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J Med Assoc Thai ; 88(7): 967-72, 2005 Jul.
Article in English | MEDLINE | ID: mdl-16241027

ABSTRACT

OBJECTIVE: To compare time to cord separation, parental satisfaction and bacterial colonization, among 3 regimens of cord care at home. STUDY DESIGN: Randomized controlled trial. MATERIAL AND METHOD: Term infants were randomly assigned based on cord care regimens at home: 1) triple dye, 2) alcohol, and 3) no antiseptic agent. Timing of cord separation, and parental satisfaction were evaluated during the first month of age. RESULTS: 185 infants were recruited. Time to cord separation in infants of group I was significantly longer than in group 2 (p = 0.036) and group 3 (p = 0.003). The satisfaction scores of group I were significantly lower than those of group 2 and group 3. 180 culture specimens were performed and positive in all but none had omphalitis. CONCLUSION: Triple dye delayed time to cord separation and was less satisfactory. The authors conclude that using alcohol or dry clean could be alternative ways of umbilical cord care at home.


Subject(s)
Anti-Infective Agents, Local/therapeutic use , Ethanol/therapeutic use , Gentian Violet/therapeutic use , Proflavine/therapeutic use , Quaternary Ammonium Compounds/therapeutic use , Umbilical Cord/microbiology , Analysis of Variance , Chi-Square Distribution , Consumer Behavior , Drug Combinations , Humans , Infant, Newborn , Statistics, Nonparametric , Thailand , Time Factors , Treatment Outcome
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