Here is a list of the various skin conditions in childhood and recommendations in antiseptic products for use in paediatrics.
Infections of the child
Infections related to the care of the child
- The principal infections are nosocomial. They depend on:
- The prematurity of the child,
- The hospitalisation in intensive care (immunosuppression),
- Invasive procedures,
- Continued parental feeding.
- There are various modes of contamination :
- Vascular catheterisation,
- Mechanical ventilation,
- Urinary or gastric probe.
- Disinfection of the hands by friction.
- Limitation of invasive gestures.
- Use of disinfectants.
Disinfectant and the child
The main care
- Disinfection of the healthy skin.
- Umbilical cord care.
- Urinary probe on site and evacuation.
- Disinfection of the surgical site in ophthalmology.
- Care of the mouth.
- Antisepsy of injured skin.
- At the time of disinfectant treatments, the skin of the child is prone to several risks:
- The local application covers too much body surface (30%),
- The immaturity of the system of detoxication involves risks of toxicity;
- The cutaneaous barrier is thin, there are risks of penetration of the products.
To choose the right disinfectant
- The use of the following disinfectants in children is recommended:
- Chlorhexidine and derivatives
- Good antibacterian activity,
- Low toxicity for the skin,
- Weak irritation (- of 5%),
- Do not put in contact with the eyes, the brain and the ear canal in the event of perforation of the tympanum
- Avoid ready to use solutions: their disinfectant property is insufficient and contra-indicated on the mucous membranes,
- Quarternary ammonium compounds
- Detergent properties,
- Antimicrobic activity with narrow spectrum,
- Must imperatively be associated with chlorhexidine (do not use pure),
- Chlorinated compounds
- Products with a broad spectrum,
- Often used in ocular antisepsy.
- Iodised products and derivatives
- Do not use on the umbilical cord and with children suffering from hyperthyroidism (involves a thyroid atrophy),
- Increase the effectiveness of other disinfectants,
- Local anaesthetic effect,
- Broad spectrum and fast activity,
- Supports the drying of the product on the skin.
- Risks of high-dose intoxication, not to use on the mucous membranes.
Precautions for use
- Conservation :
- Safe from heat and the light,
- Check the seal
- Beware of the expiry date.
- Use :
- Preferably use products of the same family for a care,
- Dilute soaps and mouthwashes,
- Beware of the concentrations and duration of contact,
- Supervise tolerance,
- Choose unidose systems,
- Rinse with sterile water after 30 seconds action with a premature child, to avoid irritations,
- The application must be short in duration and localised.
Photographic copyright: Crazy80frog Dreamstime
Bon usage de l'antisepsie chez l'enfant (SFHH)