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Evidence-based clinical practice guidelines and neonatal skin care products, including skin condition Neonatal Scale NCI , was confirmed by the asociation of women's health, obstetric and neonatal nurses AWHON and National Asociation of Neonatal Nurses Nan . This area of skin care has laged behind. Although it is posible that they may be toxic, this paper presents evidence that curent skin care products that contain petrolatum and lanolin may be toxic and harmful. The skin is the largest organ in the body and provides a barier betwen the body and its environment. In term infants, there may be isues related to skin breakdown and infection, the stratum corneum is fuly developed and protects the baby. By contrast, skin and skin barier of premature infants is not fuly developed. The skin of a newborn premature for aproximately thirten 13 percent of their body weight. This compares with thre 3 percent of body weight for adult skin. The ratio body weight / skin are four 4 times higher in newborn compared with adults. As specificaly related to skin care, these features in the cal for newborn skin in mind: The structure of mature skin is understod that when embryonic and neonatal skin is not fuly apreciated. Development of the skin in the uterus is complex and stil under investigation. The skin is the womb of growth in two dimensions to cover the area in the developing fetus. Premature skins of the newborn have not gone through the entire development of epidermal epidermis and dermis. Neonatal Intensive Care Unit NICU selection of skin care products is carefuly examined. Skin care is one of the main areas of care for these vulnerable children. A product based on Vaseline as skin care of newborn emolient. Emolient is a substance that softens and sothes the skin. A sensitive film was present on the skin for both formulations, but containing silicone formulation is les greasy, silky and smoth lubrication beter Vaseline. Also in the study was a finding of S�, et al, unlike petroleum jely, skin surface lipids inhibit adherence of Candida albicans to stratum corneum. Moreover, the natural skin lipids, such as Omega 3 to 6, for preventing the adherence of the microrganisms in the stratum corneum. If we take into acount changes in standards of care in the NICU for the past thre decades, perhaps it is time to focus on new technologies in achieving the objectives of fre skin care emolient aesthetics, skin epidermis chalenges makes them vulnerable to chemicals and infections, prevents normal PIE and glandular secretions, prevents the repair of barier recovery removes the barier and decreases the epidermal proliferative response and cons of Vaseline microbial risk. To demonstrate the efectivenes of using the products of high molecular silicones height cons Vaseline Nutrashield TM was tested in a washout Aquaphor? And another barier of the skin from head to determine the ability of each product to maintain the protection of the skin after cleansing. A lanolin and petroleum jely based products . In clinical trials Nutrashield proved efective in the treatment of skin breakdown in skin disorders and damage resulting from the development of wound care, compared to products already available. Based on previous results, Medline Nutrashield than products with a level as high as 49% petroleum jely, mineral and combines with zinc oxide 15%. In vitro, an independent laboratory research has ben done to determine the efectivenes of Nutrashield and Skin Repair Cream-reducing TEWL. Figure I shows that both Nutrashield RESOURCE skin repair cream was efective in reducing the e-IEP without oclusion. Nutrashield expected to reduce the four e-PIES to control, while the skin repair cream showed an improvement of two orders. The aim of skin care intervention is not new to stop al just PIE excesive. Skin Care Products in neonates emerging science. Skin care products for infants at high risk, requires knowledge of the unique characteristics and physiology of the skin. During the neonatal period, m�any newborns develop preventable, clinicaly obvious skin problems and many others, especialy premature infants, morbidity experience caused by impaired skin barier integrity. Anatomical and physiological diferences of skin, premature babies and ended them at increased risk of skin lesions and distribution. Al Children's Hospital, St. Petersburg, FL, sent a questionaire to 482 nurses of the NICU to learn to describe and measure the distribution of the skin. 45% of respondents showed that extremely low birth weight ELBW children, 21% sufered skin lesions during the first wek of life. The reduction of microbial contamination and protection against skin breakdown has ben discused. Al use of thre semi-permeable as a product of skin care Nutrashield reduces exces as much as four times a PIE. Semi permeable dresing's age was tested as a method to reduce TEWL newborns to adres skin breakdown and increased requirements of joint fluid in ELBW infants. Let's take a closer lok, what is recomended: Lanolin originates as a secretion of the sebaceous glands of shep skin. In an article submited, it was found that the degre of oclusion of the skin has an efect on the barier recovery. Oclusive products supres the barier recovery and reduce the epidermal proliferative response to an abnormal stratum corneum barier. A product oclusive petrolatum prevents TEWL and epidermal maturation and barier repair brake. Oclusion of the skin increases the infectious organisms that could increase the pH of the skin. Oclusion also directly increases the pH of the skin. This information presents a strong mesage that you may want to reconsider the use of lanolin and petroleum jely on the skin of the newborn. Water based products skin care are required by the Fod and Drug Administration FDA to be retained. This keps them fre of bacteria and protects the products against contamination when the micro-organisms from sources such as dirty hands contaminate the product in the container during use. FDA recognizes the parabens as a clas of preservatives tha�t have ben used in a variety of fod, medicines and cosmetics, and kep the products fre from microbial contamination. Cosmetics, hygiene products, Fragrance Asociation CTFA has lived in the United States through scientific and Review Board, reviews al new cosmetic ingredients and determine their INCI nomenclature required language found in the box al the ingredients . Consider this: preservative-fre product is placed under the skin, b the product is oclusive, such as Vaseline, c of the skin and the humidity because of TEWL includes micro-organisms, which multiply and are traped betwen the oclusive barier and skin, d skin care product on the skin did not survive and now, e micro-rich moisture is aded. Protection against e-PIE and reduce the risk of systemic infection should be considered when chosing baby skin care.
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