Kangaroo Care Effects on Hospital Acquired Infections through Alteration of Stratum Corneum Barrier Function in Preterm Infants

2.50
Hdl Handle:
http://hdl.handle.net/10755/158930
Type:
Presentation
Title:
Kangaroo Care Effects on Hospital Acquired Infections through Alteration of Stratum Corneum Barrier Function in Preterm Infants
Abstract:
Kangaroo Care Effects on Hospital Acquired Infections through Alteration of Stratum Corneum Barrier Function in Preterm Infants
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Abouelfettoh, Amel, PhD
P.I. Institution Name:Case Western Reserve University
Title:Nursing
Contact Address:FPB School of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106, USA
Contact Telephone:216-368-2637
Co-Authors:A.M. Abouelfettoh, S.M. Ludington-Hoe, Case Western Reserve University, Cleveland, OH; A.M. Abouelfettoh, Cario University, Cairo, EGYPT;
Two parameters of skin barrier function that can be non-invasively assessed in preterm infants are Stratum Corneum Hydration (SCH) and Transepidermal Water Loss (TEWL). Kangaroo Care (KC) is the proposed independent variable that might affect barrier function by decreasing transepidermal water loss and increasing skin hydration, thereby improving stratum corneum barrier function and consequently decreasing the number of infection. The third purpose is to determine the effects of 5 daily sessions of KC on TEWL, SCH on Days 1 and 5 of treatment and number of infections from the onset of treatment until discharge and one month after discharge. A pretest-test-posttest randomized controlled trial of ten stable 32 week postmenstrual age preterm infants in each of two groups, a treatment group which receives 90 minutes of KC per day for 5 days /week for two weeks, and a control group that does not receive KC, is being conducted in a tertiary level NICU. Pretest is 30 minutes of incubator care, test is 90 minutes of KC or continuing incubator care for the control group, and posttest is 30 minutes of incubator care. Computerized minimization technique is used to randomly assign subjects. TEWL and SCH are measured by a multi-prop NOVA Dermaphase Meter which records data directly onto the computer. Dermaphase probes are placed 1 cm below right costal margin at midclavicular line at beginning, middle, and end of each period. Initial and subsequent CBC and differential count and blood cultures are followed up and recorded from the infant's medical record to determine presence of infection from the entrance of the study to discharge from the hospital. Demographic, descriptive and inferential statistical analysis of data for all subjects tested by 7 days prior to the meeting will be presented. Preliminary results show that TEWL is lower and skin hydration may be higher during KC than incubator periods. Conclusions: If TEWL is lower during KC, then skin barrier function is better. If skin hydration is higher, then skin barrier function is better. Improved TEWL and skin hydration may influence the number of positive cultures infants have and would suggest that skin-to-skin holding acts as an immunomodulator that positively affects infection in preterm infants.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleKangaroo Care Effects on Hospital Acquired Infections through Alteration of Stratum Corneum Barrier Function in Preterm Infantsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158930-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Kangaroo Care Effects on Hospital Acquired Infections through Alteration of Stratum Corneum Barrier Function in Preterm Infants</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Abouelfettoh, Amel, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Case Western Reserve University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">FPB School of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">216-368-2637</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">axa188@case.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">A.M. Abouelfettoh, S.M. Ludington-Hoe, Case Western Reserve University, Cleveland, OH; A.M. Abouelfettoh, Cario University, Cairo, EGYPT;</td></tr><tr><td colspan="2" class="item-abstract">Two parameters of skin barrier function that can be non-invasively assessed in preterm infants are Stratum Corneum Hydration (SCH) and Transepidermal Water Loss (TEWL). Kangaroo Care (KC) is the proposed independent variable that might affect barrier function by decreasing transepidermal water loss and increasing skin hydration, thereby improving stratum corneum barrier function and consequently decreasing the number of infection. The third purpose is to determine the effects of 5 daily sessions of KC on TEWL, SCH on Days 1 and 5 of treatment and number of infections from the onset of treatment until discharge and one month after discharge. A pretest-test-posttest randomized controlled trial of ten stable 32 week postmenstrual age preterm infants in each of two groups, a treatment group which receives 90 minutes of KC per day for 5 days /week for two weeks, and a control group that does not receive KC, is being conducted in a tertiary level NICU. Pretest is 30 minutes of incubator care, test is 90 minutes of KC or continuing incubator care for the control group, and posttest is 30 minutes of incubator care. Computerized minimization technique is used to randomly assign subjects. TEWL and SCH are measured by a multi-prop NOVA Dermaphase Meter which records data directly onto the computer. Dermaphase probes are placed 1 cm below right costal margin at midclavicular line at beginning, middle, and end of each period. Initial and subsequent CBC and differential count and blood cultures are followed up and recorded from the infant's medical record to determine presence of infection from the entrance of the study to discharge from the hospital. Demographic, descriptive and inferential statistical analysis of data for all subjects tested by 7 days prior to the meeting will be presented. Preliminary results show that TEWL is lower and skin hydration may be higher during KC than incubator periods. Conclusions: If TEWL is lower during KC, then skin barrier function is better. If skin hydration is higher, then skin barrier function is better. Improved TEWL and skin hydration may influence the number of positive cultures infants have and would suggest that skin-to-skin holding acts as an immunomodulator that positively affects infection in preterm infants.</td></tr></table>en_GB
dc.date.available2011-10-26T21:32:11Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:32:11Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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