Guidelines for the Prevention and Management of Latrogenic Skin Injuries in Children

Title: Guidelines for the Prevention and Management of Latrogenic Skin Injuries in Children
Edition: Original
Classification: Standard guideline
Field: Comprehensive guideline
Countries and regions: China
Guidelines users: It is applicable to all child health care institutions and other medical institutions providing child health care; it is applicable to registered nurses and advanced practice registered nurses specializing in children, and the relevant components of the guideline are also applicable to family skin care for children.
Evidence classification method: The GRADE system was used to grade the quality of evidence for quantitative systematic evaluations, and CERQual was used to grade the quality of evidence for qualitative studies.
Development unit: Children's Hospital, Zhejiang University School of Medicine、Chinese Maternal and Child Health Association
Registration time: 2024-07-24
Registration number: PREPARE-2024CN046
Purpose of the guideline: Iatrogenic skin injury refers to skin damage unrelated to the primary disease caused by improper operation, instrument failure or medical materials during medical treatment and nursing, mostly caused by human factors. Children are more prone to iatrogenic injuries due to their tender skin, such as medical adhesive-related skin injury (MARSI), medical device-related pressure injury (MDRPI), and skin injury caused by drug extravasation. Once iatrogenic skin injury occurs, it will increase the risk of infection due to the destruction of the skin barrier function, prolong the length of hospital stay, increase the pain of children and the economic burden of families, and even cause permanent scars and functional disorders. Despite its profound clinical impact, there is currently a lack of relevant guidelines on iatrogenic skin injuries in children to provide clear clinical guidance. Therefore, this guideline aims to focus on the prevention and management of iatrogenic skin injuries in children to provide evidence-based evidence and thereby optimize clinical practice.