Application of hydrogel dressings on skin injuries of newborns admitted to the neonatal unit
DOI:
https://doi.org/10.17267/2317-3378rec.2025.e6435Keywords:
Neonatal Intensive Care Units, Newborn, Neonatal Nursing, Skin, Hydrocolloid DressingsAbstract
OBJECTIVE: To evaluate the efficacy of a hydrogel dressing developed and produced by the Institute of Energy and Nuclear Research (Instituto de Pesquisas Energéticas e Nucleares – IPEN) in the treatment of skin lesions in newborns admitted to the Neonatal Intensive Care Unit. METHOD: This is a prospective descriptive case series study of newborns in the Neonatal Intensive Care Unit of a public hospital in the city of São Paulo. Data collection took place between June 2021 and December 2021. The lesions were classified according to grade, type, and stage; inflammatory signs were observed; pain parameters during application and removal; and time to wound closure were identified. The images recorded refer to the first day until skin repair. RESULTS: This article presents three cases of newborns with skin injuries due to pressure injury, burn injury and skin tear. They showed progression to complete skin repair and integrity, without the need for therapeutic changes, and the scale demonstrated an absence of pain during the procedures. CONCLUSION: The Brazilian hydrogel dressing demonstrated positive effect in treating skin lesions in newborns without pain. The evidence suggests its use in neonatology is promising, as it provides a favorable environment for healing in this population, where frailty poses a challenge for neonatal nurses.
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1. Gomes MI, Barreira SMC, Paula RC, Fontenele FC, Nascimento LR, Moreira TMM, et al. Skin lesions in newborn infants during hospitalization in the neonatal lesiones. Rev Enferm Atual In Derme [Internet]. 2023;97(4):e023234. Available from: https://revistaenfermagematual.com.br/revista/article/view/2046
2. Tavares IVR, Silva DCZ, Silva MR, Fonseca MP, Marcatto JO, Manzo BF. Patient safety in the prevention and care of skin lesions in newborns: integrative review. Rev Bras Enferm. 2020;73(Suppl. 4):e20190352. https://doi.org/10.1590/0034-7167-2019-0352
3. Santos SV, Ramos FRS, Costa R, Batalha LMC. Validation of nursing interventions to prevent skin lesions in hospitalized newborns. Texto Contexto – Enferm. 2021;30:e20190136. https://doi.org/10.1590/1980-265X-TCE-2019-0136
4. Alves TLMS, Silva GS, Faioli CS, Castro RBC. Equipe de enfermagem: cuidados com a pele do recém-nascido na unidade de terapia intensiva neonatal. Conjecturas [Internet]. 2023;23(1):298-310. Available from: https://conjecturas.org/index.php/edicoes/article/view/2353
5. Oliveira SX, Clementino ACVF, Caldas MLLS, Oliveira JA, Azevedo DDM. Nurses' knowledge in wound treatment in primary health care. REAS [Internet]. 2024;24(11):1-10. Available from: https://acervomais.com.br/index.php/saude/article/view/15921
6. Lima CSA, Balogh TS, Varca JPRO, Varca GHC, Lugão AB, Camacho-Cruz LA, et al. An Updated Review of Macro, Micro, and Nanostructured Hydrogels for Biomedical and Pharmaceutical Applications. Pharmaceutics. 2020;12(10):970. http://dx.doi.org/10.3390/pharmaceutics12100970
7. Munhoz MML, Oliveira MJA, Alcântara MTS, Linhares KP, Rogero SO, Lugão AB. Hidrogel de PVP/CMC e nanopartículas de prata. International Nuclear Atlantic Conference [Internet]. São Paulo: Associação Brasileira de Energia Nuclear; 2015. Available from: http://repositorio.ipen.br/handle/123456789/24062
8. Sousa VO, Beleza APM, Souza LGB, Souza RLU, Fonseca IAC. Implementation of the pain assessment scale in a Public Neonatal Intensive Care Unit (NICU). REAS. 2021;13(8):1-8. https://doi.org/10.25248/REAS.e8451.2021
9. Figueira TN, Backes MTS, Knihs NS, Maliska ICA, Amante LN, Bellaguarda MLR. Products and technologies for treating patients with evidence-based pressure ulcers. Rev Bras Enferm. 2021;74(5):e20180686. https://doi.org/10.1590/0034-7167-2018-0686
10. Rogenski KE, Rogenski NMB. Avaliação e tratamento de feridas em pacientes pediátricos. In: Gaíva MAM, Toso BRGO, Mandetta MA, organizadoras. Associação Brasileira de Enfermagem, Sociedade Brasileira de Enfermeiros Pediatras; Programa de Atualização em Enfermagem (PROENF) [Internet]. Porto Alegre: Artmed Panamericana; 2020. p. 87-139. Available from: https://portal.secad.artmed.com.br/artigo/avaliacao-e-tratamento-de-feridas-em-pacientes-pediatricos
11. Silva CVB, Campanili TCGF, Freitas NO, LeBlanc K, Baranoski S, Santos VLCG. ISTAP classification for skin tears: Validation for Brazilian Portuguese. Int Wound J. 2020;17:310-6. https://doi.org/10.1111/iwj.13271
12. Tiggelen HV, LeBlanc K, Campbell K, Woo K, Baranoski S, Chang YY, et al. Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries. Br J Dermatol. 2020;183(1):146-54. https://doi.org/10.1111/bjd.18604
13. Steen EH, Wang X, Boochoon KS, Ewing DC, Strang HE, Kaul A, et al. Wound Healing and Wound Care in Neonates: Current Therapies and Novel Options. Adv Skin Wound Care. 2020;33(6):294-300. https://doi.org/10.1097/01.ASW.0000661804.09496.8c
14. Baran KC, Gardien KLM, Roodbergen DT, Kewalapat V, Zuidam DJV, Vries AMD. Iatrogenic burns in neonates. Ned Tijdschr Geneeskd. 2021;165:D5670. Cited: PMID: 34346602
15. Santos SV, Costa R. Treatment of skin lesions in newborn children: meeting the needs of nursing staff. Rev Esc Enferm USP. 2014;48(6):985-92. https://doi.org/10.1590/S0080-623420140000700004
16. Alcântara MTS. Polymeric hydrogels with silver nanoparticles for medical applications [tese de doutorado] [Internet]. São Paulo: Instituto de Pesquisas Energéticas e Nucleares; 2013. https://doi.org/10.11606/T.85.2013.tde-18082015-090509
17. Cardoso TR. Applicability of hydrogel based curatives with silver nanoparticles in pressure injury [dissertação de mestrado] [Internet]. São Paulo: Instituto de Pesquisas Energéticas e Nucleares; 2017. https://doi.org/10.11606/D.85.2017.tde-08062017-151848
18. Araújo JG. Eficácia do curativo de hidrogel com nanopartículas de prata na cicatrização de feridas crônicas: estudo clínico randomizado. Uberlândia: Universidade Federal de Uberlândia; 2017. http://doi.org/10.14393/ufu.di.2017.217
19. Cisler-Cahill L. A protocol for the use of amorphous hydrogel to support wound healing in neonatal patients: an adjunct to nursing skin care. Neonatal Netw. 2006;25(4):267-73. https://doi.org/10.1891/0730-0832.25.4.267
20. Resolução COFEN nº 567/2018 de 29 de janeiro de 2018. Regulamenta a atuação da Equipe de Enfermagem no Cuidado aos pacientes com feridas. [Internet]. Conselho Federal de Enfermagem. Available from: https://www.cofen.gov.br/resolucao-cofenno-567-2018/
21. Grossi CC, Conceição SMP, Pinto JP, Fernandes ITGP. The importance of the nursing team's knowledge in preventing skin lesions in newborns. Rev Enferm Atual In Derme. 2025;99(1):e025035. https://doi.org/10.31011/reaid-2025-v.99-n.1-art.2488
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Copyright (c) 2026 Sabrina Fernanda Zeballos, Mara Tânia Silva Alcântara, Ademar Benévolo Lugão
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
