Browse > Article
http://dx.doi.org/10.4040/jkan.2013.43.1.30

pH, Temperature, Hydration of the Stratum Corneum of the Dorsal Hand and the Cord Area, and Acid Mantle Formation during Early Days of life in High-risk Newborns  

Ahn, Youngmee (Department of Nursing, College of Medicine, Inha University)
Sohn, Min (Department of Nursing, College of Medicine, Inha University)
Lee, Sangmi (Department of Nursing, College of Medicine, Inha University)
Lee, Mijin (Department of Nursing, College of Medicine, Inha University)
Publication Information
Journal of Korean Academy of Nursing / v.43, no.1, 2013 , pp. 30-38 More about this Journal
Abstract
Purpose: The study was done to explore variations in physiologic parameters of the stratum corneum (SC) of the dorsal hand and cord area during early days of life in high-risk newborns. Methods: In this longitudinal study, a total of 77 high-risk newborns were assessed for pH, temperature and hydration of the SC of the dorsal hand and the cord area on the $1^{st}$, $2^{nd}$, $3^{rd}$, $5^{th}$ and $7^{th}$ days of life. Results: Results showed that an acid mantle (AM) was formed in 57.1% for dorsal hand and 35.1% for cord area, implying significant delay regardless of decrease in pH (F=103.60, p<.001), and hydration (F=4.00, p=.003) across days in both areas. Peripheral hypothermia with low hydration level was also observed in both areas. There was a positive relation between hydration and temperature (.14
Keywords
Newborns; Skin; Umbilical cord; Hand; Acid;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Reynolds, P. R., Banerjee, S., & Meek, J. H. (2005). Alcohol burns in extremely low birthweight infants: Still occurring. Archives of Disease in Childhood. Fetal and Neonatal Edition, 90(1), F10. http://dx.doi.org/ 10.1136/adc.2004.054338   DOI   ScienceOn
2 Rutter, N. (2000). The dermis. Seminars in Neonatology, 5(4), 297-302. http://dx.doi.org/10.1053/siny.2000.0016   DOI   ScienceOn
3 Sahni, R., Schulze, K. F., Ohira-Kist, K., Kashyap, S., Myers, M. M., & Fifer, W. P. (2010). Interactions among peripheral perfusion, cardiac activity, oxygen saturation, thermal profile and body position in growing low birth weight infants. Acta Paediatrica, 99(1), 135-139. http://dx.doi. org/10.1111/j.1651-2227.2009.01514.x
4 Schmid-Wendtner, M. H., & Korting, H. C. (2006). The pH of the skin surface and its impact on the barrier function. Skin Pharmacology and Physiology, 19(6), 296-302. http://dx.doi.org/10.1159/000094670   DOI   ScienceOn
5 Stamatas, G. N., Nikolovski, J., Mack, M. C., & Kollias, N. (2011). Infant skin physiology and development during the first years of life: A review of recent findings based on in vivo studies. International Journal of Cosmetic Science, 33(1), 17-24. http://dx.doi.org/10.1111/j.1468-2494.20 10.00611.x   DOI   ScienceOn
6 Visscher, M., Odio, M., Taylor, T., White, T., Sargent, S., Sluder, L., et al. (2009). Skin care in the NICU patient: Effects of wipes versus cloth and water on stratum corneum integrity. Neonatology, 96(4), 226-234. http://dx.doi.org/10.1159/000215593   DOI   ScienceOn
7 Yosipovitch, G., Maayan-Metzger, A., Merlob, P., & Sirota, L. (2000). Skin barrier properties in different body areas in neonates. Pediatrics, 106(1), 105-108. http://dx.doi.org/10.1542/peds.106.1.105   DOI   ScienceOn
8 Zupan, J., Garner, P., & Omari, A. A. (2004). Topical umbilical cord care at birth. Cochrane Database of Systematic Reviews, CD001057. http:// dx.doi.org/10.1002/14651858.CD001057.pub2
9 Peck, S. M., & Botwinick, I. S. (1964). The buffering capacity of infants' skins against an alkaline soap and a neutral detergent. Journal of the Mount Sinai Hospital, New York, 31, 134-137.
10 Pezzati, M., Rossi, S., Tronchin, M., Dani, C., Filippi, L., & Rubaltelli, F. F. (2003). Umbilical cord care in premature infants: The effect of two different cord-care regimens (salicylic sugar powder vs chlorhexidine) on cord separation time and other outcomes. Pediatrics, 112(4), e275. http://dx.doi.org/10.1542/peds.112.4.e275   DOI   ScienceOn
11 Capone, K. A., Dowd, S. E., Stamatas, G. N., & Nikolovski, J. (2011). Diversity of the human skin microbiome early in life. Journal of Investigative Dermatology, 131(10), 2026-2032. http://dx.doi.org/10.1038/jid.2011.168   DOI   ScienceOn
12 Cartlidge, P. (2000). The epidermal barrier. Seminars in Neonatology, 5(4), 273-280. http://dx.doi.org/10.1053/siny.2000.0013   DOI   ScienceOn
13 Fox, C., Nelson, D., & Wareham, J. (1998). The timing of skin acidification in very low birth weight infants. Journal of Perinatology, 18(4), 272-275.
14 Chiou, Y. B., & Blume-Peytavi, U. (2004). Stratum corneum maturation. A review of neonatal skin function. Skin Pharmacology and Physiology, 17(2), 57-66. http://dx.doi.org/10.1159/000076015   DOI   ScienceOn
15 Curley, M. A. Q., & Moloney-Harmon, P. A. (2001). Critical care nursing for infants and children (2nd ed.). Philadelphia: W. B. Saunders Company.
16 Fluhr, J. W., Darlenski, R., Taieb, A., Hachem, J. P., Baudouin, C., Msika, P., et al. (2010). Functional skin adaptation in infancy-almost complete but not fully competent. Experimental Dermatology, 19(6), 483-492. http:// dx.doi.org/10.1111/j.1600-0625.2009.01023.x   DOI   ScienceOn
17 Ahn, Y., & Shin, E. (2007). Assessment of hydration on the stratum corneum and the influencing factors in neonates. Journal of Korean Academy of Nursing, 37(5), 781-789.   DOI
18 Behrendt, H., & Green, M. (1958). Skin pH pattern in the newborn infant. AMA Journal of Diseases of Children, 95(1), 35-41. http://dx.doi. org/10.10 01/archpedi.1958.02060050037006
19 Gardner, S. L., Carter, B., Enzman-Hines, M. I., & Hernandez, J. A. (2011). Merenstein & Gardner's handbook of neonatal intensive care (7th ed.). St. Louis, MO: Mosby.
20 Hoeger, P. H., & Enzmann, C. C. (2002). Skin physiology of the neonate and young infant: A prospective study of functional skin parameters during early infancy. Pediatric Dermatology, 19(3), 256-262.   DOI   ScienceOn
21 Knobel, R. B., Guenther, B. D., & Rice, H. E. (2011). Thermoregulation and thermography in neonatal physiology and disease. Biological Research for Nursing, 13(3), 274-282. http://dx.doi.org/10.1177/10998004 11403467   DOI   ScienceOn
22 Mancini, A. J. (2004). Skin. Pediatrics, 113(Suppl 4), 1114-1119.
23 Lashkari, H. P., Chow, P., & Godambe, S. (2012). Aqueous 2% chlorhexidine- induced chemical burns in an extremely premature infant. Archives of Disease in Childhood. Fetal and Neonatal Edition, 97(1), F64. http://dx.doi.org/10.1136/adc.2011.215145   DOI   ScienceOn
24 Lee, J. Y., Koscheyev, V. S., Kim, J. H., & Warpeha, J. M. (2009). Thermal dynamics of core and periphery temperature during treadmill sub-maximal exercise and intermittent regional body cooling. Journal of the Korean Society of Living Environmental System, 16(2), 89-100.
25 Lee, S. H., Lee, S. E., An, S. K., Hong, S. P., Kim, H. J., Lee, H. K., et al. (2010). Skin barrier. Seoul: Ryo Moon Gak.