Luke C. Mullany|Gary L. Darmstadt|Joanne Katz|Subarna K. Khatry|Steven C. LeClerq|Ramesh Adhikari|James M. Tielsch
Risk Factors for Umbilical Cord Infection among Newborns of Southern Nepal
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Tribhuvan University|Johns Hopkins University
although umbilical cord infection contributes neonatal mortality morbidity risk reduced topical chlorhexidine behavioral factors associated cord infection lowresource settings examined data potential risk factors omphalitis collected communitybased umbilical cord care trial nepal 20022005 newborns evaluated home signs umbilical cord infection pus redness swelling omphalitis defined either pus discharge erythema abdominal skin severe redness 2 cm extension cord stump without pus multivariable regression modeling used examine associations omphalitis maternal newborn household variables omphalitis identified 954 17198 newborns 55 infection risk 29 62 higher infants receiving topical cord applications mustard oil potentially unclean substances respectively skintoskin contact relative risk rr 064 95 confidence interval ci 043 095 hand washing birth attendants rr 073 95 ci 064 084 caretakers rr 076 95 ci 060 095 associated fewer infections community unhygienic newborncare practices lead continued high risk omphalitis addition topical antiseptics simple lowcost interventions hand washing skintoskin contact avoiding unclean cord applications promoted communitybased health workers