Comparison of Umbilical Cord Cleansing Using Sterile Water and Povidine Iodine-Spirit During Early Neonatal Period: A Double Blind Randomized Control Trial
Aim: To compare the effect of umbilical cord care with Povidine Iodine- Spirit on umbilical infection in early neonatal period. Materials and Methods: Prospective double blinded randomized controlled study was undertaken to evaluate the effect of daily cleansing of the umbilical cord of term inf...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/6162/13562_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Aim: To compare the effect of umbilical cord care with Povidine
Iodine- Spirit on umbilical infection in early neonatal period.
Materials and Methods: Prospective double blinded randomized
controlled study was undertaken to evaluate the effect of daily
cleansing of the umbilical cord of term infants with Spirit (Alcohol)
–Povidine Iodine combination). This was also compared to the
retrospective data obtained for the prevailing practice of keeping
the umbilical cord dry.
Results: 1518 infants were included in the study. (462 in the “cord
care group”, 496 in the “water” placebo group, & 560 in “Dry”
retrospective group). There was an overall reduction in the clinically
screened and evaluated “umbilical infection” in the Povidine –Iodine
group. This was attributable to a greater reduction in the mixed
bacterial (Colonizer/ commensals) isolates. The Relative Risk for
Staph. aureus was lesser when the cord was kept dry (RR 0.6,
p<0.01) and sterile water (Placebo) group (RR 0.7, p<0.01).
Conclusion: Avoiding the antiseptic cleansing increased the RR
for commensal / mixed bacterial over growth that would probably
facilitate umbilical cord separation. |
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| ISSN: | 2249-782X 0973-709X |