Uso de vashe en neonatos de término y pretérmino: Una revisión crítica con enfoque ético.

• Canales-Oyarce, Nayadet ^[1]
  1. [1] Matrona
• Localización: Matronería actual, ISSN-e 2452-5820, Nº. 1, 2025 (Ejemplar dedicado a: Revista Matronería Actual)
• Idioma: español
• DOI: 10.22370/revmat.1.2025.4482
• Títulos paralelos:
  • Use of vashe in term and preterm neonates: A critical review with an ethical focus
• Enlaces
  • Texto completo
• Resumen
  • español

    Introducción: el cuidado de la piel en neonatos de término y pretérmino es fundamental debido a la inmadurez de su barrera cutánea. El antiséptico VASHE, solución de ácido hipocloroso, se utilizado por sus propiedades antimicrobianas y cicatrizantes. Esta revisión crítica analiza la evidencia sobre su empleo en neonatos, comparándolo con la técnica de crusting en el manejo de la dermatitis del pañal y sus implicancias éticas.

    Metodología: se realizó una búsqueda en PubMed, Scopus, Cochrane Library, Web of Science, SciELO y LILACS, abarcando publicaciones entre 2010 y octubre de 2023, en inglés y español. Se incluyeron ensayos clínicos, revisiones sistemáticas y guías clínicas sobre VASHE o crusting en neonatos. Se aplicó la metodología PRISMA para la selección de artículos.

    Resultados: se identificaron 58 artículos, de los cuales 13 cumplieron los criterios de inclusión. La evidencia sobre VASHE en neonatos es limitada y no existen ensayos clínicos específicos. La técnica de crusting tiene mayor respaldo clínico. No se encontraron estudios que abordaran profundamente los aspectos éticos del uso de VASHE.

    Conclusiones: VASHE se considera experimental en neonatos. Se recomienda priorizar tratamientos validados como crusting y fomentar estudios éticos y clínicos sobre nuevas terapias.

  • English

    Introduction: skin care in term and preterm neonates is essential due to the immaturity of their skin barrier. VASHE, a hypochlorous acid solution, has been used for its antimicrobial and wound-healing properties. This critical review examines the available evidence on its use in neonates, comparing it with the crusting technique for diaper dermatitis management, and explores the associated ethical implications.

    Methods: a literature search was conducted in PubMed, Scopus, Cochrane Library, Web of Science, SciELO, and LILACS, covering publications from 2010 to October 2023, in English and Spanish. Clinical trials, systematic reviews, and clinical guidelines addressing the use of VASHE or crusting in neonates were included. The PRISMA methodology was applied for article selection.

    Results: a total of 58 articles were identified, of which 13 met the inclusion criteria. The evidence on VASHE use in neonates is limited, with no specific clinical trials available. The crusting technique has stronger clinical support. No studies were found that deeply explored the ethical aspects of VASHE use.

    Conclusions: VASHE is considered experimental in neonates. It is recommended to prioritize validated treatments such as crusting and to encourage ethical and clinical research on emerging therapies.

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