Application of breast milk smears in umbilical care of full-term newborn

Shen, Jie; Shen, Minhong; Jin, Aiying

doi:10.1080/02648725.2022.2163816

Cited by 1 publication

(1 citation statement)

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“…So far, studies have shown chlorhexidine application has a lower infection among neonatal intensive care units, 10 when WHO recommends keeping the cord clean and not to apply anything to it (dry cord care). 11, 12 Though there are studies regarding the application of CHX for umbilical cord care but not in Indian population and also culture of the microorganisms are not done till date to our knowledge.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of the Topical Application of 4% Chlorhexidine on Umbilical Cord Bacterial Colonization – A Non-Randomized Control Study

Prasanna,

Baliga,

Saralaya

et al. 2023

J. Pure Appl. Microbiol.

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Newborns have the highest risk of death in the first 4 weeks of their life. Umbilical cord of a child is an important site for microorganism colonization and also forms a portal of entry for invasive pathogens. This study focuses on the bacterial colonization with 2 separate cord care regimens: dry cord and 4% chlorhexidine care group. This is a randomized control time-bound study conducted at a tertiary health care centre in Mangalore. A total of 144 newborns fulfilling the inclusion criteria were included and then divided randomly into two groups: dry cord care and 4% chlorhexidine. Two swabs were collected, baseline swab (swab 1) within 3 hours of birth and second swab (swab 2) at 120± 10 hours of birth and these samples were cultured for gram negative and positive organisms. Results were evaluvated with Chi-Square test. Out of 144 samples, in 115 showed no growth at the baseline and only 29 showed growth. In the dry cord care group, 38.9% showed growth of microorganism in comparison with chlorhexidine group which was 1.4% in swab 1 (baseline) and in swab 2, 87.5% in dry cord care group and 18.1% in chlrohexidine group in swab 2 respectively. It was observed that methicilin susceptible Staphylococcus aureus (MSSA) and methicillin resistant Staphylococcus aureus (MRSA) were the most common microorganisms isolated with others being Pseudomonas species, coagulase-negative Staphylococci (CoNS), Enterobacter species and Citrobacter species. Use of 4% chlorhexidine is effective in reducing colonization of bacteria and infection in comparison with dry cord care method. Therefore, decontamination of the umbilical cord with 4% of chlorhexidine should be recommended in a newborn child. However, both cord care methods did not lead to any infections.

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Section: Introductionmentioning

confidence: 99%