Neonatal Omphalitis treatment

After neonatal Omphalitis, should be based on the clinical manifestations of different treatment programmes:

First, all the children must be imposed on the inflammation of umbilical dressing, it includes:

1, cleaning of umbilical: you can use the 75% alcohol, normal saline, cent boric acid liquid, 1:1000 new benzalkonium chloride, of chloramphenicol in eye drops, sterilized cotton stick or cotton ball after dipping the above solution, gently wipe the affected area, wipe out purulent secretions. If the umbilical cord stump is not off, together with clean. 1-2 times a day. For simple Omphalitis or other umbilical infection

2, external use drugs: according to the doctor\'s advice after the cleaning of umbilical, local 40% umbilical cord powder zinc oxide oil or chloramphenicol oil, zinc oxide (containing the acridine deposition of sand also known as Michel polnareff slaves, zinc oxide), more than a State one of ointment, such as erythromycin eye ointment. Per said 1. Note without gentian violet, red drops as much as possible, so as to avoid staining effect view of lesions found. Generally don\'t have iodine, so as not to burn skin around the navel.

3, topical drugs: can be used separately to reduce over swollen or promote suppurative and ichthammol ointment or her therapy, Ruyi Jinhuang San (Chinese medicine) by external application of substandard or James, applies to the umbilical cord infection of patients with abdominal wall. Note topical drug time not too long, generally not more than 6 hours.

4, incision and drainage of pus drainage or: where the formation of abscesses should be actively draining pus, incision and drainage of pus-pus volume or heavy needs, and adhere to the dressing (replacing drainage, keep drainage unobstructed, promoting healing of purulent cavities). And by the Falciform ligament of liver abscess drainage required hospitalization after implementation of abscessus.

5, burning form cord granulation may use drugs (10% silver nitrate) or laser Cauterization removal.

Followed by antibiotics, as umbilical inflammation caused by Pyogenic bacteria are mostly drug-resistant Staphylococcus aureus or Staphylococcus epidermidis, so general antibiotics such as penicillin and erythromycin, well, preferably in purulent secretions culture on the basis of selection-sensitive antibiotics. Earlier, doctors may choose according to the experience well suitable for newborn and the effect of drugs. Also due to poor absorption of oral or intramuscular injection antibiotics, so the average selection of intravenous infusion administration. Some parents looked very distressed a day had babies on the scalp, always want to change it to the oral medication, but when you know that after the above reason, would have the treatment. If the diagnosis of sepsis, may need intravenous antibiotics for several days.

Others, such as support for (including nutrition, blood transfusion, intravenous high transmission and plasma), would be used in children. Generally speaking, Omphalitis prognosis of satisfaction, a small number of Portal vein thrombosis formation, should view of follow-up investigations.