LEADER 04713ctm 2200553 i 4500001 ocm28480505 003 OCoLC 005 20231106090638.0 008 930721s1993 xx a bm 000 0 eng d 035 (Sirsi) o28480505 035 (OCoLC)28480505 040 ERE |beng |erda |cERE |dOCLCQ |dOCLCO |dOCLCQ |dNQZ |dOCLCA |dOCLCF |dOCLCQ |dOCLCO |dOCL |dOCLCO |dOCLCQ |dERE |dUtOrBLW 049 EREE 050 4 RD113.4.O22 |bS77 1993 082 14 618.9201 |bSt85a 100 1 Strickland, Mary E., |eauthor. |?UNAUTHORIZED 245 13 An analysis of bacterial growth under opsite dressings placed on immature excoriated skin / |cby Mary E. Strickland. 264 0 |c1993. 300 67 leaves : |billustrations ; |c28 cm. 336 text |btxt |2rdacontent 337 unmediated |bn |2rdamedia 338 volume |bnc |2rdacarrier 490 1 ECU School of Nursing thesis 502 |bM.S. |cEast Carolina University |d1993 500 Submitted to the faculty of the School of Nursing. 500 Advisor: Iona Poston 520 3 The purpose of this study was to evaluate the effects of occlusive dressing use on bacterial growth with excoriated skin and the surrounding intact skin of premature infants. A sample of eight premature infants meeting the entry criteria for the study were treated with Opsite Flexigrid dressings on their excoriated areas. Two infants were treated twice giving a total sample of ten. The following Hypotheses were proposed: {1} There would be no significant difference in bacterial concentration on excoriated skin before and after Opsite dressing placement; {2} There would be no significant difference in bacterial concentration on intact skin before and after dressing placement; {3} There would be no significant difference in bacterial concentration between intact and excoriated skin underneath the dressing; {4} There would be no significant difference in the bacterial concentration between intact skin underneath the dressing and intact skin outside the dressing. Additional aims included describing the characteristics of excoriations and evaluating wound healing. An Analysis of Variance using ranked data demonstrated a significant increase in coagulase-negative Staphylococcus and the total bacterial count over time in both intact and excoriated skin. Therefore null hypothesis 1 and null hypothesis 2 were rejected. There was no significant difference in coagulase-negative Staphylococcus or the total bacterial count between intact skin underneath the dressing and the control site therefore accepting hypothesis 4. Hypothesis 3 was partially rejected, there was a statistical difference in bacterial concentration between intact and excoriated skin post-dressing placement, healed completely after the four days of dressing placement. Four of the wounds The mean area of all excoriations before treatment was .401 cm2 in comparison to the mean area of all excoriations posttreatment which was .129 cm2. The Opsite dressing proved to be very beneficial as a treatment modality for premature infant skin breakdown. Further research is needed in the treatment of excoriations in premature infants with occlusive dressings. This study should be replicated over a longer period of time with an increased sample size. 504 Includes bibliographical references (leaves 42-43). 650 0 Occlusive surgical dressings. |=^A316819 650 0 Skin |xInfections |xPrevention. |=^A801035 650 0 Premature infants |xHospital care. |=^A300804 650 7 Occlusive surgical dressings. |2fast |0(OCoLC)fst01043112 650 7 Premature infants |xHospital care. |2fast |0(OCoLC)fst01430999 655 7 Academic theses. |2fast |0(OCoLC)fst01726453 655 7 Academic theses. |2lcgft 655 7 Thèses et écrits académiques. |2rvmgf |0(CaQQLa)RVMGF-000001173 655 2 Academic Dissertation. |0(DNLM)D019478 |?UNAUTHORIZED 700 1 Poston, Iona, |edegree supervisor. |=^A1442667 710 2 East Carolina University. |bSchool of Nursing. |=^A1134028 830 0 ECU School of Nursing thesis. |?UNAUTHORIZED 856 41 |zAccess via ScholarShip |uhttp://hdl.handle.net/10342/10269 949 Click on web address |wasis |hjoyner101 949 Click on web address |wasis |hhsl111 994 C0 |bERE 596 1 4 998 471558