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Omphalitis

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What is Omphalitis

Omphalitis (omphalitis) pointed out that after birth, the umbilical cord ligation break away from the stump defective, disinfecting and bandaging poor, formed by bacterial infection inflammation. See many neonatal disease. Chronic the omphalitis mostly foreign matter such as talcum powder to stimulate the stump of the umbilical cord, the formation of granulation tissue hyperplasia. Under normal circumstances, the umbilical cord is supplied by his mother, the fetus nutrition and fetal fetus in the mother's body excrete waste channel, birth, birth attendants will umbilical cord ligation, cut off. - Like in 3 to 7 days after birth, the umbilical cord falls.

Symptoms of Omphalitis

Clinical manifestations:

The earliest manifestations of the umbilical cord roots redness, or fall off after the wound is not healing, umbilical fossa moist, water and so on. After the periumbilical skin redness, umbilical fossa serous purulent discharge, with a smell, Cullen skin irritation, aggravation, or the formation of a local abscess, sepsis, critical condition can cause peritonitis, liver abscess can also be caused by the umbilical cord. You can also have systemic symptoms, fever, not feeding, bad spirit, and irritability.

Chronic omphalitis current situation forming umbilical granuloma, Sakura red mass protruding often flow viscous secretions, prolonged unhealed.

What Causes Omphalitis

Etiology:

Umbilical or umbilical disinfection lax improper care can easily lead to bacterial contamination, causing umbilical inflammation. Common pathogen was Staphylococcus aureus, Escherichia coli, followed by hemolytic streptococcus, or mixed bacterial infection.

Tests and Diagnosis for Omphalitis

Diagnostic tests:

Clinical diagnosis: neonatal umbilical swelling or purulent exudate.

Etiological diagnosis: clinical diagnosis based on the following two one can be diagnosed.

A drain or needle aspirate culture positive.

Blood culture positive, and the exclusion of the other parts of the infection.

Treatments of Omphalitis

Prevention:

The popularity of modern delivery methods, the strict aseptic umbilical good care after umbilical maintain local hygiene.

Treatment:

Keep partial drying, frequently changes the diapers to prevent urine contamination.

Local dressing: flushing partial after 2 to 3 times with iodine disinfection with 30% hydrogen peroxide, alcohol, iodothyronine, or coated with 2 to 3 times daily with gentian violet.

Antibiotic treatment: - like the neonatal period choice: penicillin or ampicillin good effect. Incision and drainage of abscess formation, timely dressing. Form of chronic granulomatous takes 10% silver nitrate or silver nitrate stick local burning, such as granulation is not easy burning should be given to surgical resection.

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active 7 March 2013 at 14:33

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