학술논문
Recommendation for hygiene and topical in neonatology from the French Neonatal Society
Document Type
Original Paper
Author
Renesme, Laurent; Allen, A.; Audeoud, F.; Bouvard, C.; Brandicourt, A.; Casper, C.; Cayemaex, L.; Denoual, H.; Duboz, M. A.; Evrard, A.; Fichtner, C.; Fischer-Fumeaux, C. J.; Girard, L.; Gonnaud, F.; Haumont, D.; Hüppi, P.; Knezovic, N.; Laprugne-Garcia, E.; Legouais, S.; Mons, F.; Pelofy, V.; Picaud, J. C.; Pierrat, V.; Pladys, P.; Reynaud, A.; Souet, G.; Thiriez, G.; Tourneux, P.; Touzet, M.; Truffert, P.; Zaoui, C.; Zana-Taieb, E.; Zores, C.; Sizun, J.; Kuhn, P.
Source
European Journal of Pediatrics. 178(10):1545-1558
Subject
Language
English
ISSN
0340-6199
1432-1076
1432-1076
Abstract
We sought to establish guidelines for hygiene care in newborns based on a systematic review of the literature and grading of evidence using the Groupe de Réflexion et d’Evaluation de l’Environement des Nouveau-nés (GREEN) methodology. We examined 45 articles and 4 reports from safety agencies. These studies recommend a tub bath (rather than a sponge bath) for full-term infants and a swaddle bath for preterm newborns. They also recommend against daily cleansing of preterm infants. The literature emphasized that hygiene care must consider the clinical state of the newborn, including the level of awareness and behavioral responses. Hospitalized newborns treated with topical agents may also experience high exposure to potentially harmful excipients of interest. Caregivers should therefore be aware of the excipients present in the different products they use. In high-resource countries, the available data do not support the use of protective topical agents for preterm infants.Conclusions: We recommend individualization of hygiene care for newborns. There is increasing concern regarding the safety of excipients in topical agents that are used in neonatology. A multidisciplinary approach should be used to identify an approach that requires lower levels of excipients and alternative excipients.[Table Removed]