[Umbilical colonization in normal newborns. A comparative study of 4 methods for umbilical antisepsis]

An Esp Pediatr. 1993 Sep;39(3):195-8.
[Article in Spanish]

Abstract

We report the results of a prospective study in which the effectiveness of 70% alcohol (A), mercurochrome (M), a solution of alcohol and mercurochrome (AM) and 1% chlorhexidine (C) as umbilical antiseptics was tested on 311 normal newborn infants. Similar results were obtained by using A, M, or AM; however, when C was used umbilical colonization was significantly reduced as compared to when the other three antiseptic agents were used. The umbilical cords that had been scrubbed with A, M or AM were detached by the 8th day after birth, whereas those treated with C took 14 days to fall off. The use of chlorhexidine resulted in a marked increase in pure cultures positive for Gram negative bacteria (Proteus spp. and Pseudomonas spp.) which was not the case with the other three antiseptics tested.

Publication types

  • Clinical Trial
  • Comparative Study
  • English Abstract
  • Randomized Controlled Trial

MeSH terms

  • Anti-Infective Agents, Local / therapeutic use
  • Antisepsis / methods*
  • Bacteria / isolation & purification
  • Humans
  • Infant, Newborn
  • Prospective Studies
  • Reference Values
  • Spain / epidemiology
  • Time Factors
  • Umbilicus / microbiology*

Substances

  • Anti-Infective Agents, Local