2004
DOI: 10.1002/14651858.cd001057.pub2
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Topical umbilical cord care at birth

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Cited by 130 publications
(126 citation statements)
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“…Different methods of umbilical cord care have been applied over the years in efforts to reduce the risk of neonatal infection; however, the recent evidence does not support one regimen over another for the prevention of omphalitis [6]. Previously, colonization of the umbilical cord was considered to be a risk factor for omphalitis.…”
Section: Discussionmentioning
confidence: 99%
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“…Different methods of umbilical cord care have been applied over the years in efforts to reduce the risk of neonatal infection; however, the recent evidence does not support one regimen over another for the prevention of omphalitis [6]. Previously, colonization of the umbilical cord was considered to be a risk factor for omphalitis.…”
Section: Discussionmentioning
confidence: 99%
“…The umbilicus is recognized as the first site of colonization after birth, and colonization usually occurs 48-72 hours after birth [16]. The infectioncolonization relationship has been investigated in several studies, and there is still controversy among reported studies [6]. In a community-based study from Bangladesh, the authors showed that cord cleansing with 4% chlorhexidine immediately after birth reduces overall and organism-specific colonization of the stump, and also reduces neonatal infection in developing countries [20].…”
Section: Discussionmentioning
confidence: 99%
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“…150 By contrast, clinical trials investigating the role of topical antimicrobials for cord care on neonatal illness and death have not shown any benefit in developed countries where aseptic obstetric and surgical practices prevail. 151,152 Hygienic deliveries and cord care clearly reduce neonatal tetanus, and have the additional benefit of reducing maternal and neonatal sepsis caused by other bacterial pathogens. As important as these measures are for the improvement of maternal and neonatal survival, progress in developing the necessary infrastructure and behavioural changes needed to ensure safe deliveries and neonatal care has proven difficult to achieve, especially in the areas with the greatest burden of maternal and neonatal tetanus.…”
Section: Distribution a N D Riskmentioning
confidence: 99%
“…1,2 The natural mummification of fetal tissue during the umbilical separation process is not well described as a risk factor in literature for myiasis and, similarly the best means to protect this process are still unclear. 3 The aim of this work was to describe a case of umbilical myiasis produced in a neonate living in an urban area, and the taxonomic study of extracted larvae from the lesion.…”
Section: Introductionmentioning
confidence: 99%