Katie McKeown - Academia.edu (original) (raw)

Papers by Katie McKeown

Introduction: Methicillin-susceptible Staphylococcus aureus (MSSA) infections cause diseases rang... more Introduction: Methicillin-susceptible Staphylococcus aureus (MSSA) infections cause diseases ranging from localized skin infections to serious invasive infections. Neonates are immunosuppressed, placing them at increased risk for MSSA infections, including staphylococcal scalded skin syndrome (SSSS), a rare severe skin presentation of MSSA. Clinical Findings: We present a case series of 3 preterm infants with SSSS receiving care at a level 3 neonatal intensive care unit. Primary Diagnosis: The infants presented with symptoms of sepsis, including temperature instability, apnea, and bradycardia episodes. The infants had peeling skin at sites of external pressure, including peripheral intravenous (IV) sites, under dressings, or where devices had been in contact with skin. Interventions: The infants were soaked in a tub with gel baby wash and water to remove leads without traumatizing the skin. Laboratory values were drawn, and cultures were obtained. Wound care was provided using mupirocin, soft silicone mesh wound contact layer, and soft cotton bandage gauze. Supportive respiratory care was provided, and IV antibiotics were administered. Outcomes: The infants were discharged to their homes with intact skin. One infant experienced a loss of pigment that persisted several weeks. All patients were without scarring by early childhood. Practice Recommendations: Thorough assessment and careful hygiene of neonates' skin is crucial. MSSA is an infection that can appear on the skin. It is important to quickly diagnose and treat this type of infection, especially when it presents as a localized pustule, boil, tear, peeling, or crust before it becomes systemic.

Neoreviews, Apr 1, 2023

Extremely low-birthweight (ELBW) infants are at increased risk for infection because the innate i... more Extremely low-birthweight (ELBW) infants are at increased risk for infection because the innate immune function of their skin is underdeveloped as they lack a competent epidermal barrier. Thus, neonatal clinicians need to pay careful attention to skin care practices, particularly for periviable infants. In this review, we describe the challenges of skin care in ELBW infants and summarize strategies to prevent skin injury, minimize damage when it occurs, and enhance cutaneous innate immunity.

Advances in Neonatal Care, Mar 29, 2022

Introduction: Methicillin-susceptible Staphylococcus aureus (MSSA) infections cause diseases rang... more Introduction: Methicillin-susceptible Staphylococcus aureus (MSSA) infections cause diseases ranging from localized skin infections to serious invasive infections. Neonates are immunosuppressed, placing them at increased risk for MSSA infections, including staphylococcal scalded skin syndrome (SSSS), a rare severe skin presentation of MSSA. Clinical Findings: We present a case series of 3 preterm infants with SSSS receiving care at a level 3 neonatal intensive care unit. Primary Diagnosis: The infants presented with symptoms of sepsis, including temperature instability, apnea, and bradycardia episodes. The infants had peeling skin at sites of external pressure, including peripheral intravenous (IV) sites, under dressings, or where devices had been in contact with skin. Interventions: The infants were soaked in a tub with gel baby wash and water to remove leads without traumatizing the skin. Laboratory values were drawn, and cultures were obtained. Wound care was provided using mupirocin, soft silicone mesh wound contact layer, and soft cotton bandage gauze. Supportive respiratory care was provided, and IV antibiotics were administered. Outcomes: The infants were discharged to their homes with intact skin. One infant experienced a loss of pigment that persisted several weeks. All patients were without scarring by early childhood. Practice Recommendations: Thorough assessment and careful hygiene of neonates' skin is crucial. MSSA is an infection that can appear on the skin. It is important to quickly diagnose and treat this type of infection, especially when it presents as a localized pustule, boil, tear, peeling, or crust before it becomes systemic.

Neo Reviews, 2023

Evidence-based pragmatic clinical guidelines about skin care in extremely low-birthweight (ELBW) ... more Evidence-based pragmatic clinical guidelines about skin care in extremely low-birthweight (ELBW) infants are limited. This review provides a set of evidence and experience-based skin care guidelines for ELBW and periviable infants to assist clinical teams in preventing skin injury, minimizing damage, and enhancing cutaneous innate immunity. OBJECTIVES After completing this article, readers should be able to: 1. Describe the features of extremely low-birthweight (ELBW) infant skin, particularly in periviable infants. 2. Enumerate practical bedside strategies for the prevention of skin injury and facilitation of skin maturation in ELBW infants. 3. Articulate strategies for treating common skin conditions encountered during routine care of ELBW infants.

Advances in Neonatal Care, 2022

Introduction: Methicillin-susceptible Staphylococcus aureus (MSSA) infections cause diseases rang... more Introduction: Methicillin-susceptible Staphylococcus aureus (MSSA) infections cause diseases ranging from localized skin infections to serious invasive infections. Neonates are immunosuppressed, placing them at increased risk for MSSA infections, including staphylococcal scalded skin syndrome (SSSS), a rare severe skin presentation of MSSA. Clinical Findings: We present a case series of 3 preterm infants with SSSS receiving care at a level 3 neonatal intensive care unit. Primary Diagnosis: The infants presented with symptoms of sepsis, including temperature instability, apnea, and bradycardia episodes. The infants had peeling skin at sites of external pressure, including peripheral intravenous (IV) sites, under dressings, or where devices had been in contact with skin. Interventions: The infants were soaked in a tub with gel baby wash and water to remove leads without traumatizing the skin. Laboratory values were drawn, and cultures were obtained. Wound care was provided using mupirocin, soft silicone mesh wound contact layer, and soft cotton bandage gauze. Supportive respiratory care was provided, and IV antibiotics were administered. Outcomes: The infants were discharged to their homes with intact skin. One infant experienced a loss of pigment that persisted several weeks. All patients were without scarring by early childhood. Practice Recommendations: Thorough assessment and careful hygiene of neonates' skin is crucial. MSSA is an infection that can appear on the skin. It is important to quickly diagnose and treat this type of infection, especially when it presents as a localized pustule, boil, tear, peeling, or crust before it becomes systemic.

Neoreviews, Apr 1, 2023

Extremely low-birthweight (ELBW) infants are at increased risk for infection because the innate i... more Extremely low-birthweight (ELBW) infants are at increased risk for infection because the innate immune function of their skin is underdeveloped as they lack a competent epidermal barrier. Thus, neonatal clinicians need to pay careful attention to skin care practices, particularly for periviable infants. In this review, we describe the challenges of skin care in ELBW infants and summarize strategies to prevent skin injury, minimize damage when it occurs, and enhance cutaneous innate immunity.

Advances in Neonatal Care, Mar 29, 2022

Introduction: Methicillin-susceptible Staphylococcus aureus (MSSA) infections cause diseases rang... more Introduction: Methicillin-susceptible Staphylococcus aureus (MSSA) infections cause diseases ranging from localized skin infections to serious invasive infections. Neonates are immunosuppressed, placing them at increased risk for MSSA infections, including staphylococcal scalded skin syndrome (SSSS), a rare severe skin presentation of MSSA. Clinical Findings: We present a case series of 3 preterm infants with SSSS receiving care at a level 3 neonatal intensive care unit. Primary Diagnosis: The infants presented with symptoms of sepsis, including temperature instability, apnea, and bradycardia episodes. The infants had peeling skin at sites of external pressure, including peripheral intravenous (IV) sites, under dressings, or where devices had been in contact with skin. Interventions: The infants were soaked in a tub with gel baby wash and water to remove leads without traumatizing the skin. Laboratory values were drawn, and cultures were obtained. Wound care was provided using mupirocin, soft silicone mesh wound contact layer, and soft cotton bandage gauze. Supportive respiratory care was provided, and IV antibiotics were administered. Outcomes: The infants were discharged to their homes with intact skin. One infant experienced a loss of pigment that persisted several weeks. All patients were without scarring by early childhood. Practice Recommendations: Thorough assessment and careful hygiene of neonates' skin is crucial. MSSA is an infection that can appear on the skin. It is important to quickly diagnose and treat this type of infection, especially when it presents as a localized pustule, boil, tear, peeling, or crust before it becomes systemic.

Neo Reviews, 2023

Evidence-based pragmatic clinical guidelines about skin care in extremely low-birthweight (ELBW) ... more Evidence-based pragmatic clinical guidelines about skin care in extremely low-birthweight (ELBW) infants are limited. This review provides a set of evidence and experience-based skin care guidelines for ELBW and periviable infants to assist clinical teams in preventing skin injury, minimizing damage, and enhancing cutaneous innate immunity. OBJECTIVES After completing this article, readers should be able to: 1. Describe the features of extremely low-birthweight (ELBW) infant skin, particularly in periviable infants. 2. Enumerate practical bedside strategies for the prevention of skin injury and facilitation of skin maturation in ELBW infants. 3. Articulate strategies for treating common skin conditions encountered during routine care of ELBW infants.

Advances in Neonatal Care, 2022