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Does umbilical cord care in preterm infants influence cord bacterial colonization or detachment?

OBJECTIVE: The purpose of the present study was to compare alcohol versus natural drying for umbilical cord care in preterm infants and to examine its effects on bacterial colonization and cord detachment. STUDY DESIGN AND METHODS: Eligible infants <34 weeks gestation admitted to the NICU were rando...

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Published in:Journal of Perinatology Vol. 24; no. 2; pp. 100 - 105
Main Authors: Evens K, George J, Angst D, Schweig L
Format: clinical trial research tables/charts Journal Article
Published: Springer Nature Feb2004
Online Access:View this record in EBSCOhost
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        07438346
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      jtl: Journal of Perinatology
      issn: 07438346
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    pubinfo:
      dt: Feb2004
      vid: 24
      iid: 2
      pid: 2579
      pub: Springer Nature
      place: Dordrecht, <Blank>
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        106672997
        106672997
        2004203527
        10.1038/sj.jp.7211027
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      tig:
        atl: Does umbilical cord care in preterm infants influence cord bacterial colonization or detachment?
      aug:
        au:
          Evens K
          George J
          Angst D
          Schweig L
        affil: Lutheran General Children's Hospital, 1775 Dempster St, Park Ridge, IL 60068
      sug:
        subj:
          Umbilical Cord Microbiology
          Bacterial Colonization
          Propanols Administration and Dosage
          Antiinfective Agents, Local Administration and Dosage
          Wound Infection Prevention and Control
          Infant, Premature
          Umbilical Cord Drug Effects
          Time
          Administration, Topical
          Clinical Trials
          Descriptive Statistics
          Chi Square Test
          Fisher's Exact Test
          T-Tests
          Mann-Whitney U Test
          Infant, Newborn
          Female
          Male
          Funding Source
          Human
          Infant, Newborn: birth-1 month
          Female
          Male
      ab: OBJECTIVE: The purpose of the present study was to compare alcohol versus natural drying for umbilical cord care in preterm infants and to examine its effects on bacterial colonization and cord detachment. STUDY DESIGN AND METHODS: Eligible infants <34 weeks gestation admitted to the NICU were randomized to receive either umbilical cleansing with 70% isopropyl alcohol at each diaper change or natural drying. Umbilical stump cultures were performed at 12 to 24 hours, 72 hours, 7 days, and 14 days of age. RESULTS: A total of 109 infants were enrolled; 102 completed the study. Analyses revealed that the median cord detachment time was significantly shorter in the natural drying group compared to the alcohol group (13.0 versus 16.0 days; p=0.003). There were no cases of local umbilical infection in either group. CONCLUSION: Based on the present study, it appears that natural drying is a safe and effective means of umbilical cord care in preterm infants.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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