Research Article
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Abstract
Objective: To review the literature addressing the care of neonatal skin.
Data Sources: Computerized searches in MEDLINE and CINAHL, as well as references cited in articles reviewed. Key concepts in the searches included neonatal skin differences; neonatal skin and care practices for skin integrity; neonatal skin and toxicity; permeability; and contact irritant sensitization.
Study Selection: Articles and comprehensive works relevant to key concepts and published after 1963, with an emphasis on new findings from 1993 to 1999. One hundred two citations were identified as useful to this review.
Data Extraction: Data were extracted and organized under the following headings: anatomy and physiology of the skin; physiologic and anatomic differences in neonatal skin; nutritional deficiencies; skin care practices; and care of skin breakdown.
Data Synthesis: Newborns’ skin is at risk for disruption of normal barrier function because of trauma. In light of available evidence about differences in neonatal skin development, clinical practice guidelines are suggested for baths, lubrication, antimicrobial skin disinfection, and adhesive removal. In addition, basic care practices are suggested for maintaining skin integrity, reducing exposure to potentially toxic substances, and promoting skin health beyond the neonatal period. Preventive care recommendations are made for reducing trauma, protecting the skin’s immature barrier function, and promoting skin integrity.
Conclusions: This review generated evidence with which to create a new and comprehensive practice guideline for clinicians. Evaluation of the guideline is under way at 58 U.S. sites.
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Oct 2023 | 36 | 0 | 2 | 38 |
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Apr 2023 | 47 | 0 | 2 | 49 |
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Feb 2023 | 35 | 0 | 0 | 35 |
Jan 2023 | 82 | 0 | 1 | 83 |
Dec 2022 | 50 | 0 | 0 | 50 |
Nov 2022 | 77 | 0 | 3 | 80 |
Oct 2022 | 52 | 0 | 2 | 54 |
Sep 2022 | 25 | 0 | 1 | 26 |
Aug 2022 | 33 | 0 | 0 | 33 |
Jul 2022 | 30 | 0 | 1 | 31 |
Jun 2022 | 21 | 0 | 0 | 21 |
May 2022 | 28 | 0 | 0 | 28 |
Apr 2022 | 42 | 0 | 4 | 46 |
Mar 2022 | 68 | 0 | 1 | 69 |
Feb 2022 | 34 | 0 | 2 | 36 |
Jan 2022 | 35 | 0 | 2 | 37 |
Dec 2021 | 32 | 0 | 0 | 32 |
Nov 2021 | 37 | 0 | 0 | 37 |
Oct 2021 | 27 | 0 | 0 | 27 |
Sep 2021 | 20 | 0 | 1 | 21 |
Aug 2021 | 5 | 0 | 0 | 5 |
Jul 2021 | 12 | 0 | 0 | 12 |
Jun 2021 | 13 | 0 | 1 | 14 |
May 2021 | 24 | 0 | 0 | 24 |
Apr 2021 | 36 | 0 | 0 | 36 |
Mar 2021 | 37 | 0 | 1 | 38 |
Feb 2021 | 68 | 0 | 2 | 70 |
Jan 2021 | 37 | 0 | 0 | 37 |
Dec 2020 | 38 | 0 | 0 | 38 |
Nov 2020 | 25 | 0 | 0 | 25 |
Oct 2020 | 15 | 0 | 0 | 15 |
Sep 2020 | 29 | 0 | 1 | 30 |
Aug 2020 | 31 | 0 | 1 | 32 |
Jul 2020 | 22 | 0 | 0 | 22 |
Jun 2020 | 26 | 0 | 3 | 29 |
May 2020 | 26 | 0 | 1 | 27 |
Apr 2020 | 21 | 0 | 1 | 22 |
Mar 2020 | 24 | 0 | 1 | 25 |
Feb 2020 | 24 | 0 | 2 | 26 |
Jan 2020 | 16 | 0 | 0 | 16 |
Dec 2019 | 31 | 0 | 3 | 34 |
Nov 2019 | 38 | 0 | 5 | 43 |
Oct 2019 | 39 | 0 | 3 | 42 |
Sep 2019 | 40 | 0 | 2 | 42 |
Aug 2019 | 11 | 0 | 1 | 12 |
Jul 2019 | 9 | 0 | 2 | 11 |
Jun 2019 | 28 | 0 | 3 | 31 |
May 2019 | 7 | 0 | 3 | 10 |
Apr 2019 | 15 | 0 | 1 | 16 |
Mar 2019 | 20 | 0 | 1 | 21 |
Feb 2019 | 22 | 0 | 1 | 23 |
Jan 2019 | 25 | 0 | 1 | 26 |
Dec 2018 | 15 | 0 | 2 | 17 |
Nov 2018 | 35 | 0 | 3 | 38 |
Oct 2018 | 22 | 0 | 3 | 25 |
Sep 2018 | 19 | 0 | 0 | 19 |
Aug 2018 | 10 | 0 | 1 | 11 |
Jul 2018 | 9 | 0 | 1 | 10 |
Jun 2018 | 7 | 0 | 5 | 12 |