TOXIC EPIDERMAL NECROLYSIS IN PEDIATRICS: THE FUNDAMENTAL ROLE OF THE NURSE IN SPECIALIZED WOUND CARE

TATIANA DO CARMO FROES MORAES; Thais Brito Anastácio

Todos os Trabalhos

Trabalho

Título do Trabalho

TOXIC EPIDERMAL NECROLYSIS IN PEDIATRICS: THE FUNDAMENTAL ROLE OF THE NURSE IN SPECIALIZED WOUND CARE

Autores

TATIANA DO CARMO FROES MORAES
Thais Brito Anastácio

Modalidade

Regras de Submissão

Área temática

Relato de caso de grande relevância científica / Case report of great scientific relevance

Data de Publicação

22/07/2025

País da Publicação

Brasil

Idioma da Publicação

Inglês

Página do Trabalho

https://www.even3.com.br/anais/sgawcm2025/1116746-toxic-epidermal-necrolysis-in-pediatrics--the-fundamental-role-of-the-nurse-in-specialized-wound-care

ISBN

978-65-272-1566-0

Palavras-Chave

Toxic epidermal necrolysis; Nursing; Pediatrics

Resumo

Objective: To report the care experience of a child with toxic epidermal necrolysis (TEN), using a specialized treatment plan with antimicrobial and anti-inflammatory dressings prescribed by the nurse. Methods: This is a descriptive case study of a 5-year-old child with autism spectrum disorder and epilepsy, admitted to the ICU after developing a drug reaction due to a change in antiepileptic medication (valproic acid). After a thorough evaluation of the skin lesions, a care protocol was developed based on current wound care guidelines. The selected dressings included: 0.1% polyhexanide biguanide (PHMB) solution for cleansing, tea tree and copaiba oil gel, rayon gauze with tea tree and copaiba oil, and tubular mesh. Dressing changes were performed every 72 hours, with photographic and descriptive records maintained over a 10-day treatment period. Results: TEN is a rare and severe condition, characterized by adverse reactions to medications, potentially leading to fatal complications. The nurse plays a fundamental role in assessing and selecting appropriate wound dressings. In this case, progressive improvement of the lesions was observed at each dressing change. The materials used proved effective in several aspects: infection prevention, pain relief, atraumatic dressing changes, and cost reduction. The PHMB solution and tea tree/copaiba gel demonstrated antimicrobial and anti-inflammatory efficacy, while rayon gauze and tubular mesh facilitated handling and ensured patient comfort. Conclusion: The nurse’s role was essential to the patient’s recovery, particularly in selecting appropriate dressings and implementing an effective treatment plan. The specialized approach and continuous documentation enabled ongoing evaluation of clinical progress and complication prevention. This case highlights that combining antimicrobial and anti-inflammatory dressings with skilled nursing care can significantly contribute to therapeutic success in pediatric TEN cases.

Título do Evento: SGAWCm2025
Cidade do Evento: São Paulo
Título dos Anais do Evento: Anais SGAWCm: Sobratafe Global Advanced Wound Care Meeting
Nome da Editora: Even3
Meio de Divulgação: Meio Digital

Como citar

MORAES, TATIANA DO CARMO FROES; ANASTÁCIO, Thais Brito. TOXIC EPIDERMAL NECROLYSIS IN PEDIATRICS: THE FUNDAMENTAL ROLE OF THE NURSE IN SPECIALIZED WOUND CARE.. In: Anais SGAWCm: Sobratafe Global Advanced Wound Care Meeting. Anais...Sao Paulo(SP) Centro de Convenções Rebouças, 2025. Disponível em: https//www.even3.com.br/anais/sgawcm2025/1116746-TOXIC-EPIDERMAL-NECROLYSIS-IN-PEDIATRICS--THE-FUNDAMENTAL-ROLE-OF-THE-NURSE-IN-SPECIALIZED-WOUND-CARE. Acesso em: 07/08/2025