Alcohol Versus Natural Drying for Newborn Cord Care

Dore, Sharon; Buchan, Donna; Coulas, Sally; Hamber, Lynn; Stewart, Mary; Cowan, Debra; Jamieson, Liz

doi:10.1111/j.1552-6909.1998.tb02631.x

Cited by 66 publications

(77 citation statements)

References 9 publications

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“…Cord separation time was significantly shorter in the dry cord care group. This was in accordance with the current literature [4,13,22,23]. Although the cord separation time was increased in both 4% chlorhexidine groups in our study, only one of the cases with omphalitis was in the chlorhexidine group (group 6).…”

Section: Discussionsupporting

confidence: 81%

“…For the cord separation time, the sample size was calculated as 36 babies for each group if the shortest and the longest cord separation times were accepted as six (with a variance of 2) and eight days (with a variance of 16), respectively [13,14]. The sample size was calculated as 49 for each group, considering that the percentage of colonization for dry cord care would be 60% and 30%, respectively, for chlorhexidine application [15,16].…”

Section: Sample Sizementioning

confidence: 99%

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Impact of different antiseptics on umbilical cord colonization and cord separation time

Özdemir

Bilgen

Topuzoğlu

et al. 2017

J Infect Dev Ctries

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Introduction: There is still some uncertainty on cord care practices all around the world, especially in developing countries. The aim of our study was to investigate the effects of six different umbilical cord care practices on the rate of colonization and cord separation time. Methodology: A total of 516 newborns were randomly allocated to the following six umbilical cord care groups: group 1 received dry care; groups 2-4 received a single application of 70% alcohol, 4% chlorhexidine, or povidon-iodine in the delivery room, respectively, which were discontinued thereafter; groups 5 and 6 received a single application of 70% alcohol or 4% chlorhexidine, respectively, starting in the delivery room and continuing every six hours until discharge. Umbilical cords were examined on the second and third days and between the fifth and seventh day for signs of omphalitis. Swab cultures were taken on the second or third day from all cases. Results: Cord separation time (median [interquartile range]) was the shortest for group 1 (7 [6-7] days) and the longest for group 3 (10 [7-12] days) and group 6 (10 [8-12] days) (p < 0.001). The cord colonization in the swab cultures was significantly lower in groups 3 and 6 (p < 0.001). Omphalitis was detected in eight (1.5%) patients among the study population, and there was no significant difference between the groups. Conclusions: Our study showed that chlorhexidine application was the most effective agent in decreasing colonization, though it increased cord separation time significantly in both groups.

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Section: Discussionsupporting

confidence: 81%

Section: Sample Sizementioning

confidence: 99%

Impact of different antiseptics on umbilical cord colonization and cord separation time

Özdemir

Bilgen

Topuzoğlu

et al. 2017

J Infect Dev Ctries

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“…34 Thus, several neonatal skin care reviews have called for discontinuation of routine topical antiseptic care of the cord based on conflicting evidence regarding which topical agent most effectively decreases colonization and the lack of a clear relationship between colonization and infection. 456,457 However, in many cases, when antiseptic treatments have been discontinued, increased rates of cord colonization and infection have been found. 458,459 In general, wide variation in trial design, small sample sizes with insufficient power to assess impact on infections, and inconsistent comparisons between different regimens have contributed to the largely conflicting literature on the impact of cord-care regimens.…”

Section: Umbilical Cord Antisepsismentioning

confidence: 99%

Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence

et al. 2005

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ABSTRACT. Background. Infant and under-5 childhood mortality rates in developing countries have declined significantly in the past 2 to 3 decades. However, 2 critical indicators, maternal and newborn mortality, have hardly changed. World leaders at the United Nations Millennium Summit in September 2000 agreed on a critical goal to reduce deaths of children <5 years by two thirds, but this may be unattainable without halving newborn deaths, which now comprise 40% of all under-5 deaths. Greater emphasis on wide-scale implementation of proven, cost-effective measures is required to save women's and newborns' lives. Approximately 99% of neonatal deaths take place in developing countries, mostly in homes and communities. A comprehensive review of the evidence base for impact of interventions on neonatal health and survival in developingcountry communities has not been reported.Objective. This review of community-based antenatal, intrapartum, and postnatal intervention trials in developing countries aimed to identify (1) key behaviors and interventions for which the weight of evidence is sufficient to recommend their inclusion in communitybased neonatal care programs and (2) key gaps in knowledge and priority areas for future research and program learning.Methods. Available published and unpublished data on the impact of community-based strategies and interventions on perinatal and neonatal health status outcomes were reviewed. Evidence was summarized systematically and categorized into 4 levels of evidence based on study size, location, design, and reported impact, particularly on perinatal or neonatal mortality. The evidence was placed in the context of biological plausibility of the intervention; evidence from relevant developed-country studies; health care program experience in implementation; and recommendations from the World Health Organization and other leading agencies.Results. A paucity of community-based data was found from developing-country studies on health status impact for many interventions currently being considered for inclusion in neonatal health programs. However, review of the evidence and consideration of the broader context of knowledge, experience, and recommendations regarding these interventions enabled us to categorize them according to the strength of the evidence base and confidence regarding their inclusion now in programs. This article identifies a package of priority interventions to include in programs and formulates research priorities for advancing the state of the art in neonatal health care.Conclusions. This review emphasizes some new findings while recommending an integrated approach to safe motherhood and newborn health. The results of this study provide a foundation for policies and programs related to maternal and newborn health and emphasizes the importance of health systems research and evaluation of interventions. The review offers compelling support for using research to identify the most effective measures to save newborn lives. It also may facilitate dialogue with policy...

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“…7,8,9 Turunan alkohol yang sering digunakan sebagai antiseptik adalah etil alkohol dan isopropil alkohol 1. Etil alkohol [etanol] Di beberapa rumah sakit, alkohol 70% digunakan dalam perawatan tali pusat untuk mencegah infeksi.…”

Section: Pembahasanunclassified

Peran Alkohol 70%, Povidon-Iodine 10% dan Kasa Kering Steril dalam Pencegahan Infeksi pada Perawatan Tali Pusat

Yunanto

Hartoyo

Budiarti

2016

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Latar belakang: tali pusat merupakan tempat yang sangat ideal untuk tumbuhnyabakteri, oleh karena itu pencegahan infeksi bakteri merupakan tindakan utama yangharus dilaksanakan dalam perawatan tali pusat. Menjaga agar tali pusat selalu keringdan bersih merupakan prinsip utama. Tujuan penelitian: Mengetahui peran alkohol70%, povidon-iodine 10% dan kasa kering steril dalam pencegahan infeksi padaperawatan tali pusat.Metoda: telah dilakukan penelitian pemberian alkohol 70 %, povidon-iodin 10 %, sertakasa kering steril, dalam perawatan tali pusat pasca pemotongan untuk mencegahterjadinya infeksi, serta membandingkan lama lepasnya tali pusat. Penelitian dilaksanakandi Ruang Neonatalogi Bagian Ilmu Kesehatan Anak RSUD Ulin/FK UNLAMBanjarmasin. Masing-masing perlakuan dilakukan pengulangan 12 kali atau sampai talipusat lepas.Hasil: dari tiga jenis perlakuan tidak didapatkan tanda-tanda adanya infeksi tali pusatdemikian pula lama lepasnya tali pusat tidak terdapat perbedaan yang bermakna (alkohol70 %: 7,33 hari, povidon-iodine: 10 %: 7,25 hari, dan kasa kering steril: 6,42 hari).Kesimpulan: dari hasil penelitian ini disimpulkan bahwa perawatan tali pusat denganmenggunakan alkohol 70%, povidone-iodine 10% dan kasa kering steril dapat mencegahterjadinya infeksi tali pusat dan tidak berpengaruh terhadap lama lepasnya tali pusat.Namun bila dipandang dari segi ekonomi perawatan tali pusat dengan kasa kering sterildinilai lebih ekonomis dibandingkan perawatan tali pusat dengan menggunakan alkohol70% dan povidone-iodine 10%.

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Alcohol Versus Natural Drying for Newborn Cord Care

Cited by 66 publications

References 9 publications

Impact of different antiseptics on umbilical cord colonization and cord separation time

Impact of different antiseptics on umbilical cord colonization and cord separation time

Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence

Peran Alkohol 70%, Povidon-Iodine 10% dan Kasa Kering Steril dalam Pencegahan Infeksi pada Perawatan Tali Pusat

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