Cited by 223Neonatal skin health careDermatology and Skin DiseasesAdvancements in Transdermal Drug Delivery

Skin Physiology of the Neonate and Infant: Clinical Implications

Open access
Oranges, Teresa, Dini, Valentina, Romanelli, Marco·2015·Advances in Wound Care

Abstract

Significance: The skin is a complex and dynamic organ that performs several vital functions. The maturation process of the skin starts at birth with the adaption of the skin to the comparatively dry environment compared to the in utero milieu. This adaptive flexibility results in the unique properties of infant skin. To deliver appropriate care to infant skin, it is necessary to understand that it is evolving with unique characteristics. Recent Advances: The role of biophysical noninvasive techniques in the assessment of skin development underlines the importance of an objective evaluation of skin physiology parameters. Skin hydration, transepidermal water loss, and pH values are measurable with specific instruments that give us an accurate and reproducible assessment during infant skin maturation. The recording of these values, following standard measurement procedures, allows us to evaluate the integrity of the skin barrier and to monitor the functionality of the maturing skin over time. Critical Issues: During the barrier development, impaired skin function makes the skin vulnerable to chemical damage, microbial infections, and skin diseases, possibly compromising the general health of the infant. Preterm newborns, during the first weeks of life, have an even less developed skin barrier and, therefore, are even more at risk. Thus, it is extremely important to evaluate the risk of infection, skin breakdown, topical agent absorption, and the risk of thermoregulation failure. Future Directions: Detailed and objective evaluations of infant skin maturation are necessary to improve infant skin care. The results of these evaluations should be formed into general protocols that will allow doctors and caregivers to give more personalized care to full-term newborns, preterm newborns, and infants.

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Crossref · 10.1089/wound.2015.0642

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  • Cardiac monitoring with SCG yields important data to complement ECG, with enhanced utility in early detection of cardiac complications.

    “Cardiac monitoring with SCG yields important data to complement those associated with ECG, with enhanced utility in early detection of cardiac complications49.”

    From Skin-interfaced biosensors for advanced wireless physiological monitoring in neonatal and pediatric intensive-care units (2020) · cites this paper as [49]

    The Abstract discusses noninvasive measurements of infant skin hydration, transepidermal water loss, and pH; the Clinical Implications section discusses skin-barrier risks. Searches for SCG, ECG, cardiac monitoring, and early detection of cardiac complications found no passage addressing the claim. (LLM, conf=0.78)

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Research works printed but not linked: 6

  1. [12]Holbrook KA. A histologic comparison of infant and adult skin. In: Maibach HI, Boisits EK, eds. Neonatal Skin: Structure and Function. New York: Marcel Dekker, Inc., 1982:3–31 [Google Scholar]
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Authors
Oranges, T., Dini, V., & Romanelli, M.
Affiliations
University of Pisa (IT)
Venue
Advances in Wound Care
Published
2015-10
Volume
4
Issue
10
Pages
587-595
ISSN
  • 2162-1918 (ISSN-L)
  • 2162-1934
OpenAlex
W1782297065
Cited by
223
References
84
Citations by year
2026: 21 · 2025: 27 · 2024: 33 · 2023: 32 · 2022: 30 · 2021: 22 · 2020: 19 · 2019: 20 · 2018: 8 · 2017: 9 · 2016: 1
FWCI
1.33
Type
journal article
Language
en
Open access
Locations
  • Advances in Wound Care (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • CINECA IRIS Institutial research information system (University of Pisa) (submittedVersion)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Neonatal skin health care
  • Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advancements in Transdermal Drug Delivery
Keywords
skin hydration, transepidermal water loss, skin pH, non-invasive skin assessment, preterm infants, thermoregulation, infant skin care

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