Csoma Zsanett, Meszes Angéla, Mader Krisztina, Kemény Lajos, Tálosi Gyula
Department of Dermatology and Allergology, University of Szeged, Szeged, Hungary.
Pediatr Dermatol. 2015 Mar-Apr;32(2):201-7. doi: 10.1111/pde.12443. Epub 2014 Dec 22.
The immaturity and vulnerability of the skin and epidermal barrier function and the frequent iatrogenic complications following diagnostic and therapeutic procedures are often associated with skin manifestations in infants in neonatal intensive care units (NICUs). The aim of the current study was to investigate dermatologic disorders in neonates in our NICU. A prospective cohort study was conducted in the NICU at the Department of Pediatrics at the University of Szeged between January 2012 and January 2013. All full- and preterm infants hospitalized in the NICU underwent whole-body skin examinations and all dermatologic disorders and treatment modalities were recorded. Eighty-nine dermatologic conditions were detected in 64 of the 211 neonates admitted to the NICU. A wide variety of clinical symptoms accompanied these conditions in these preterm and severely ill full-term infants. A considerable proportion of the disorders that were seen resulted from the immaturity of the skin and various iatrogenic complications. Dermatologic disorders are frequent in neonates requiring intensive care. Prevention, early detection, and optimal treatment of these disorders with modern, standardized skin care management strategies can result in significant improvements in barrier function and in the integrity of the skin, increasing the overall efficacy of neonatal intensive care.
新生儿重症监护病房（NICU）中的婴儿皮肤及表皮屏障功能不成熟且脆弱，诊断和治疗过程中频繁出现医源性并发症，这些往往与皮肤表现相关。本研究的目的是调查我们NICU中新生儿的皮肤病。2012年1月至2013年1月期间，在塞格德大学儿科学系的NICU进行了一项前瞻性队列研究。所有入住NICU的足月儿和早产儿均接受了全身皮肤检查，并记录了所有皮肤病及治疗方式。在入住NICU的211名新生儿中的64名中检测到89种皮肤病。在这些早产儿和重症足月儿中，这些病症伴有各种各样的临床症状。相当一部分所见病症是由皮肤不成熟和各种医源性并发症引起的。需要重症监护的新生儿中皮肤病很常见。采用现代标准化皮肤护理管理策略对这些病症进行预防、早期检测和最佳治疗，可显著改善屏障功能和皮肤完整性，提高新生儿重症监护的整体疗效。
