Umbilical Cord Care in the Newborn Infant
Postpartum infections remain a leading cause of neonatal morbidity and mortality worldwide. A high percentage of these infections may stem from bacterial colonization of the umbilicus, because cord care practices vary in reflection of cultural traditions within communities and disparities in health...
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| Veröffentlicht in: | Pediatrics (Evanston) 2016-09, Vol.138 (3), p.e20162149 |
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| creator | Stewart, Dan Benitz, William |
| description | Postpartum infections remain a leading cause of neonatal morbidity and mortality worldwide. A high percentage of these infections may stem from bacterial colonization of the umbilicus, because cord care practices vary in reflection of cultural traditions within communities and disparities in health care practices globally. After birth, the devitalized umbilical cord often proves to be an ideal substrate for bacterial growth and also provides direct access to the bloodstream of the neonate. Bacterial colonization of the cord not infrequently leads to omphalitis and associated thrombophlebitis, cellulitis, or necrotizing fasciitis. Various topical substances continue to be used for cord care around the world to mitigate the risk of serious infection. More recently, particularly in high-resource countries, the treatment paradigm has shifted toward dry umbilical cord care. This clinical report reviews the evidence underlying recommendations for care of the umbilical cord in different clinical settings. |
| doi_str_mv | 10.1542/peds.2016-2149 |
| format | Article |
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A high percentage of these infections may stem from bacterial colonization of the umbilicus, because cord care practices vary in reflection of cultural traditions within communities and disparities in health care practices globally. After birth, the devitalized umbilical cord often proves to be an ideal substrate for bacterial growth and also provides direct access to the bloodstream of the neonate. Bacterial colonization of the cord not infrequently leads to omphalitis and associated thrombophlebitis, cellulitis, or necrotizing fasciitis. Various topical substances continue to be used for cord care around the world to mitigate the risk of serious infection. More recently, particularly in high-resource countries, the treatment paradigm has shifted toward dry umbilical cord care. This clinical report reviews the evidence underlying recommendations for care of the umbilical cord in different clinical settings.</description><subject>Analysis</subject><subject>Anti-Infective Agents, Local - therapeutic use</subject><subject>Bacteria</subject><subject>Bacterial infections</subject><subject>Bacterial Infections - prevention & control</subject><subject>Care and treatment</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Infant care</subject><subject>Infant mortality</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Infants (Newborn)</subject><subject>Morbidity</subject><subject>Newborn infants</subject><subject>Pediatrics</subject><subject>Postpartum period</subject><subject>Rooming-in Care</subject><subject>Sepsis - prevention & control</subject><subject>Skin - microbiology</subject><subject>Umbilical cord</subject><subject>Umbilical Cord - microbiology</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1Lw0AQhhdRbK1ePUrAix5SZz-STY4l-FEo9mLPyyY7qSnJpu4mqP_ehFYPwsAc5pnhnYeQawpzGgn2sEfj5wxoHDIq0hMypZAmoWAyOiVTAE5DARBNyIX3OwAQkWTnZDKMJYeUTcn9psmruip0HWStM0GmHQaVDbp3DF7xM2-dDZa21La7JGelrj1eHfuMbJ4e37KXcLV-XmaLVVgIoF1YyhyYxjhKJbAiFTEvWVmwiCVlngqIwaAWJjGcUsF0xCiaMqaGa4MShuIzcne4u3ftR4--U03lC6xrbbHtvaIJjWM-fBIN6O0_dNf2zg7pRioVXDIxUuGB2uoaVWWL1nb41RVtXeMW1RA-W6uFkBQkl5IN_PzAF6713mGp9q5qtPtWFNQoXY3S1ShdjdKHhZtjjD5v0Pzhv5b5D9uJeRQ</recordid><startdate>201609</startdate><enddate>201609</enddate><creator>Stewart, Dan</creator><creator>Benitz, William</creator><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>201609</creationdate><title>Umbilical Cord Care in the Newborn Infant</title><author>Stewart, Dan ; Benitz, William</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-f7b02ae659702c9463f2fc2528fb94060dea4d8d31142a521edf61d3ade70e703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Analysis</topic><topic>Anti-Infective Agents, Local - therapeutic use</topic><topic>Bacteria</topic><topic>Bacterial infections</topic><topic>Bacterial Infections - prevention & control</topic><topic>Care and treatment</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Infant care</topic><topic>Infant mortality</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Infants (Newborn)</topic><topic>Morbidity</topic><topic>Newborn infants</topic><topic>Pediatrics</topic><topic>Postpartum period</topic><topic>Rooming-in Care</topic><topic>Sepsis - prevention & control</topic><topic>Skin - microbiology</topic><topic>Umbilical cord</topic><topic>Umbilical Cord - microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stewart, Dan</creatorcontrib><creatorcontrib>Benitz, William</creatorcontrib><creatorcontrib>COMMITTEE ON FETUS AND NEWBORN</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stewart, Dan</au><au>Benitz, William</au><aucorp>COMMITTEE ON FETUS AND NEWBORN</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Umbilical Cord Care in the Newborn Infant</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2016-09</date><risdate>2016</risdate><volume>138</volume><issue>3</issue><spage>e20162149</spage><pages>e20162149-</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>Postpartum infections remain a leading cause of neonatal morbidity and mortality worldwide. A high percentage of these infections may stem from bacterial colonization of the umbilicus, because cord care practices vary in reflection of cultural traditions within communities and disparities in health care practices globally. After birth, the devitalized umbilical cord often proves to be an ideal substrate for bacterial growth and also provides direct access to the bloodstream of the neonate. Bacterial colonization of the cord not infrequently leads to omphalitis and associated thrombophlebitis, cellulitis, or necrotizing fasciitis. Various topical substances continue to be used for cord care around the world to mitigate the risk of serious infection. More recently, particularly in high-resource countries, the treatment paradigm has shifted toward dry umbilical cord care. This clinical report reviews the evidence underlying recommendations for care of the umbilical cord in different clinical settings.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>27573092</pmid><doi>10.1542/peds.2016-2149</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Pediatrics (Evanston), 2016-09, Vol.138 (3), p.e20162149 |
| issn | 0031-4005 1098-4275 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Analysis Anti-Infective Agents, Local - therapeutic use Bacteria Bacterial infections Bacterial Infections - prevention & control Care and treatment Health aspects Humans Infant care Infant mortality Infant, Newborn Infants Infants (Newborn) Morbidity Newborn infants Pediatrics Postpartum period Rooming-in Care Sepsis - prevention & control Skin - microbiology Umbilical cord Umbilical Cord - microbiology |
| title | Umbilical Cord Care in the Newborn Infant |
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