Judit Vasas1, Angéla Meszes MD1, Gyula Tálosi MD2, Katalin Rácz MD2, Lajos KeményMD1, Zsanett Csoma MD1

1Department of Dermatology and Allergology, University of Szeged, Hungary

2Department of Paediatrics, University of Szeged, Hungary

high prevalence of pressure ulcers (PUs):

27 % in paediatric intensive care units (PICUs)

23 % in neonatal intensive care units (NICUs)

acutely ill, sedated, paralysed or immobilized neonates and children are at risk

occipital region, ear, nose or knees

medical devices and equipment can also cause PUs at any sites

Braden Q Scale for risk of PUs in paediatric population

hydrogels, hydrocolloids, foam and film dressings are advised

to review pressure ulcers

between January 2012 and January 2013

tertiary NICU and PICU

Patients were studied for:

age

sex

area of involvement

stages of decubitus (NUPAP)

treatment

Patients Gender (M/F)

Gestational age (week)

Birth weigth (g)

Lesion Localisation Treatment

1. F 39 3980 erythema (St. I.) occipital region

herb containing

gel

2 M 40 3440 erythema (St. I).

occipital region

herb containing

gel

3. M 37 3500 haemorrhagious

erosion with crust (St. II.)

occipital region

hydrogels, epithelizing

ointment

4. F 38 2480 haemorrhagious ulcers with crust

(St. II.)

occipital region

hydrogels, epithelizing

ointment

5. F 26 700 superficial ulcers with crusts (St. II)

left nasal orifice

boracic acid containing ointment

211 neonates in NICU 5 neonates with pressure ulcers - prevalence of 2,36% 4/5 in the occipital region 1/5 in the left nasal orifice due to nasal CPAP cannule

Patients in PICU

Gender M/F

Age Lesion Localisation Treatment

1. M 3 year superficial ulcers with crusts (St. II) occipital region hydrogels, hydrocolloids

2. M 2 years two necrotic ulcers (St. III.) occipital region hydroactive wound dressings

hydrogels, alginates, hydrocolloids, silicon and foam dressings

3 M 1 year two necrotic ulcers with crusts (St. II-

III.) occipital region

hydrogels, alginates, foam dressings, hydrocolloids

4. M 20 months 4 rounded necrotoic ulcers (St. II, III.) occipital region hydrogels hydrocolloids

5. F 10 years superficial ulcer (St. II.), ulcer with

crusts (ST. III.) sacrum, occipital

region hydrogels, foam dressings

6. M 7 years deep, necrotic ulcer, bone at the

bottom (St. IV.) sacrum alginate

7. F 14 years bulla 3 cm in diameter (St. II.) right heel hydrogels, foam dressing

8 M 11 months superficial ulcer with crust (St. II.) occipital region hydrogels, foam dressings

9. M 4 months haemorrhage, erythema (St.I.) occipital region herb containing gel

10. F 18 months superficial ulcer with crust (St. II.) occipital region hydrogels, epithelizing ointment

11 M 15 years deep, necrotic ulcer with bone at the

wound base (St, IV.) sacrum alginate dressings

12. F 4 months superficial ulcers with crusts (St. II.) occipital region hydrogels, epithelizing ointment

13 M 10 years eryhema (St. I.) both lateral

malleus herb containing gel

14 F 11 years haemorrhagious, necrotic based

ulcers (St. III.) occipital region, trunk, sacrum

hydrogels, hydrocolloids, silver alginate,

15 M 12 years haemorrhage, bulla, superficial ulcer

(St. II.) left heel hydrogels, povidone iodine cream

385 neonates in PICU

15 children with pressure ulcers

prevalence 3,89%

Prevention is inevitable

reposition of patients

check and reposition of medical equipments

weight-relieving gel pillows and foam mattresses

Minimizing risk with nutritional considerations

Paucity of evidence-based local therapy

Futher researches are needed with dressings