Comparison of Umbilical Cord Cleansing Using Sterile Water and Povidine Iodine-Spirit During Early Neonatal Period:
A Double Blind Randomized Control Trial
Dr. K. K. Diwakar,
Professor & Head, Department of Neonatology, Malankara Orthodox Syrian Church Medical College,
Kolenchery PO, Kochi, Kerala â€“ 682311, India.
Email: email@example.com, firstname.lastname@example.org
Aim: To compare the effect of umbilical cord care with Povidine Iodine- Spirit on umbilical infection in early neonatal period.
Materials and Methods: Prospective double blinded randomized controlled study was undertaken to evaluate the effect of daily cleansing of the umbilical cord of term infants with Spirit (Alcohol) â€“Povidine Iodine combination). This was also compared to the retrospective data obtained for the prevailing practice of keeping the umbilical cord dry.
Results: 1518 infants were included in the study. (462 in the â€ścord care groupâ€ť, 496 in the â€śwaterâ€ť placebo group, & 560 in â€śDryâ€ť retrospective group). There was an overall reduction in the clinically screened and evaluated â€śumbilical infectionâ€ť in the Povidine â€“Iodine group. This was attributable to a greater reduction in the mixed bacterial (Colonizer/ commensals) isolates. The Relative Risk for Staph. aureus was lesser when the cord was kept dry (RR 0.6, p<0.01) and sterile water (Placebo) group (RR 0.7, p<0.01).
Conclusion: Avoiding the antiseptic cleansing increased the RR for commensal / mixed bacterial over growth that would probably facilitate umbilical cord separation.