Skin Breakdown Due To A Chlorhexidine-Impregnated Disc In A
Abstract
We report the case of an 820-gram, 26-week premature infant, with Candida Albicans sepsis, pneumonia and dermatitis, who developed a skin ulcer directly under the site of his central venous line dressing. The dressing consisted of a foam chlorhexidine-impregnated antimicrobial disc(CIAD) and a transparent dressing. The skin ulcer was in the shape of the foam disc. Upon removal of both the CIAD and the central line, the ulcer was treated with nystatin powder, covered with a silver impregnated antimicrobial dressing. The skin ulcer healed without further incident. One should consider avoiding the use of a CIAD on catheters in neonates with non-intact skin to prevent ulceration.

Case Report
An 820-gram male infant was born by cesarean section to a 23-year-old women at 26-weeks post-conception, due to premature rupture of membranes and protrusion of the left arm out of the cervix. The baby required resuscitation at birth and developed respiratory distress, necessitating two doses of surfactant. At two-weeks of age he remained critically ill, and despite antibiotics and mechanical ventilation, he had worsening respiratory function and a new skin rash. Shortly thereafter, respiratory and blood cultures grew candida albicans....

http://ispub.com/IJPN/16/2/16175
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