Incidence of umbilical cord infection in neonates receiving 7.1% chlorhexidine gel and methylated-spirit in ibadan

Abstract

BackgroundThe optimal method of umbilical cord care after birth is still a controversial issue, as umbilical stump has remained a focus of infection in newborns. Use of topical antiseptics is one intervention that could reduce the incidence of infection by preventing or reducing the bacterial colonization of the umbilical cord in neonates. AimTo compare the incidence of umbilical cord infection between neonates receiving 7.1% chlorhexidine gel (CHG) and Methylated-spirit (MTS) in Ibadan. Method and subjectsThis study was a prospective-comparative study. The study settings were selected by a multistage sampling technique from the 11 local governments in Ibadan. A total of 179 newborns (93 in the Chlorhexidine group and 86 in the Methylated spirit group) were enrolled into the study from three primary health centers (PHC) in Ibadan and analyzed for the incidence of umbilical cord infection. ResultsThere was no statistical significant difference in the incidence of umbilical cord infection between the two groups [p = 0.447). There was a higher non compliance rate in the CHG group (21.1%) than in the MTS group (9.6%) [p = 0.001] Conclusion: There is no difference in incidence of umbilical cord infection with the use of Chlorhexidine or methylathed spirit in newborns.