Practical Guide to Pediatric Wound Care

ABSTRACT

Much of pediatric wound care is based upon research studies, clinical experience, and products developed for use in adults. Although the principles of adult wound care apply in pediatrics, the management of wounds and application of adult products to pediatric patients can be challenging. Developmental characteristics of pediatric patients such as incontinence and inability to describe pain and participate in a wound care regimen must be considered. This article describes evidence-based wound care principles and the application of these principles and products for a variety of wounds seen in pediatric patients.

Pediatric wound care - wound care products - hemangioma - silver - negative pressure wound therapy

REFERENCES

• 1 McCord S, McElvain V, Sachdeva R, Schwartz P, Jefferson L S. Risk factors associated with pressure ulcers in the pediatric intensive care unit.  J Wound Ostomy Continence Nurs. 2004;  31 179-183
• 2 McLane K M, Bookout K, McCain J, Jefferson L S. The 2003 national pediatric pressure ulcer and skin breakdown prevalence survey: a multisite study.  J Wound Ostomy Continence Nurs. 2004;  31 168-177
• 3 Santiago I A. A sore spot in pediatrics: risk factors for pressure ulcers.  Pediatr Nurs. 2003;  29 278-282
• 4 Winkelstein M L. The child with integumentary dysfunction. In: Hockenberry MJ Wong's Essentials of Nursing. 7th ed. St Louis, MO; Elsevier Mosby 2005: 1095-1146
• 5 Baranoski S, Ayello E A. Wound Care Essentials: Practice Principles. Philadelphia, PA; Lippincott Williams & Wilkins 2004: 104-112
• 6 Lineweaver W, Howard R, Soucy D et al.. Topical antimicrobial toxicity.  Arch Surg. 1985;  120 267-270
• 7 Byrant R A. Acute and Chronic Wounds: Nursing Management. 2nd ed. St. Louis, MO; Mosby 2002: 85-124
• 8 Krasner D, Rodeheaver G, Sibbald G. Chronic Wound Care: A Clinical Source Book for Healthcare Professionals. 3rd ed. Wayne, PA; Health Management Publications 2001
• 9 Bennett L L, Rosenblum R S, Perlov C, Davidson J M, Barton R M, Nanney L B. In vivo comparison of topical agents on wound repair.  Plast Reconstr Surg. 2001;  108 675-687
• 10 Winter G S. Effect of air drying and dressings on the surface area of a wound.  Nature. 1963;  197 91-92
• 11 Ovington L G. Hanging wet-to-dry dressings out to dry.  Home Healthc Nurse. 2001;  19 477-484
• 12 Mertz P M. Occlusive wound dressings to prevent bacterial invasion and wound infection.  J Am Acad Dermatol. 1985;  12 662-668
• 13 Berger R S. A newly formulated triple antibiotic ointment minimizes scarring.  Cutis. 2000;  65 401-404
• 14 Valencia I C. New developments in wound care for infants and children.  Pediatr Ann. 2001;  30 211-218
• 15 Nemeth A J, Eaglstein W H, Taylor J R, Peerson L J, Falanga V. Faster healing and less pain in skin biopsy sites treated with an occlusive dressing.  Arch Dermatol. 1991;  127 1679-1683
• 16 Lawrence J P, Lilly H A, Kidson A. Wound dressings and airborne dispersal of bacteria.  Lancet. 1992;  339 807
• 17 Cabellos C, Rogers V. Management of infants with ulcerated hemangiomas.  J Wound Ostomy Continence Nurs. 2005;  32 58-63
• 18 Barkosowoki S. Diaper rash care and management.  Pediatr Nurs. 2004;  30 467-470
• 19 Bruckner A L, Frieden I J. Hemangioma of infancy.  J Am Acad Dermatol. 2003;  48 477-493
• 20 Kim H J, Colombo M, Frieden I J. Ulcerated hemangiomas: clinical characteristics and response to therapy.  J Am Acad Dermatol. 2001;  44 962-972
• 21 KCI .The VAC Therapy Clinical Guidelines: A Reference Source for Clinicians. San Antonio, TX; Kinetic Concepts 2003
• 22 Naik B, McCord S, McLane K et al.. Negative pressure wound therapy is safe and effective in children of all ages. Presentation at the Wound Healing Society Phoenix, Arizona; May 15, 2006
• 23 Bookout K, McCord S, McLane K. Case studies of an infant, a toddler and an adolescent treated with a negative pressure wound treatment system.  J Wound Ostomy Continence Nurs. 2004;  31 184-192
• 24 Ovington L. Silver: fact or fiction? Utilizing the antibacterial mechanisms of silver in wound care.  Ostomy Wound Manage. 2004;  50(9A, suppl) S1-S10
• 25 Innes M E, Unraw N, Fish J S, Gamey M, Carttoto R C. The use of silver coated dressings on donor site wounds, a prospective, controlled, matched pair study.  Burns. 2001;  6 621-627
• 26 McCord S, Bookout K, McLane K, Helmrath M. The use of silver dressing with neonatal abdominal evisceration. Presented at the 36th Wound, Ostomy and Continence Nurses Conference; June 2004 Tampa, FL; June 5, 2004
• 27 Metz B J, Rubenstein M C, Levy M L, Metry D W. Response of ulcerated perianal hemangiomas of infancy to becaplermin gel, a recombinant human platelet-derived growth factor.  Arch Dermatol. 2004;  140 867-870