Late Intrahospital Bath Is Safety in Newborns Volume 3 - Issue 1

Erika del Carmen Ochoa Correa MD, PhD¹, Mónica Janeth Olivares-Ramírez MD¹, Isaías Rodríguez Balderrama MD, PhD¹, Adriana Nieto Sanjuanero MD, PhD¹*, Jorge M. Llaca Diaz MSc², Christian Alanis Enríquez MD¹, Manuel Enrique de la O-Cavazos³

• ¹Neonatology Unit, School of Medicine and University Hospital “Dr. José Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León (U.A.N.L.), Monterrey, Nuevo León, México.
• ²Departamento de Patología Clínica, School of Medicine and University Hospital “Dr. José Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León (U.A.N.L.), Monterrey, Nuevo León, México.
• ³Department of Pediatrics, School of Medicine and University Hospital “Dr. José Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León (U.A.N.L.), Monterrey, Nuevo León, México.

Received: December 09, 2020   Published: January 12, 2021

Corresponding author: Adriana Nieto Sanjuanero MD, PhD, Neonatology Unit, School of Medicine and University Hospital “Dr. José Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León (U.A.N.L.), Av. Francisco I. Madero, s/n, Col. Mitras Centro, C.P. 66460, Monterrey, Nuevo Léon, Mexico.

DOI: 10.32474/PAPN.2021.03.000155

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Abstract

Introduction: Preterm infants in many neonatal intensive care units (NICU) are routinely bathed despite the lack of evidence to support frequent bathing as a way to reduce the risk of infection. In fact, research has shown that routine bathing causes behavioral and psychological instability in premature infants
Materials and methods: Prospective, randomized clinical trial. Neonates older than 34 weeks of gestation were included, treated in the Neonatal Intermediate Care Unit at the University Hospital in the period from October 1, 2018 to February 28, 2019.

Results: A total of 34 patients were included in the study, which were assigned by lot to two groups, 17 patients corresponded to the control group (daily bath) and 17 patients to the intervention group (bath every 3 days). There was no significant difference between the two groups regarding gestational age, however, a value of p = 0.034 was found regarding trophism.
Conclusion: There were no differences in the presence of saprophytic flora or pathogenic flora that colonize the skin of the neck region between both groups. The main saprophytic microorganism found was coagulase negative Staphylococci; and the main pathogens detected in the cultives of both groups were Staphylococci Aureus and E. Coli.

Keywords: Bath; Colonization; Cultivation; Germ; Newborn; Pathogenic Flora; Saprophytic Flora

Abstract| Introduction| Materials and Methods| Results| Discussion| References|