Changes in newborn bathing practices may increase the risk for omphalitis.
Aseptic cord care, in conjunction with antibacterial skin care, has reduced the incidence of omphalitis specifically caused by Staphylococcus aureus. However, this practice has resulted in the emergence of resistant organisms that may pose a greater risk for newborn infections. Subsequently, many institutions have changed to dry cord care and nonantiseptic whole-body baths, a practice that has not been adequately studied to determine potential infectious risks. Three cases of omphalitis occurring after an institutional change to nonantiseptic whole-body baths are presented. Clinical diagnosis and treatment of omphalitis are reviewed. Recommendations for surveillance of omphalitis are offered.
Simon
Neal P
NP
Department of Pediatrics, Indiana University, Indianapolis, IN 46202, USA.
Simon
Michael W
MW
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000188:drug therapy* / Q000209:etiology; D001494:Baths / Q000009:adverse effects*; D004338:Drug Combinations; D004359:Drug Therapy, Combination; D005840:Gentian Violet; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011370:Proflavine; D000644:Quaternary Ammonium Compounds; D012307:Risk Factors; D014470:Umbilical Cord / Q000382:microbiology*
D000900:Anti-Bacterial Agents; D004338:Drug Combinations; D000644:Quaternary Ammonium Compounds; C014234:Triple Dye; D011370:Proflavine; D005840:Gentian Violet