Treatment of newborn omphalitis

Neonatal omphalitis should be the basis of clinical manifestations of different treatment options: First of all, all the children have inflammation of the umbilical巳经implementation of dressing change, which includes:

1, umbilical Clean: You can use 75% alcohol, normal saline, 3% boric acid solution, 1:1000 Bromogeramine fluid, such as chloramphenicol eye drops in a kind of sterile cotton stick or a cotton ball dipped in the above-mentioned solution, the gently wipe the affected area, eliminate purulent secretions. Umbilical cord stump fell off, if not yet to be clean. 1-2 times a day. Applicable to simple or other umbilical infection omphalitis
2, topical drugs: the root doctor in a clean umbilical show, the local use of 40% zinc oxide zinc oxide oil or chloramphenicol oil, cord powder (containing sediment Ethacridine Leif also known as Manuel, zinc oxide), more than 100 State ointment, erythromycin eye ointment, such as an. Every 1 said. Attention as far as possible without purple syrup, red syrup, so as to avoid staining of the concept of the impact of lesion search. Generally do not have iodine, so as not to burn the skin around the navel.
3, external application drugs: to reduce the swelling or lesion can be used to promote suppuration Hirudoid, ointment ichthyol, Ru Yi Jin Huang San (Chinese medicine) or treated, such as external application for the merger omphalitis infected abdominal wall. Do not pay attention to external drug time is too long, there is generally no more than six hours.
4, puncture or incision and drainage pumping septic: Where the formation of abscess pus should positive drainage, septic or septic thick volume need incision and drainage,? K insist on dressing change (the replacement of drainage, the drainage to maintain patency promote healing Vomica) . Liver abscess and falciform ligament abscess drainage Department need to be hospitalized after surgery.
5, burn: the formation of human umbilical granuloma may be through the drug (10% silver nitrate) or laser removal burning.
Followed by antibiotics, as a result of suppuration caused by bacteria omphalitis are resistant Staphylococcus aureus or Staphylococcus epidermidis, so in general, such as antibiotics penicillin, erythromycin and other bad effects, the best training in the basis of purulent secretions sensitive to the choice of antibiotics. Prior to that, doctors will be selected based on experience and suitable for use in neonatal good drug efficacy. Also as a result of neonatal oral or intramuscular antibiotics for poor absorption, so the general choice of intravenous administration. Some parents see their baby on the scalp is very distressed little bar, with a total want to change the oral medication, but when you know the truth, we will tie in with the treatment. If the diagnosis of sepsis, antibiotics may need a few days resting point.
Others, such as supportive care (including high intravenous nutrition, blood transfusion, transfusion of plasma), etc., will depend on the situation of the sick child to be used. In general, the prognosis omphalitis satisfied with a small number of the formation of portal vein thrombosis, and should follow-up observation.