Abstract: The purpose of this article is to provide an overview of skin issues
in children with spina bifida. Included in the discussion below is a review of
the etiology of pressure ulcers and the updated 2007 pressure ulcer definition
and pressure ulcer staging system as defined by the National Pressure Ulcer
Advisory Panel (NPUAP). Pediatric risk factors for skin breakdown are presented
including risk factors unique to children with spina bifida. Pediatric pressure
ulcer risk assessment scales are described. The 5 Million Lives Kids' Campaign
which has a focus on preventing hospital-acquired pressure ulcers in children
is also reviewed along with evidence based prevention strategies. The key to
preventing skin breakdown and pressure ulcers in children with spina bifida is
early identification of the child's individual risk factors so that a
prevention protocol can be implemented in all settings: hospital, home and the
community. Options for wound management, dressing selection and pain management
are included.
