A Randomized, Controlled Trial of Topical Application of Virgin Coconut Oil in the Prevention of Nosocomial Infections in Neonates Born ≤ 34 Weeks Gestational Age

Bautista, Resti Ma M; Mantaring, Jacinto Blas V.; Ong-Lim, Anna Lisa

doi:10.47895/amp.v47i1.1426

Cited by 2 publications

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“…Another study related to the effectiveness of topical coconut oil on the skin integrity of preterm infants was also conducted with a different outcome, namely the incidence of nosocomial infections in the form of sepsis, both clinically diagnosed and supported by bacteriological examination results [17]. Nosocomial infection was defined as the incidence of localized or systemic infection with onset after birth, excluding the type of infection known to have been transmitted through the placenta or infection that started within 24-72 hours after birth.…”

Section: Discussionmentioning

confidence: 99%

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The Effectiveness of Virgin Coconut Oil Application on Improving The Skin Integrity of Preterm Infants: Systematic Review and Metaanalysis with Neonatal Skin Condition Score as the Parameter

Zidni¹,

Malik²,

Riyanto³

et al. 2022

Dermatol Res

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Background: Preterm infants have a greater susceptibility to serious infections because their skin barrier has not fully functioned properly. Early birth in preterm infants causes immaturity of the barrier development, in the form of a thinner stratum corneum. Therefore extra care is needed to maintain the integrity of their skin to prevent infection, where the main recommendation is the administration of emollients, such as coconut oil. Virgin coconut oil contains nutrients and lauric acid that are more maintained and higher than coconut oil. Changes in skin integrity can cause extensive skin damage and become risk factors for infection. Erythema or damage to the skin such as erosion, excoriation, or crusting can be an early symptom of life-threatening infection in preterm infants. Assessment of skin integrity can be assessed objectively using the Neonatal Skin Condition Score (NSCS). Virgin coconut oil as an emollient with its antimicrobial activity is expected to allow improvement of the barrier structure of the skin. Aim: The purpose of this study is to review previous studies to provide a systematic summary of the effectiveness of topical coconut oil in improving the skin integrity of premature infants. Methods: Searching the electronic database Pubmed-MEDLINE, Scopus, ProQuest, Cochrane library, ClinicalTrials.gov, and Google Scholar, found five most relevant articles included in the qualitative and two of those five articles included in the meta-analysis. Result: The meta-analysis of the effect of topical VCO compared with control on NSCS values in preterm infants showed the value of heterogeneity test with Tau2=0.04 df=1; p=0.13, I2=55%. The value of the Q statistic was z value = 5.23 (p < 0.001). This shows that the overall administration of topical VCO can significantly improve the value of NSCS on preterm infants. The results of the overall meta-analysis showed that the overall standardized mean difference in NSCS between the intervention group compared to control was -0.93[-1.28 -0.58] (p < 0.001). These results indicate that the overall NSCS value of the intervention group was significantly better than the control group. Conclusion: Data from a systematic review and meta-analysis showed that the application of VCO can provide significantly better results in improving the skin integrity of preterm infants.

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Section: Discussionmentioning

confidence: 99%

“…Patients in the control group received routine skincare according to standards in the NICU, with minimal or no use of topical emollients. Both groups received the same general care [17].…”

Section: Bautista Et Al 2013mentioning

confidence: 99%

The Effectiveness of Virgin Coconut Oil Application on Improving The Skin Integrity of Preterm Infants: Systematic Review and Metaanalysis with Neonatal Skin Condition Score as the Parameter

Zidni¹,

Malik²,

Riyanto³

et al. 2022

Dermatol Res

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Effectiveness of Virgin Coconut Oil Application in Non-Therapeutic Pain Management of Infants by Using NPASS Pain Score as Parameter: An Integrative Review

Chua,

Yee

2024

Int J Care Scholars

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Background: There has been greater emphasis in recent years on the effectiveness of non-pharmacological interventions in soothing infants and reducing pain perception in preterm infants in neonatal intensive care units (NICUs). While approaches ranging from swaddling, breastfeeding, to sensory stimulation have encountered limitations in their effectiveness and practical application across different settings; Virgin Coconut Oil (VCO) has concurrently emerged as a potential non-therapeutic remedy for pain management in infants, thanks to its unique composition. Researchers are investigating its safety and effectiveness as an alternative pain management option for neonates. To answer the following questions: (i) can virgin coconut oil effectively help improve skin dryness and irritation in infants? and (ii) how does the effectiveness of virgin coconut oil compare to standard care in neonatal pain management? Methods: A search of the existing literature was done on online databases using keywords to narrow down the articles. Results: Based on the selection criteria, 24 articles were selected to be included in this paper. Three main points can be observed that is on: (i) the properties of VCO in skin barrier function and preventing infection; (ii) recommendations for the use of VCO in infant skin care; and (iii) in pain management of neonates. Conclusion: There is a gap in the literature for how the pain management of infants and the success of VCO in managing skin conditions in neonates can be further studied to develop standards in managing non-therapeutic pain among infants.

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A Randomized, Controlled Trial of Topical Application of Virgin Coconut Oil in the Prevention of Nosocomial Infections in Neonates Born ≤ 34 Weeks Gestational Age

Abstract: ...

Cited by 2 publications

References 0 publications

The Effectiveness of Virgin Coconut Oil Application on Improving The Skin Integrity of Preterm Infants: Systematic Review and Metaanalysis with Neonatal Skin Condition Score as the Parameter

The Effectiveness of Virgin Coconut Oil Application on Improving The Skin Integrity of Preterm Infants: Systematic Review and Metaanalysis with Neonatal Skin Condition Score as the Parameter

Effectiveness of Virgin Coconut Oil Application in Non-Therapeutic Pain Management of Infants by Using NPASS Pain Score as Parameter: An Integrative Review

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