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Peri-umbilical cellulitis in Nigerian neonates.
J A Owa1, O A Ayelami, O Adejuyigbe
1Department of Paediatrics and Child Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
The Central African Journal of Medicine
|January 1, 1992
Summary
Neonatal peri-umbilical cellulitis is a severe infection linked to unsterile cord care practices. Improving access to hospital delivery and sterile cord care can prevent this highly fatal condition in newborns.
Area of Science:
- Neonatal Medicine
- Infectious Diseases
- Public Health
Background:
- Peri-umbilical cellulitis is a serious neonatal infection.
- Traditional cord care practices can lead to severe complications.
Purpose of the Study:
- To analyze cases of peri-umbilical cellulitis in neonates.
- To identify risk factors and outcomes.
- To recommend preventive strategies.
Main Methods:
- Retrospective analysis of 32 neonates with peri-umbilical cellulitis.
- Data collected from Wesley Guild Hospital, Ilesa, Nigeria (1979-1989).
- Review of clinical features, maternal history, and outcomes.
Main Results:
- High incidence of abdominal distension, peri-umbilical inflammation, and discharge.
- Apparent causative factors: hot fomentation and unsterile materials on the umbilical cord.
- Extremely high case fatality rate of 71.9%.
Conclusions:
- Peri-umbilical cellulitis poses a significant threat to neonates in the region.
- Sterile umbilical cord care and hospital delivery are crucial for prevention.
- Facilitating access to healthcare for underprivileged populations can reduce mortality.