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Advances in Skin & Wound Care:
doi: 10.1097/01.ASW.0000433103.55891.af
Features: Original Investigation

Pressure Ulcer Treatment in Pediatric Patients

Schlüer, Anna-Barbara MScN; Schols, Jos M. G. A. MD, PhD; Halfens, Ruud J. G. PhD

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Abstract

OBJECTIVE:

To assess pressure ulcer (PrU) treatment in Swiss hospitalized pediatric patients and to determine whether there are differences in PrU treatment, according to demographic characteristics of the patients.

DESIGN:

A descriptive multicenter point prevalence study was conducted in June 2009 in all German-speaking pediatric hospitals in Switzerland.

SETTING:

All hospitalized patients from birth up to 17 years or younger in 14 Swiss pediatric hospitals, including all pediatric departments, were assessed.

PATIENTS:

A total of 412 patients participated in this study.

MAIN OUTCOME MEASURES:

The instrument and method of the Dutch National Prevalence Measurement of Care Problems were used.

MAIN RESULTS:

Thirty-five percent of the patients had a PrU. Almost all of these PrUs (94.1%) were of category 1. The most severe PrUs occurred in patients older than 8 years. Age of the patient and department were the only characteristics that significantly influenced the occurrence of PrU categories 2 to 4. Pressure ulcer categories 2 to 4 were mostly covered with hydrocolloid or polyurethane foam dressings. No pediatric-specific guideline regarding PrU treatment is used in the involved hospitals.

CONCLUSION:

Most patients had category 1 PrUs, so appropriate prevention to decrease any further trauma in these patients was necessary. Severe PrUs (categories 2–4) are mostly limited to older pediatric (aged >8 years) patients with chronic conditions or after surgery intervention. A PrU treatment guideline adapted for pediatric needs is recommended.

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

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