Variable umbilical cord care

Salariya, Ellena M; Kowbus, Natalka M

doi:10.1016/s0266-6138(88)80004-4

Cited by 9 publications

(4 citation statements)

References 7 publications

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“…In the same vein, cord separation time had a mean of 7.54 ±2.37 days [28], and other authors also averaged 7.54±1.56 days [29]. Previous and thorough research has reported a mean of 6.58±2.16 days [30], as well as the finding of 6.1 ± 2.1 days [31] and a mean of 6.6 days [32]. However, this result was in contrast with research conducted in Bangladesh [33,34], reported shorter umbilical cord separation times with mean results of 4.83±2.05 and 4.78±1.82, respectively.…”

Section: Umbilical Cord Separation Timementioning

confidence: 76%

Umbilical cord separation time, predictors and healing complications in newborns with dry care

et al. 2020

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The objective of this study was to explore the umbilical cord separation time, predictors, and healing complications from birth until the newborn was one month old. Design A quantitative longitudinal observational analytical study by stratified random sample was adopted. Setting Public health system hospitals in southern Spain and at newborns' homes. Participants Between April 2016 and December 2017, the study included 106 neonates born after 35-42 weeks of gestation whose umbilical cord was cured with water and soap and dried later as well as newborns without umbilical canalisation whose mothers enjoyed a low-risk pregnancy. Methods The data collection procedure comprised two blocks: from birth to the time of separation of the umbilical cord and from cord separation to the first month of life of the newborn. Umbilical cord separation time was measured in minutes; socio-demographic and clinical characteristics were measured by means of questionnaires, and the external diameter of the umbilical cord was measured using an electronic stainless-steel calliper and trailing roller.

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Section: Umbilical Cord Separation Timementioning

confidence: 76%

Umbilical cord separation time, predictors and healing complications in newborns with dry care

et al. 2020

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“…However, more commonly, as a consequence of cross-infection, SSSS infections tend to occur in outbreak clusters (29,51,52). During the 1980s, several papers were published showing that the use of antiseptics such as chlorhexidine on neonatal umbilical stumps delayed the time to cord separation (26,142,227,272). Because of the resulting increase in community midwives' workload due to the delay in cord separation, as well as rare isolated cases of hexachlorophane toxicity causing spongiform myelinopathy after percutaneous absorption (10,237), hospitals have gradually stopped using antiseptic umbilical cord care.…”

Section: Outbreaks Of Ssssmentioning

confidence: 99%

Clinical, Microbial, and Biochemical Aspects of the Exfoliative Toxins Causing Staphylococcal Scalded-Skin Syndrome

et al. 1999

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SUMMARY The exfoliative (epidermolytic) toxins of Staphylococcus aureus are the causative agents of the staphylococcal scalded-skin syndrome (SSSS), a blistering skin disorder that predominantly affects children. Clinical features of SSSS vary along a spectrum, ranging from a few localized blisters to generalized exfoliation covering almost the entire body. The toxins act specifically at the zona granulosa of the epidermis to produce the characteristic exfoliation, although the mechanism by which this is achieved is still poorly understood. Despite the availability of antibiotics, SSSS carries a significant mortality rate, particularly among neonates with secondary complications of epidermal loss and among adults with underlying diseases. The aim of this article is to provide a comprehensive review of the literature spanning more than a century and to cover all aspects of the disease. The epidemiology, clinical features, potential complications, risk factors, susceptibility, diagnosis, differential diagnoses, investigations currently available, treatment options, and preventive measures are all discussed in detail. Recent crystallographic data on the toxins has provided us with a clearer and more defined approach to studying the disease. Understanding their mode of action has important implications in future treatment and prevention of SSSS and other diseases, and knowledge of their specific site of action may provide a useful tool for physiologists, dermatologists, and pharmacologists.

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“…They found that mothers had similar comfort with both alcohol and air drying regimens and experienced relief with cord separation. Salariya and Kowbus (1988) and Barr (1984) also conducted studies to examine cord separation and treatment effectiveness, and they reported anecdotal observations that mothers rarely demonstrated enthusiasm about cord care procedures and that some indicated revulsion at having to do anything with the cord. They reported that mothers compared the cord to a "dirty appendage" (Salariya and Kowbus, p. 71) they were hesitant to clean and were happier at not having to touch or treat the cord as most were "frightened or sickened by it."…”

Section: Literature Reviewmentioning

confidence: 99%