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Paper Information

Journal:   DANESHVAR MEDICINE   JUNE-JULY 2007 , Volume 14 , Number 69; Page(s) 19 To 26.
 
Paper: 

EFFECT OF ALCOHOL ON UMBILICAL BACTERIAL COLONIZATION IN NEONATES ZEINAB HOSPITAL

 
 
Author(s):  BORNA H.*, JALALI NADOUSHAN M.R., ZAYERI F., AFSHAR HEZARKHANI L.
 
* DEPARTMENT OF PEDIATRICS, SCHOOL OF MEDICINE, SHAHED UNIVERSITY, TEHRAN, IRAN
 
Abstract: 

Back Ground: Umbilical cord infection and tetanus contribute significantly to high neonatal mortality rate in developing countries. These infections are preventable and can be reduce by practicing clean delivery and clean cord care. We conducted combative study on the effectiveness of 70% alcohol in the prevention of neonatal bacterial umbilical cord colonization in the Zeinab Hospital.
Methods: We randomized allocated 134 newborns to either 2 application of 70% alcohol swabbing three daily until the cord fell of [n=64] or dry care [n=54]. An umbilical swab was taken on the 12-24h and 7 day after discharge then cultured on Blood agar and macconkey agar for 24h. Follow-up phone calls were made to mothers within 7days of discharge, with weekly calls until cord separation.
Result: The most common bacterial cultured was Enterococcus Frequency of Bacterial colonization after 12-24h (First swab) was: Enterococcus (25.5%) Staphylococcus aureus (16.1%). Entrobacter (13.6%) pseudomonas (8%). 38.1% not colonized at firstswab. Frequency of Bacterial colonization after second swab (7 day) was: Enterococcus (48.3%), Staphylococcus aureus (37.2%), Enterobacter (28%), pseudomonas (17.8%),. 6.8% not colonized at second swab for the daily care of the neonatal umbilicus. by application of 70% alcohol, Staphylococcal umbilical colonization was reduced but gram-negative and entrococcus microorganisms was inceasesd. one infant in dry care (water group) was diagnosed as having omphalitis. The cord separation time was longer in infants who were treated with alcohol (6.80±2.63 VS 6.28±1.97). in culture positive with pseudomonas time of cord separation was increased.
Conclusions: Evidence does not support continued use alcohol for newborn cord care.

 
Keyword(s): UMBILICAL CORD, BACTERIAL COLONIZATION, ALCOHOL, CLEAN CORD CARE
 
References: 
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