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| Correspondents softening Neonatal Skin Care Product Selection with changes in the standard of care: | | Date Added: June 11, 2010 02:47:00 AM |
| Evidence-based clinical practice guidelines and neonatal skin care products, including skin condition Neonatal Scale (NCI), was confirmed by the association of women's health, obstetric and neonatal nurses (AWHONN) and National Association of Neonatal Nurses (Nann). A guideline for the use of emollients is recommended for children under 32 weeks of the first 2-4 weeks. Infants below 30 weeks gestational age emollient use is recommended to reduce the transepidermal water loss (TEWL-e).
Revisions in the works for three decades, treatment of newborns has radically changed and new guidelines emphasize that growth and development. This area of skin care has lagged behind. A concern that remains is the question of the effects of toxic ingredients in water-based products, such as preservatives and perfumes. Although it is possible that they may be toxic, this paper presents evidence that current skin care products that contain petrolatum and lanolin may be toxic and harmful. Furthermore, using a product that is not retained, but occlusion, may make it possible microorganisms in colony-forming units multiply, this can produce systemic effects. This article aims to illuminate these issues further and provide a better understanding and discussion.
The skin is the largest organ in the body and provides a barrier between the body and its environment. In term infants, there may be issues related to skin breakdown and infection, the stratum corneum is fully developed and protects the baby. By contrast, skin and skin barrier of premature infants is not fully developed.
The skin of a newborn premature for approximately thirteen (13) percent of their body weight. This compares with three (3) percent of body weight for adult skin. The ratio body weight / skin are four (4) times higher in newborn compared with adults. As specifically related to skin care, these features in the call for newborn skin in mind:
• Fluid imbalances
• Percutaneous absorption of toxins
• Tissue injury
• Infection
The structure of mature skin is understood that when embryonic and neonatal skin is not fully appreciated. Development of the skin in the uterus is complex and still under investigation. The skin is the womb of growth in two dimensions to cover the area in the developing fetus. Premature skins of the newborn have not gone through the entire development of epidermal epidermis and dermis.
Neonatal Intensive Care Unit (NICU) selection of skin care products is carefully examined. With the risks described above, the greatest care must be taken to ensure the well-being of newborns in the first hours and days of life. Skin care is one of the main areas of care for these vulnerable children. Currently recommended Nann and an AWHONN Aquaphor? A product based on Vaseline as skin care of newborn emollient.
In earlier work at Stanford University found that therapy moisturizing cream emollient premature infants to reduce erythema, without altering the microbial flora. Emollient is a substance that softens and soothes the skin. This definition is important because one of the NICUs standards of care has changed over the last three decades; selection creams have changed the pharmaceutical industry.
Ingredients of high-tech Silicon petrolatum displaced as companies have sought ways to improve compliance monitoring associated with poor treatment cosmetic formulations based on petroleum jelly. Silicones are not new in the pharmaceutical sector. They are used in transdermal delivery systems, catheters and specialized medical devices such as pacemakers.
In a trial to determine the aesthetic benefits of silicone formulas based on the formulas of Vaseline, 18 untrained volunteers were impaneled. They were asked to assess whether two products are individual differences in sensory characteristics. The evaluation was conducted on the forearm of a panelist. Each member was asked to assess the moisture, spreading, the speed of light (non-organic, just feel), gloss, film residue, fat, silky and go after perceived absorbance.
Figure I show the formulation containing silicone has been perceived as easier to spread and was much less sticky before and after absorption. A sensitive film was present on the skin for both formulations, but containing silicone formulation is less greasy, silky and smooth (lubrication better) Vaseline. The perception of higher humidity expert silicone-containing formulation has been attributed to the lower lubricity.
In a study on a hospital neonatal intensive care 48-bed private Houston, Texas, to determine why the number of systemic candidiasis (SC) per 1000 NICU patient days increased 5.1% in 1996 to17. 4% in 1997 (an increase of three times), it was determined that the increase in SC deposits were related to the use of topical petrolatum ointment (TPO). In this well-designed study investigators have continued to the hypothesis that TPO enhanced compliance of C albicans to http://beautyskincare.us |
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