Focal Bacterial Infections

Overturf, Gary D.

doi:10.1016/b978-1-4160-6400-8.00010-9

Cited by 2 publications

(1 citation statement)

References 602 publications

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“…Cord infection may be localised 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 5 th and the 9 th day of life.…”

Section: Introductionmentioning

confidence: 99%

Umbilical Cord Care After the First Day From Birth: A Case Control Study in a Northeastern Italian Hospital

Gallina¹,

Tina²,

Basso³

et al. 2016

Pediatr Neonatal Nurs Open J

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Background: 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. Aim of this study was to compare the occurrence of adverse events (AEs), time to UC separation and caregivers' satisfaction among newborns treated with dry cord care versus 70% alcohol after one day from birth in an Italian Hospital. Methods: From June 2014 to September 2014, 100 infants were enrolled for the study. Soon after birth, all the newborns were treated in the same way: their UC was cleansed with 70% alcohol, using a sterile gauze. One day after the birth, in the control group the UC was regularly cleansed with 70% alcohol twice a day, while in the case group, from the first nappy change, dry cord care was performed cleansing the UC with sterile saline solution (NaCl 90%), using a sterile gauze twice a day. In all cases UC was left without any dressing upon it as well. The time to UC separation and any AEs (local and systemic infections, haemorrhage, granuloma formation) were reported by mothers. Carers' perception regarding the two procedures were collected by a questionnaire between 6 and 24 hours after birth, and 1 month later. Results: We found a significant difference in the mean cord separation time between the two groups [dry cord care: 9.1 days (standard deviation (SD)=3.1] versus 70% alcohol: 11.3 days (SD=4.6); p<0.01], while no significant AEs and carers' satisfaction on the procedures resulted. Instead, change of treatment at home was more frequent in dry cord care group (23.9% versus 6.1%; p<0.01). Conclusions: This study confirms that dry cord care is an easy, accepted 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%

Umbilical Cord Care After the First Day From Birth: A Case Control Study in a Northeastern Italian Hospital

Gallina¹,

Tina²,

Basso³

et al. 2016

Pediatr Neonatal Nurs Open J

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Neonatal Osteomyelitis

Fisher¹

2011

NeoReviews

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Bone and joint infections in neonates differ significantly from what is seen in older children, adolescents, and adults. They are more common in preterm neonates but occasionally are seen in term babies. A high index of suspicion, coupled with careful daily physical examination, is important for early identification and treatment. Multiple foci should be sought. Underlying bone or joint involvement should be suspected in patients who have cutaneous abscesses. Surgical debridement or drainage, as required, and long-term appropriate antibiotic therapy are the pillars of therapy. Long-term outcome must be monitored closely, even in babies whose disease is rapidly identified and appropriately treated.

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Focal Bacterial Infections

Cited by 2 publications

References 602 publications

Umbilical Cord Care After the First Day From Birth: A Case Control Study in a Northeastern Italian Hospital

Umbilical Cord Care After the First Day From Birth: A Case Control Study in a Northeastern Italian Hospital

Neonatal Osteomyelitis

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