Case 14

Pediatrics

Nicolosi Biagio – Wounds Clinical Nurse Specialist

Pediatric complex injury and Pediatric burns center Meyer Children’s Hospital IRCCS – Florence (Italy)

IAD – PREVENTION and TREATMENT

Observational study – Care Products – HA-AA Vs Traditional skin barriers

2 cases

Antibiotic therapy
(respiratory infection)

Products Used

Vulnamin Spray

1^th case

Infants, F, 4 months
Antibiotic therapy
(respiratory infection)

9 Nov (d-0)

HA + AA spray

13 Nov (d-4^th)

2^th case

Infants, F, 3 months
Antibiotic therapy
(respiratory infection)

12 Ago (d-0)

15 Ago (d-3^rd)

Occlusive materials (films or dressings) →
↑ Hydration of the stratum corneum, ↑ Skin pH →
↑ Bacterial load (This effect varies depending on the material’s properties.)

Prolonged occlusion → ↑↑ Humidity and heat between the skin and the product →
≈ Skin microclimate.

↓

Less occlusive materials
(↑ Evaporation and = Microclimate)

Kottner, J., Black, J., Call, E., Gefen, A., & Santamaria, N. (2018). Microclimate: A critical review in the context of pressure ulcer prevention. Clinical Biomechanics, 59, 62-70.