Health Condition 1: P38- Omphalitis of newborn
Conditions
Interventions
Intervention1: Intervention Arm (chlorhexidine care group): Chlorhexidine gluconate gel 7.1 % (delivering 4% chlorhexidine) will be applied on the umbilical cord (base and stump) Once a day for first
Sponsors
Himanshu Sharma
Eligibility
Inclusion criteria
Inclusion criteria: Newborns with gestational age >32 weeks and weighing >1500 g at birth who will be consecutively admitted to NICU, within the first 24 hours of birth will be enrolled for the study
Exclusion criteria
Exclusion criteria: 1. Newborns with any anomaly involving umbilical cord 2. Neonates requiring umbilical catheterization 3. Neonates those who are likely to get discharged within the first 7 days of birth 4. Parents unwilling for inclusion in the study 5. Neonates with major congenital anomalies, moderate to severe HIE, neonates with severe illness who are likely to die within 48-72 hours
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cord separation time Timepoint: It will be measured in hours (Till 14 days) | — |
Secondary
| Measure | Time frame |
|---|---|
| DeathTimepoint: Will be recorded in a predesigned patient proforma Only death ascribed to any type of sepsis within the first week of life will only be taken into account;Incidence of umbilical sepsis Timepoint: The cord will be observed twice daily for signs of sepsis including erythema, swelling, induration and discharge, if any. Umbilical swabs for culture and sensitivity will be sent on third and seventh day of life;Probable sepsisTimepoint: Clinically symptomatic neonate with atleast two of these three parameters in first week of life: C reactive protein 10 mg/l, total leucocytes 5000/cmm and absolute neutrophil count 1800/cmm, and without any growth in blood culture Samples will be sent only in neonates with symptoms suggestive of sepsis | — |
Countries
India
Contacts
Public ContactMangalabharathi
Madras Medical College
Outcome results
None listed