Focal Bacterial Infections

Overturf, Gary D.

doi:10.1016/b0-72-160537-0/50012-8

Cited by 8 publications

(4 citation statements)

References 488 publications

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“…Cord infection may be localized to the UC (omphalitis) or, after its entry into the blood stream, it becomes systemic (e.g., neonatal sepsis). 2 The most observed infections upon the CS and the abdominal surface are due to bacterial omphalitis with polymicrobic aetiology, 3 but also to Clostridium tetani . 4 The onset of the symptoms is usually observed between the 5th and the 9th day of life.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2016

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Recently the use of antibacterial agents to clean and dry the stump of the newborns’ umbilical cord (UC) after birth has been abandoned by many neonatal units in favor of dry cord care. Aim of this study was to compare the occurrence of adverse events (AEs) and time to cord separation among newborns treated with dry cord care versus 70% alcohol in an Italian Academic Hospital (AH).From December 2014 to March 2015, 239 infants were born at the AH. The number of eligible infants was 200 and they were equally assigned to either case group (dry cord care) or control group (70% alcohol, standard procedure). Standard cord care consisted in 1 application of 70% alcohol at birth followed by other 2 times a day, while experimental dry cord care procedure was executed by the only application of a sterile gauze around the base of the UC at the 1st day of life and after the cord has been exposed to air off the diaper edge. The time to UC separation and any AEs such as local and systemic infections, hemorrhage, and granuloma formation were reported by mothers.We found a significant difference in the mean cord separation time between the 2 groups (dry cord care: 10.1 days [standard deviation, SD = 4.0] vs 70% alcohol: 12.0 days [SD = 4.2]; P < 0.001), while no significant AEs resulted. Incidence rate of granuloma was 0.67 × 1000 days of life in dry cord care group.Dry cord care is an easy, straight-forward, and safe method of handling the UC in healthy newborn infants born in a high-income hospital setting.

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Section: Introductionmentioning

confidence: 99%

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

et al. 2016

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“…Direct extension from needle aspiration, scalp infection, forceps delivery, and fetal scalp electrodes is well documented. 1,4,5,11 Indirect extension is thought to occur in association with sepsis or meningitis. 3,5,11 Hematogenous seeding is one explanation but questions persist as to whether bacteremia is a cause or consequence of an infected cephalohematoma.…”

Section: Discussionmentioning

confidence: 99%

“…1,4,5,11 Indirect extension is thought to occur in association with sepsis or meningitis. 3,5,11 Hematogenous seeding is one explanation but questions persist as to whether bacteremia is a cause or consequence of an infected cephalohematoma. 3,5 Blood in the cephalohematoma provides a rich growth medium for bacteria and whether it initially harbors the organism silently or is seeded from preceding bacteremia remains to be clarified.…”

Section: Discussionmentioning

confidence: 99%

Escherichia coli—Infected Cephalohematoma in an Infant

Weiss

Edwards

Hay

et al. 2009

Clin Pediatr (Phila)

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“…Infection of the umbilical cord (funisits) and umbilical cord stump (omphalitis) is manifested with erythema and serous or purulent discharge in this region and in the surrounding area. It generally occurs due to S. aureus or E. coli or other Gram-negative bacteria (29). Treatment should be initiated urgently because infection may spread to the portal vein and cause portal hypertension.…”

Section: Omphalitis and Funisitismentioning

confidence: 99%

Turkish Neonatal Society guideline on neonatal infections - diagnosis and treatment

2019

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Neonatal infections are a major cause of morbidity and mortality in the first month of life, especially in developing countries. Despite advances in neonatology, neonatal infections still haves clinical importance because of nonspecific signs and symptoms, no perfect diagnostic marker, and interference with non-infectious diseases of newborns. Diagnosis is typically made by clinical and laboratory findings. Empiric antibiotic therapy should be started in a newborn with signs and symptoms of infection after cultures are taken according to the time of the signs and symptoms, risk factors, admission from community or hospital, focus of infection, and antibiotic susceptibility estimation. Treatment should be continued according to clinical findings and culture results. Intrapartum antibiotic prophylaxis, proper hand washing, aseptic techniques for invasive procedures, appropriate neonatal intensive care unit design, isolation procedures, and especially breast milk use are needed to prevent infections. The use of diagnosis and treatment protocols increases clinical success.

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Focal Bacterial Infections

Cited by 8 publications

References 488 publications

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

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

Escherichia coli—Infected Cephalohematoma in an Infant

Turkish Neonatal Society guideline on neonatal infections - diagnosis and treatment

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