Reflections on recommendations for the prevention of pressure injuries during the COVID-19 pandemic


  • Aline Oliveira Ramalho Universidade de São Paulo − Escola de Enfermagem – Programa de Pós-Graduação em Enfermagem na Saúde do Adulto – São Paulo (SP), Brasil and Hospital Sírio Libanês − Enfermagem Especializada - Estomaterapia − São Paulo (SP), Brasil.
  • Paula Sousa Silva Freitas Universidade Federal do Espírito Santo – Departamento de Enfermagem – Programa de Pós-Graduação em Enfermagem − Vitória (ES), Brasil.
  • Juliano Teixeira Moraes Universidade Federal de São João del-Rei – Programa de Pós-Graduação em Enfermagem − Divinópolis (MG), Brasil.
  • Paula Cristina Nogueira Universidade de São Paulo – Escola de Enfermagem – Departamento de Enfermagem Médico-Cirúrgica – São Paulo (SP), Brasil.


Objective: To reflect on specific recommendations for the prevention of pressure injuries in patients affected by the new coronavirus (COVID-19) in intensive care. Method: theoretical reflection study based on the concept of pressure injury defined by the National Pressure Injury Advisory Panel. Results: the contents were categorized into three thematic axes: specific risk factors for the development of pressure injuries for patients with COVID-19; international recommendations on pressure injuries in patients with COVID-19 and challenges for implementing recommendations for preventing pressure injuries in the face of the COVID-19 pandemic in the Brazilian scenario. Conclusion: to promote the prevention of pressure injuries in intensive care patients with COVID-19 it is essential that health professionals are able to implement advanced interventions, in order to mitigate the intrinsic and extrinsic risks specific to that patient. However, it is essential to recognize potentially preventable lesions, differentiating them from possible inevitable ones, as well as making a differential diagnosis of lesions resulting from the pathogenesis of the virus itself.


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How to Cite

Ramalho AO, Sousa Silva Freitas P, Teixeira Moraes J, Cristina Nogueira P. Reflections on recommendations for the prevention of pressure injuries during the COVID-19 pandemic. ESTIMA [Internet]. 2020 Nov. 12 [cited 2022 Aug. 15];18. Available from:



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