Cuidado tópico del cordón umbilical: Una revisión de la evidencia

Abstract

Objectives: To review the available evidence on the effectiveness of topical treatments (Chlorhexidine and Alcohol 70º) in newborns versus the dry core care to prevent infection of the umbilical cord. Methods: A systematic review of randomized clinical trials published in the last 5 years (2011-2015) addressing the topical treatment of umbilical cord in healthy newborn of any gestational age in developed countries and non-hospital environments was performed. The research was conducted in Spanish and English. Results: 118 records that are girded to 8 appointments after reading the title and abstract were found. Five of them were included in the study. Conclusions: The available evidence shows no significant differences in onfalitis or signs of umbilical cord infection. Thus making the cure clean and dry cord does not pose a risk of increased onfalitis in the newborn. Antiseptics (chlorhexidine and alcohol 70º) increase the decay time of the cord.