Iatrogenic Skin Disorders and Related Factors in Newborn Infants

Zsanett Renáta Csoma, Angéla Meszes, Rita Ábrahám, L. Kemény, Gyula Tálosi, Péter Doró

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background/Objectives: Recent technological advances and diagnostic and therapeutic innovations have resulted in an impressive improvement in the survival of newborn infants requiring intensive care. Consequently, with the use of modern invasive diagnostic and therapeutic procedures, the incidence of iatrogenic events has also increased. The aim of this study was to assess various iatrogenic complications in neonates requiring intensive care and determine possible contributing factors to the injuries. Methods: Our prospective cross-sectional cohort survey was conducted in a central regional level III neonatal intensive care unit (NICU). Correlations between intensive therapeutic interventions, complications, factors influencing attendance and prognosis, and the prevalence of iatrogenic skin injuries (ISIs) were investigated over a 2-year study period. Results: Between January 31, 2012, and January 31, 2014, 460 neonates were admitted to the NICU, 83 of whom exhibited some kind of ISI. The major risk factors for ISIs were low birthweight, young gestational age, long NICU stay, use of the intubation–surfactant–extubation (INSURE) technique, surfactant use, mechanical ventilation, insertion of an umbilical arterial catheter, circulatory and cardiac support with dopamine or dobutamine, pulmonary hemorrhage, intracranial hemorrhage, patent ductus arteriosus, bronchopulmonary dysplasia, and positive microbiology culture results. Conclusion: To prevent ISIs, careful consideration of risk factors and the creation of protocols ensuring efficient treatment of injuries are needed.

Original languageEnglish
Pages (from-to)543-548
Number of pages6
JournalPediatric Dermatology
Volume33
Issue number5
DOIs
Publication statusPublished - Sep 1 2016

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)
  • Dermatology

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  • Cite this

    Csoma, Z. R., Meszes, A., Ábrahám, R., Kemény, L., Tálosi, G., & Doró, P. (2016). Iatrogenic Skin Disorders and Related Factors in Newborn Infants. Pediatric Dermatology, 33(5), 543-548. https://doi.org/10.1111/pde.12960