Departamento de Enfermagem da Universidade de Brasília, Distrito Federal, Brasil.

References

Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde da criança: crescimento e desenvolvimento. Cadernos de Atenção Básica, nº 33. Brasília: Ministério da Saúde, 2012.

Organização Mundial de Saúde. Assembleia Mundial de Saúde. Resoluções WHA20.19 e WHA43.24 de acordo com o artigo 23 da constituição da Organização Mundial de Saúde. Disponível em: http://www.datasus.gov.br/cid10/V2008/WebHelp/definicoes.htm

Ministério da Saúde (BR). Portaria nº 930 de 10 de maio de 2012. Define as diretrizes e objetivos para a organização da atenção integral e humanizada ao recém-nascido grave ou potencialmente grave e os critérios de classificação e habilitação de leitos de Unidade Neonatal no âmbito do Sistema Único de Saúde (SUS). Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2012/prt0930_10_05_2012.html

Martins CP, Tapia CEV. A pele do recém-nascido prematuro sob a avaliação do enfermeiro: cuidado norteando a manutenção da integridade cutânea. Rev Bras Enferm., 2009, set/out, 62(5): 778-83. Available from: http://www.scielo.br/pdf/reben/v62n5/23.pdf.

Fontenele FC, Pagliuca LMF, Cardoso MVLML. Cuidados com a pele do recém-nascido: análise de conceito. Esc Anna Nery (impr.) 2012, jul/set; 16(3): 480-85. Available from: http://www.scielo.br/pdf/ean/v16n3/08.pdf.

Fontenele FC. Lesões de pele em recém-nascidos na Unidade de Terapia Intensiva Neonatal. Dissertação (mestrado). Universidade Federal do Ceará, Fortaleza, 2008.

Fontenele FC, Cardoso MVLML. Skin lesions in newborns in the hospital setting: type, size and affected area. Rev Esc Enferm USP 2011; 45(1):127-33. Available from: http://www.scielo.br/pdf/reeusp/v45n1/en_18.pdf.

Tamez RN. Enfermagem na UTI neonatal: assistência ao recém-nascido de alto risco. 5. ed. Rio de Janeiro: Guanabara Koogan, 2013.

Migoto MT, Souza SNDH, Rossetto EG. Lesiones de piel en bebés internados en una unidad neonatal: estudio descriptivo. Online braz j nurs, 2013 June; 12(2): 377-92. Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/4042/html_2.

Santos SV, Costa R. Prevenção de lesões de pele em recém-nascidos: o conhecimento da equipe de enfermagem. Texto Contexto Enferm, 2015; 24(3): 731-9. Available from: http://www.scielo.br/pdf/tce/v24n3/pt_0104-0707-tce-24-03-00731.pdf.

Gomes ACR, Faria JCO, Silva CAG, Avelar AFM, Gamarra CJ, Rodrigues EC. Assessment of phlebitis, infiltration and extravasation events in neonates submitted to intravenous therapy. Esc Anna Nery (imp.), 2011; 15(3): 472-479. Available from: http://www.scielo.br/pdf/ean/v15n3/a05v15n3.pdf.

Nepomuceno LMR, Kurcgant P. Use of a quality indicator to base a professional nursing qualification program. Rev Esc Enferm USP 2008; 42(4): 664-71. Available from: http://www.scielo.br/pdf/reeusp/v42n4/en_v42n4a07.pdf

Published
30-12-2017
How to Cite
[1]
Faria, T.F. and Kamada, I. 2017. Skin injuries in newborns in neonatal intensive care. Global Nursing. 17, 1 (Dec. 2017), 211–236. DOI:https://doi.org/10.6018/eglobal.17.1.273671.
Issue
Vol. 17 No. 1 (2018): #49-Enero
Section
ORIGINAL RESEARCH

The works published in this magazine are subject to the following terms:

1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.

© Servicio de Publicaciones, Universidad de Murcia, 2011  (© Publications Service, University of Murcia, 2011)

2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.

Licencia Creative Commons

3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.