With more severe cases, a hematologist will need to be seen throughout the patients life in order to deal with bleeding and continued risks. References


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In fact, even in cases of omphalitis without evidence of more serious infection such as necrotizing fasciitis, mortality is high (in the 10% range). Causes
Omphalitis is most commonly caused by bacteria. The culprits usually are Staphylococcus aureus, Streptococcus, and Escherichia coli. The infection is typically caused by a combination of these organisms and is a mixed Gram-positive and Gram-negative infection. Anaerobic bacteria can also be involved. Diagnosis
In a normal umbilical stump, you first see the umbilicus lose its characteristic bluish-white, moist appearance and become dry and black  After several days to weeks, the stump should fall off and leave a pink fleshy wound which continues to heal as it becomes a normal umbilicus.For an infected umbilical stump, diagnosis is usually made by the clinical appearance of the umbilical cord stump and the findings on history and physical examination. There may be some confusion, however, if a well-appearing neonate simply has some redness around the umbilical stump. In fact, a mild degree is common, as is some bleeding at the stump site with detachment of the umbilical cord. The picture may be clouded even further if caustic agents have been used to clean the stump or if silver nitrate has been used to cauterize granulomata of the umbilical stump. Prevention
During the 1950s there were outbreaks of omphalitis that then led to anti-bacterial treatment of the umbilical cord stump as the new standard of care.