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...
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| Format: | Article |
| Language: | English |
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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 |
| _version_ | 1818035973424939008 |
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| author | Gautam Chawla K.K. Diwakar |
| author_facet | Gautam Chawla K.K. Diwakar |
| author_sort | Gautam Chawla |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-10T07:03:34Z |
| format | Article |
| id | doaj.art-658355751c334fcbbcead013044c1bcf |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-10T07:03:34Z |
| publishDate | 2015-07-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-658355751c334fcbbcead013044c1bcf2022-12-22T01:58:14ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-07-0197SC01SC0310.7860/JCDR/2015/13562.6162Comparison of Umbilical Cord Cleansing Using Sterile Water and Povidine Iodine-Spirit During Early Neonatal Period: A Double Blind Randomized Control TrialGautam Chawla0K.K. Diwakar1Former Senior Resident, Department of Neonatology, Malankara Orthodox Syrian Church Medical College, Kolenchery PO, Kochi, Kerala, India.Professor & Head, Department of Neonatology, Malankara Orthodox Syrian Church Medical College, Kolenchery PO, Kochi, Kerala, India.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.https://jcdr.net/articles/PDF/6162/13562_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdfumbilical careomphalitis |
| spellingShingle | Gautam Chawla K.K. Diwakar Comparison of Umbilical Cord Cleansing Using Sterile Water and Povidine Iodine-Spirit During Early Neonatal Period: A Double Blind Randomized Control Trial Journal of Clinical and Diagnostic Research umbilical care omphalitis |
| title | Comparison of Umbilical Cord Cleansing Using Sterile Water and Povidine Iodine-Spirit During Early Neonatal Period: A Double Blind Randomized Control Trial |
| title_full | Comparison of Umbilical Cord Cleansing Using Sterile Water and Povidine Iodine-Spirit During Early Neonatal Period: A Double Blind Randomized Control Trial |
| title_fullStr | Comparison of Umbilical Cord Cleansing Using Sterile Water and Povidine Iodine-Spirit During Early Neonatal Period: A Double Blind Randomized Control Trial |
| title_full_unstemmed | Comparison of Umbilical Cord Cleansing Using Sterile Water and Povidine Iodine-Spirit During Early Neonatal Period: A Double Blind Randomized Control Trial |
| title_short | Comparison of Umbilical Cord Cleansing Using Sterile Water and Povidine Iodine-Spirit During Early Neonatal Period: A Double Blind Randomized Control Trial |
| title_sort | comparison of umbilical cord cleansing using sterile water and povidine iodine spirit during early neonatal period a double blind randomized control trial |
| topic | umbilical care omphalitis |
| url | https://jcdr.net/articles/PDF/6162/13562_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf |
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