新生儿脐带护理。,Pediatrics
新生儿脐带护理。
Pediatrics
(
IF
6.2
)
Pub Date : 2016-08-31
, DOI:
10.1542/peds.2016-2149
Dan Stewart
,
William Benitz
,
产后感染仍然是全世界新生儿发病率和死亡率的主要原因。这些感染的很大一部分可能源于脐带的细菌定植，厂房保洁13825404095因为脐带护理的做法有所不同，反映了社区内部的文化传统以及全球医疗保健做法的差异。出生后，失活的脐带通常被证明是细菌生长的理想基质，并且还可以直接进入新生儿的血液。脐带细菌定植很少会导致脐带炎和相关的血栓性静脉炎，蜂窝组织炎或坏死性筋膜炎。各种局部用药继续在世界范围内用于脐带护理，以减轻严重感染的风险。最近，特别是在资源丰富的国家/地区，治疗模式已转向干脐带护理。这份临床报告回顾了在不同临床环境中对脐带护理建议的基础证据。
"点击查看英文标题和摘要"
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 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.