70% Alcohol Versus Dry Cord Care in the Umbilical Cord Care

Quattrin, Rosanna; Iacobucci, Kim; Tina, Anna Lisa De; Gallina, Letizia; Pittini, Carla; Brusaferro, Silvio

doi:10.1097/md.0000000000003207

Cited by 23 publications

(27 citation statements)

References 21 publications

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“…6,10,23 Before the umbilical cord separates from the infant, the remaining stump can be considered as undergoing the wound healing healing and thus becomes a route for infection to enter the baby's bloodstream through the blood vessels. 9,14,17 Poor umbilical cord care will delay umbilical cord separation. 13 Delayed umbilical cord separation can increase the risk of infection.…”

Section: Day 3 Day 1 After Cord Separationmentioning

confidence: 99%

“…7,8 Since 1998, WHO has recommended that umbilical cord care in newborns should be performed in a clean and dry manner. 9,10 Likewise, the Indonesian Ministry of Health also recommends open and dry cord care for newborns. 11 Umbilical cord is the area that is most susceptible to bacteria colonization that may lead to neonatal infections such as sepsis and omphalitis due to its necrotic property.…”

mentioning

confidence: 99%

“…Without treatment, death may occur within few days. 9,[12][13][14][15] The umbilical cord is usually separated from the body between 5 and 15 days after birth. Before the umbilical cord is separated, the remaining stump can be considered as undergoing the wound healing process and thus become a route that makes it possible for blood vessel to be infected and for the infection to be spread through the infant's bloodstream.…”

mentioning

confidence: 99%

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Comparison between effectiveness of umbilical cord care using topical breast milk application and dry techniques in accelerating umbilical cord separation and preventing omphalitis

Kartikasari¹,

Wijayanegara²,

Syarief³

2019

OBGYN

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Objectives: To compare umbilical cord separation time and incidence of omphalitis in newborns receiving three different umbilical cord care techniques: topical breast milk, open dry, and closed dry techniques. Methods: This study was conducted during the period of June-August 2018 on consecutively selected 120 newborns aged 0 days up to 2 days after the release of the umbilical cord. Subjects were divided into three groups based on the umbilical cord care technique used with 40 subjects in each group. Omphalitis incidence was analyzed. Results: Umbilical cord separation was found to be significantly faster in topical breast milk group (2 days faster than in the open dry technique group and four days faster than in the closed dry technique group) with p<0.05. Omphalitis was also significantly prevented more effectively in the topical breast milk and open dry technique groups (p<0.05). A strong relationship (r= 0.33) was also identified between umbilical cord separation time and infant birth weight with p=0.034. Conclusions: Cord care using topical breast milk is shown to accelerate umbilical cord separation and improve prevention of omphalitis when compared to open dry technique and closed dry technique.Kartikasari R, Wijayanegara H, Syarief O. Comparison between effectiveness of umbilical cord care using topical breastmilk application and dry techniques in accelerating umbilical cord separation and preventing omphalitis. The

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Section: Day 3 Day 1 After Cord Separationmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Comparison between effectiveness of umbilical cord care using topical breast milk application and dry techniques in accelerating umbilical cord separation and preventing omphalitis

Kartikasari¹,

Wijayanegara²,

Syarief³

2019

OBGYN

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“…The sample size required for this study was calculated using the following formula and based on a study by Taffazoli et al (11) and with a confidence level of 95% and α= 0.05 and β=0.2…”

Section: Sample Sizementioning

confidence: 99%

Comparing the effect of Topical Application of Breast Milk, Chlorhexidine and Dry Cord Care Methods on Bacterial Colonization in Umbilical Cord of Preterm Neonates in NICU: a randomized clinical trial

Yaghoobi¹,

Bolandi²,

Namaei³

et al. 2019

Electron. physician

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Background: Preterm neonates have a higher tendency in developing infections and their umbilical cord serves as a good environment for bacterial growth. Objective: The aim of this study was to compare the topical effects of breast milk, chlorhexidine and dry cord care methods on bacterial colonization of preterm neonates' umbilical cord in the Neonatal Intensive Care Unit (NICU) Methods: The trial was one-centered, single-blind, and in phase 2 of clinical trials from Vali-e-Asr Educational Hospital, Birjand, Iran from January to June 2017. A sample of 75 preterm infants were recruited by convenience sampling method and assigned into one of the three groups of drying, chlorhexidine, and milk by using a table of random numbers (n=25 per group). Bacterial colonization and its density were assessed in all groups during the first 12 to 24 hours of admission, and again after 72 hours. A total of 25 subjects were entered in each group and the data were analyzed by Chi-square tests (Fisher's exact test), Kruskal-Wallis analysis, Wilcoxon test, McNemar's test, and ANOVA. Results: The bacteria colonized in the newborns of groups I, II, and III before and after intervention were 64% and 36% (p=0.03), 52 and 20% (p=0.008) and 64 and 32 (p=0.02) respectively. After the intervention, colonized bacteria were significantly decreased in all three groups. Conclusion: Based on the results of this study, all three methods of drying approach, use of chlorhexidine, as well as breast milk were effective in controlling bacterial colonization in the umbilical cord of preterm neonates. Although there were no significant differences between the three groups, ultimately the use of these methods could be effective in reducing the need for antibiotics. Trial registration: Prior to the study, the protocol of study was registered at Iran's Clinical Trials Registry (http://www.irct.ir) (Registration ID: IRCT2017090517756N27). Funding: The present study was funded fully by Birjand University of Medical Sciences (grant number: 455078).

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“…In the 21st century there have been several studies on umbilical cord (UC) care comparing different antiseptics, and several studies have shown that the hygiene habits of bathing and drying it were not associated with an increased risk of omphalitis when compared to alcohol application 4 - 6 . Topical triple dye is a treatment used in the United States, and there are several studies comparing the topical triple dye with alcohol application for UC care, and the results of these studies show that there are no differences between the treatment groups of omphalitis( 7-8) .…”

Section: Introductionmentioning

confidence: 99%

Dry care versus chlorhexidine cord care for prevention of omphalitis. Systematic review with meta-analysis

López-Medina

Abad

López-Araque

et al. 2019

Rev. Latino-Am. Enfermagem

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Objective:to compare the effect of dry care and the application of chlorhexidine to the umbilical cord of newborns at risk of developing omphalitis. Method:systematic review with meta-analysis. Clinical trials comparing dry care with the application of clorexidine to evaluate omphalitis were selected. Methodological quality was evaluated using the Consolidated Standards of Reporting Trials. Results:the joint analysis of the studies shows a significant decrease in the risk of omphalitis in the chlorhexidine group compared to the dry care group (RR=0.58, CI: 0.53-0.64). However, in the analysis by subgroups, chlorhexidine umbilical cord care did not reduce the risk of omphalitis in hospital births (RR=0.82, CI: 0.64-1.05), in countries with a low infant mortality rate (RR=0.8, CI: 0.5-1.28), or at chlorhexidine concentrations below 4% (RR=0.55, CI: 0.31-1). Chlorhexidine acted as a protective factor at a concentration of 4% (RR=0.58, CI: 0.53-0.64), when applied in cases of home births (RR=0.57, CI: 0.51-0.62), in countries with a high infant mortality rate (RR=0.57, CI: 0.52-0.63). Conclusion:dry cord care is effective in countries with low infant mortality rate and in hospital births. However, 4% chlorhexidine for umbilical cord care protects against omphalitis in home births, in countries with a high infant mortality rate.

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70% Alcohol Versus Dry Cord Care in the Umbilical Cord Care

Cited by 23 publications

References 21 publications

Comparison between effectiveness of umbilical cord care using topical breast milk application and dry techniques in accelerating umbilical cord separation and preventing omphalitis

Comparison between effectiveness of umbilical cord care using topical breast milk application and dry techniques in accelerating umbilical cord separation and preventing omphalitis

Comparing the effect of Topical Application of Breast Milk, Chlorhexidine and Dry Cord Care Methods on Bacterial Colonization in Umbilical Cord of Preterm Neonates in NICU: a randomized clinical trial

Dry care versus chlorhexidine cord care for prevention of omphalitis. Systematic review with meta-analysis

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