scholarly journals Efficacy of 10% povidone iodine versus 70% alcohol in umbilical cord care of newborn infants

2016 ◽  
Vol 45 (5) ◽  
pp. 198
Author(s):  
Rasyidah Rasyidah ◽  
Yulizar Yulizar ◽  
Lily Emsyah ◽  
Guslihan D Tjipta ◽  
Dachrul Aldy
Keyword(s):  
Umbilical Cord ◽  
Povidone Iodine ◽  
Bacterial Colonization ◽  
Newborn Infants ◽  
Cord Care ◽  
Open Label ◽  
Chi Square ◽  
Alcohol Group ◽  
Umbilical Cord Care ◽  
Chi Square Test

Objective To compare the effectiveness of 10% povidone iodineto that of 70% alcohol in umbilical cord care of newborn infants.Methods This open label clinical trial was conducted in PirngadiHospital, Medan from July to September 2003. Newborn infantswho fulfilled inclusion criteria were randomly allocated to umbili-cal cord care using 10% povidone iodine or 70% alcohol. Themain outcome measures were omphalitis prevalence, microor-ganism colonization, and time to umbilical cord separation. Cultureof the umbilical cord swab was taken in the first 48-72 hoursafter birth. The umbilical cord was observed daily during hospital-ization and every other day after discharge until cord separation.Statistical analysis was done using chi-square test and indepen-dent t-test.Results There were 54 infants in the povidone iodine group and52 infants in the alcohol group. Omphalitis was absent in bothgroups. Fourteen percent of subjects in the povidone iodine groupshowed no microorganism growth, compared to 7% in the alco-hol group. Staphylococcus aureus colonization was found in10% of subjects in the povidone iodine group and 23% of sub-jects in the alcohol group. The prevalence of Escherichia colicolonization was 41% and 47% in the povidone iodine and alco-hol groups, respectively. There was no statistically significantdifference between both groups in bacterial colonization (P=0.135).Mean time to umbilical cord separation was 6.44 days in thepovidone iodine group and 6.13 days in the alcohol group(P=0.431).Conclusion These results suggest that 10% povidone iodineand 70% alcohol are equally effective in umbilical cord care ofnewborn infants

scholarly journals HUBUNGAN PERAWATAN TALI PUSAT DENGAN KEJADIAN INFEKSI PADA BAYI BARU LAHIR DI RSUD Dr. PIRNGADI MEDAN 2019

2019 ◽  
Vol 2 (2) ◽  
pp. 51
Author(s):  
Rani Damanik
Keyword(s):  
Umbilical Cord ◽  
Demographic Data ◽  
Cord Care ◽  
Chi Square ◽  
Cross Sectional ◽  
Umbilical Cord Care ◽  
Chi Square Test ◽  
Relationship Of ◽  
The Relationship ◽  
Correlation Design

Umbilical cord care is one treatment procedure that aims to treat the umbilical cord in newborns to keep it dry and prevent infection. Improper treatment of the umbilical cord in an infant will experience an infectious disease. This study uses a correlation design with a cross sectional approach is something that connects / analyzes the variables that aim to determine the relationship of umbilical cord care with the incidence of infection in newborns (BBL) in RSUD Dr. Pirngadi Hospital Medan 2018, with a sample of 35 respondents. The instruments included demographic data, 20 umbilical cord care questionnaires and observation sheets for infection. Based on the results of this study, the majority of people doing good umbilical cord care (score 14-20) as many as 30 (85.7%) while the minority of respondents doing umbilical cord care enough (score 7-13) as many as 5 people (14.2%). the majority did not experience an infection score of 0 (zero) as many as 33 people (94.3%) and the minority experienced infection score 1-5 as many as 2 people (5.7%). Based on Chi Square test, p = 0.017 <0.05 means that Ho is rejected and Ha is accepted. This shows a relationship between cord care and the incidence of infection in newborns (BBL). It is expected that nurses to carry out umbilical cord care measures more effectively in accordance with the SOP so as to avoid the number of infections in newborns and the next researcher makes an observation sheet in measuring cord care performed by nurses.

scholarly journals Efficacy of 4% chlorhexidine in preventing neonatal umbilical cord infection

2020 ◽  
Vol 14 (03) ◽  
pp. 136-139
Author(s):  
Fouzia Ishaq ◽  
Anila Jamil ◽  
Muhammad Sajjad ◽  
Maria Iftikhar ◽  
Muhammad Adnan Zafar ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Analytical Study ◽  
Bacterial Colonization ◽  
Neonatal Morbidity ◽  
Chi Square ◽  
Once Daily ◽  
Group 4 ◽  
Chi Square Test ◽  
The Difference ◽  
Random Method

Background: Umbilical cord stump is a budding point for bacterial colonization subsequently leading to sepsis that contributes to high neonatal morbidity and mortality, if not properly managed. Antiseptic care can significantly reduce omphalitis and ultimately improve newborn survival. Objective of this study was to see the efficacy of 4% chlorhexidine use to prevent umbilical cord infection in neonates.Subjects and methods: It was a comparative analytical study conducted in Neonatal unit, Sir Ganga Ram Hospital (SGRH) Lahore from July, 2016 till January, 2017. One hundred neonates were enrolled and randomized into two equal group by simple random method (50 each). In one group, nothing was applied to cord while in chlorhexidine group, 4% chlorhexidine gel was applied on umbilicus and around it, once daily for 7 days or till cord detached whichever came early. First application was done by a nurse followed by duly trained mother/caregiver. The signs of omphalitis (redness, pus or localized oedema) were observed and recorded for each neonate in both groups. Chi square test was used to see the difference in omphalitis in these groups with p˂ 0.05 considered as statistically significant result.Results: Out of 100 neonates, 29 (58%) and 23 (46%) males while 21 (42%) and 27 (54%) females neonates belonged to dry care and chlorhexidine group respectively. Nineteen (38%) neonates with dry cord had omphalitis compared to only 5 (10%) in chlorhexidine group (p 0.001). Neonates with chlorhexidine application showed prolonged mean cord separation time (7.9±1.5 days) compared to dry care (6.1±1.8 days). Conclusion: The use of 4% Chlorhexidine was effective to lower omphalitis compared to neonates with dry cord care.

scholarly journals Alcohol versus dry umbilical cord care among newborn infants in occupied Palestinian territory: a controlled trial

The Lancet ◽  
2017 ◽  
Vol 390 ◽  
pp. S3
Author(s):  
Maher Shahrour ◽  
Nour AlHuda Sawalha ◽  
Murad Masri ◽  
Hanan Rajabi ◽  
Mohammad Salah Eddin ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Controlled Trial ◽  
Newborn Infants ◽  
Cord Care ◽  
Occupied Palestinian Territory ◽  
Umbilical Cord Care ◽  
Palestinian Territory

scholarly journals Does Umbilical Cord Care in Preterm Infants Influence Cord Bacterial Colonization or Detachment?

2004 ◽  
Vol 24 (2) ◽  
pp. 100-104 ◽  
Author(s):  
Kelley Evens ◽  
Jeffrey George ◽  
Denise Angst ◽  
Lorene Schweig
Keyword(s):  
Preterm Infants ◽  
Umbilical Cord ◽  
Bacterial Colonization ◽  
Cord Care ◽  
Umbilical Cord Care

PENGARUH PEMBERIAN TOPIKAL ASI TERHADAP WAKTU PERAWATAN TALI PUSAT PADA BAYI BARU LAHIR DI PUSKESMAS ANGKONA KECAMATAN ANGKONA KABUPATEN LUWU TIMUR

2018 ◽  
Vol 6 (08) ◽  
pp. 38-48
Author(s):  
Andi St. Umrah
Keyword(s):  
Multivariate Analysis ◽  
Health Center ◽  
Umbilical Cord ◽  
Intervention Group ◽  
Bivariate Analysis ◽  
Control Group ◽  
P Value ◽  
Cord Care ◽  
Chi Square ◽  
Umbilical Cord Care

Background: The umbilical cord aims to prevent infection and speed up cord removal from the abdomen. Objective: To determine the effect of topical breastfeeding on umbilical cord time in newborn at Angkona health center of Angkona Subdistrict of East Luwu Regency in 2017.Method: This research is a pre-experiment "with static group comparison group" research, population in research this is all newborns on the peroide of June - July at Angkona Health Center Subdistrict Angkona Regency Luwu Timur 2017 as many as 38 people. Sampling using total sampling, the sample was divided into two groups, namely the intervention group as much as 19 people and the control group of 19 people. Data collection using checklist sheet. The data collected were then processed and analyzed using univariate and bivariate analyzes ie chi-square test and multivariate analysis using logistic regression using statistic program (SPSS) version 20, table presented in table 2x2 form.Result: bivariate analysis found there is influence of topical giving of breast milk to umbilical cord care time, with value p = 0,000 <value of α = 0,05. Result of multivariate analysis obtained value OR = 14,15.Conclusion: There is an effect of topical breastfeeding on time of umbilical cord care at Angkona Health Centert of Angkona Subdistrict of East Luwu Regency in 2017, with p value = 0,001 <value of α = 0,05 and OR value = 14,15. Keywords: Topical Breastfeeding, umbilical cord, Cord Care Time

scholarly journals Perbedaan Lama Pelepasan Tali Pusat pada Metode Perawatan Tali Pusat Teknik Terbuka dan Tertutup di PMB “SF” Palangka Raya

2021 ◽  
Vol 7 (1) ◽  
pp. 204-208
Author(s):  
Eline Charla Sabtina Bingan
Keyword(s):  
Umbilical Cord ◽  
Sampling Technique ◽  
Treatment Method ◽  
Analytic Method ◽  
Cord Care ◽  
Clostridium Tetani ◽  
Chi Square ◽  
Study Results ◽  
Significant Difference ◽  
Umbilical Cord Care

Tetanus neonatorum is a disease in neonates caused by Clostridium Tetani spores that enter through the umbilical cord. Various attempts were made to reduce infection in the umbilical cord, one of which is the method of treatment performed on the umbilical cord. This study aims to determine the differences in the old cord release in cord care with open and closed techniques in PMB SF Palangka Raya City. This research design is a descriptive quantitative analytic method with the approach of the type of research used is "True Experiment" real experimental research using observation sheets. The samples used were babies born in SF PMB with 26 babies; the sampling technique used was the non-probability sampling technique, purposive sampling, while the analysis used was Chi-Square. From the study results, it was found that there was a significant difference in the length of umbilical cord release in the umbilical cord treatment method with open and closed techniques with an Exact Sig. (2-tailed) value of 0.011. So the Exact Sig. Value (2-tailed) 0.011 <0.05, then Ho is rejected. And umbilical cord care with the open method is 19 times more effective at accelerating the release of the umbilical cord than the closed umbilical cord treatment method.

scholarly journals Chlorhexidine for facility-based umbilical cord care: EN-BIRTH multi-country validation study

2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Sojib Bin Zaman ◽  
◽  
Abu Bakkar Siddique ◽  
Harriet Ruysen ◽  
Ashish KC ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Health Management ◽  
Qualitative Interviews ◽  
Public Hospitals ◽  
World Health ◽  
Health Management Information System ◽  
Cord Care ◽  
National Policies ◽  
Exit Survey ◽  
Umbilical Cord Care

Abstract Background Umbilical cord hygiene prevents sepsis, a leading cause of neonatal mortality. The World Health Organization recommends 7.1% chlorhexidine digluconate (CHX) application to the umbilicus after home birth in high mortality contexts. In Bangladesh and Nepal, national policies recommend CHX use for all facility births. Population-based household surveys include optional questions on CHX use, but indicator validation studies are lacking. The Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) was an observational study assessing measurement validity for maternal and newborn indicators. This paper reports results regarding CHX. Methods The EN-BIRTH study (July 2017–July 2018) included three public hospitals in Bangladesh and Nepal where CHX cord application is routine. Clinical-observers collected tablet-based, time-stamped data regarding cord care during admission to labour and delivery wards as the gold standard to assess accuracy of women’s report at exit survey, and of routine-register data. We calculated validity ratios and individual-level validation metrics; analysed coverage, quality and measurement gaps. We conducted qualitative interviews to assess barriers and enablers to routine register-recording. Results Umbilical cord care was observed for 12,379 live births. Observer-assessed CHX coverage was very high at 89.3–99.4% in all 3 hospitals, although slightly lower after caesarean births in Azimpur (86.8%), Bangladesh. Exit survey-reported coverage (0.4–45.9%) underestimated the observed coverage with substantial “don’t know” responses (55.5–79.4%). Survey-reported validity ratios were all poor (0.01 to 0.38). Register-recorded coverage in the specific column in Bangladesh was underestimated by 0.2% in Kushtia but overestimated by 9.0% in Azimpur. Register-recorded validity ratios were good (0.9 to 1.1) in Bangladesh, and poor (0.8) in Nepal. The non-specific register column in Pokhara, Nepal substantially underestimated coverage (20.7%). Conclusions Exit survey-report highly underestimated observed CHX coverage in all three hospitals. Routine register-recorded coverage was closer to observer-assessed coverage than survey reports in all hospitals, including for caesarean births, and was more accurately captured in hospitals with a specific register column. Inclusion of CHX cord care into registers, and tallied into health management information system platforms, is justified in countries with national policies for facility-based use, but requires implementation research to assess register design and data flow within health information systems.

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