King A, Stellar JJ, Blevins A, Shah KN, et al.
Advances in wound care. Date of publication 2014 Apr 1;volume 3(4):324-334.
1. Adv Wound Care (New Rochelle). 2014 Apr 1;3(4):324-334. doi:
10.1089/wound.2013.0477.
Dressings and Products in Pediatric Wound Care.
King A(1), Stellar JJ(2), Blevins A(3), Shah KN(4).
Author information:
(1)Pediatric Advanced Wound and Skin Services, Cincinnati Children's Hospital
Medical Center , Cincinnati, Ohio. ; Division of Pediatric General and Thoracic
Surgery, Cincinnati Children's Hospital Medical Center , Cincinnati, Ohio.
(2)Department of Nursing, The Children's Hospital of Philadelphia ,
Philadelphia, Pennsylvania.
(3)Pediatric Advanced Wound and Skin Services, Cincinnati Children's Hospital
Medical Center , Cincinnati, Ohio.
(4)Pediatric Advanced Wound and Skin Services, Cincinnati Children's Hospital
Medical Center , Cincinnati, Ohio. ; Division of Dermatology, Cincinnati
Children's Hospital Medical Center , Cincinnati, Ohio. ; Departments of
Pediatrics and Dermatology, University of Cincinnati College of Medicine ,
Cincinnati, Ohio.
Significance: The increasing complexity of medical and surgical care provided to
pediatric patients has resulted in a population at significant risk for
complications such as pressure ulcers, nonhealing surgical wounds, and
moisture-associated skin damage. Wound care practices for neonatal and pediatric
patients, including the choice of specific dressings or other wound care
products, are currently based on a combination of provider experience and
preference and a small number of published clinical guidelines based on expert
opinion; rigorous evidence-based clinical guidelines for wound management in
these populations is lacking. Recent Advances: Advances in the understanding of
the pathophysiology of wound healing have contributed to an ever-increasing
number of specialized wound care products, most of which are predominantly
marketed to adult patients and that have not been evaluated for safety and
efficacy in the neonatal and pediatric populations. This review aims to discuss
the available data on the use of both more traditional wound care products and
newer wound care technologies in these populations, including medical-grade
honey, nanocrystalline silver, and soft silicone-based adhesive technology.
Critical Issues: Evidence-based wound care practices and demonstration of the
safety, efficacy, and appropriate utilization of available wound care dressings
and products in the neonatal and pediatric populations should be established to
address specific concerns regarding wound management in these populations.
Future Directions: The creation and implementation of evidence-based guidelines
for the treatment of common wounds in the neonatal and pediatric populations is
essential. In addition to an evaluation of currently marketed wound care
dressings and products used in the adult population, newer wound care
technologies should also be evaluated for use in neonates and children. In
addition, further investigation of the specific pathophysiology of wound healing
in neonates and children is indicated to promote the development of wound care
dressings and products with specific applications in these populations.
DOI: 10.1089/wound.2013.0477
PMCID: PMC3985526
PMID: 24761363
