{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T02:28:10Z","timestamp":1787884090692,"version":"build-2784847793"},"reference-count":33,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T00:00:00Z","timestamp":1623974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate skincare practices in the first 2\u2009weeks of life in extremely premature infants across tertiary neonatal intensive care units (NICUs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A web\u2010based secure survey invite was emailed to the medical directors of tertiary NICUs. The survey included questions on various aspects of skincare practices in the first 2\u2009weeks of life in extremely premature infants (born before 28\u2009weeks gestation). The person most familiar with local skincare practices was asked to complete the survey and only one response per unit was requested. We performed a descriptive analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We received responses from 30 out of 32 NICUs (response rate 93%). Twenty\u2010five NICUs (89%) reported offering resuscitation and intensive care to infants born at \u226523\u2009weeks gestation. All NICUs reported occurrences of skin breakdown, including medical adhesive\u2010related skin injury (30%), abrasion\/friction\u2010associated skin injury (46%), perineal skin breakdown (55%), pressure site injury (47%) and diaper dermatitis (60%). A high level of consensus (\u226575%) was observed for certain practices, such as the use of polyethylene occlusive plastic wraps at birth and aqueous chlorhexidine solution for sterile procedures, but a low level of consensus (&lt;25%) was observed for many other practices, including the skin risk assessment tool used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Skin injuries in extremely premature infants are common and skincare practices vary considerably amongst NICUs. Clinical practice improvement projects and further clinical research will help improve consistency amongst NICUs. Further research is needed to assist the development of evidence\u2010based guidelines and benchmarking for skincare practices in these vulnerable infants.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.15578","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T07:54:01Z","timestamp":1624002841000},"page":"1627-1633","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Skincare practices in extremely premature infants: A survey of tertiary neonatal intensive care units from Australia and New Zealand"],"prefix":"10.1111","volume":"57","author":[{"given":"Umesh","family":"Mishra","sequence":"first","affiliation":[{"name":"Department of Neonatology Westmead Hospital  Sydney New South Wales Australia"},{"name":"The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9802-5983","authenticated-orcid":false,"given":"Pranav","family":"Jani","sequence":"additional","affiliation":[{"name":"Department of Neonatology Westmead Hospital  Sydney New South Wales Australia"},{"name":"The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Maheshwari","sequence":"additional","affiliation":[{"name":"Department of Neonatology Westmead Hospital  Sydney New South Wales Australia"},{"name":"The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dharmesh","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Neonatology Westmead Hospital  Sydney New South Wales Australia"},{"name":"The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daphne","family":"D'Cruz","sequence":"additional","affiliation":[{"name":"Department of Neonatology Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archana","family":"Priyadarshi","sequence":"additional","affiliation":[{"name":"Department of Neonatology Westmead Hospital  Sydney New South Wales Australia"},{"name":"The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8713-0849","authenticated-orcid":false,"given":"Claire","family":"Galea","sequence":"additional","affiliation":[{"name":"The University of Sydney  Sydney New South Wales Australia"},{"name":"Grace Centre For Newborn Intensive Care The Children's Hospital at Westmead  Sydney New South Wales Australia"},{"name":"The Cerebral Palsy Alliance  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krista","family":"Lowe","sequence":"additional","affiliation":[{"name":"Department of Neonatology Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Marceau","sequence":"additional","affiliation":[{"name":"Department of Neonatology Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Neonatology Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2014.12.003"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep07429"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.28.46.61.e8402"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.13725"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2016-312193"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1891\/0730-0832.33.1.19"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e3181f0ae63"},{"key":"e_1_2_7_9_1","article-title":"Topical emollient for preventing infection in preterm infants","author":"Cleminson J","year":"2016","journal-title":"Cochrane Database Syst. 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