A study published in the Advances in Skin & Wound Care Journal examined wound care information to help educate about care for the specific physiology of newborns.
A group of researchers aimed to help physicians differentiate the use of hydrocolloids, hydrogels, foam dressings, and barrier creams in the neonatal population and identify issues related to the use of solvents, alginates, collagen dressings, and negative pressure wound therapy (NPWT) in neonates, according to an article in the Advances in Skin & Wound Care journal.1
PubMed, Google Scholar, and other journals/textbooks were used to help collect data on wound healing in newborn patients. With this data, the authors of the study aimed to discuss what is already known about wound milieu in premature and full-term neonates, including the unique challenges pediatric clinicians face, the therapies that have proven effective, and the therapies contraindicated for use in neonatal wound healing.
Publications were selected based on the differences and nuances of wound healing in neonates compared to other age groups. All age groups included had the following in mind when decided how to heal wounds1:
According to the article, there is enough information available as of now to recommend using hydrocolloids, hydrogels, foams, barrier films, and barrier creams as first-line treatments for neonatal wounds. More information on each approved method of wound healing can be found here.
The practice pearls from the article include:1
“Experimentation with NPWT on neonates has already improved treatment for numerous conditions in this group, and it may only be a matter of time until NPWT becomes a first-line treatment for neonatal wounds,” the authors concluded. “The adoption of NPWT in neonatal care illustrates how investigators could modify current treatments for adults into neonate-appropriate variants.”
1. Steen EH, Wang X, Boochoon KS, et al. Wound healing and wound care in neonates: current therapies and novel options. Adv Skin Wound Care. 2020;33(6):294-300. doi:10.1097/01.ASW.0000661804.09496.8c