Traditional and advanced therapeutic modalities for wounds in the paediatric population: an evidence-based review.

Journal of Wound Care
Stephanie A McNamaraLawrence A Schachner

Abstract

Children can have non-healing wounds due to a wide range of pathologies, including epidermolysis bullosa (EB), pilonidal disease and Stevens-Johnson syndrome, with some causes being iatrogenic, including extravasation injuries and medical device-related hospital-acquired pressure ulcers. Furthermore, paediatric wounds are vastly different from adult wounds and therefore require a different treatment approach. While there are numerous types of dressings, topical remedies, and matrices with high-tier evidence to support their use in adults, evidence is scarce in the neonatal and paediatric age groups. The purpose of this review is to discuss the basic principles in paediatric wound management, as well as to present new treatment findings published in the literature to date. The benefits and risks of using different types of debridement are discussed in this review. Various topical formulations are also described, including the need to use antibiotics judiciously. Databases were searched for relevant sources including Pubmed, Embase, Web of Science and DynaMed. Search terms used included 'wound care', 'wound management', 'paediatrics', 'children', 'skin substitutes', and 'grafts'. Additionally, each treatment and disease entity wa...Continue Reading

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Methods Mentioned

BETA
cochlear implant
biopsy

Clinical Trials Mentioned

NCT02286427
NCT04030754
NCT03394612
NCT03229564
NCT01067729

Software Mentioned

Skin Risk Assessment and Management Tool ( SRAMT )
Integra

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