Document Detail

Effect of less frequent bathing of preterm infants on skin flora and pathogen colonization.
MedLine Citation:
PMID:  11110328     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine if less frequent bathing alters colony count or type of organism in skin flora of preterm infants. DESIGN: Descriptive, repeated measures study. SETTING: A regional neonatal intensive-care unit. PARTICIPANTS: Forty-five preterm infants, 31 weeks mean gestational age (SD +/- 1.6 weeks) and 17 days mean postnatal age (SD +/- 3.7 days). INTERVENTIONS: Before the study, all infants received a bath every other day. On Day 1 of the study, a routine sponge bath was given, then no further bathing was performed for 4 days. MAIN OUTCOME MEASURE: Serial axillary skin cultures to identify the number of colony forming units (CFU) and type of organism were obtained within 30 minutes of the bath on Day 1 and at the same time on Days 2, 3, and 4. RESULTS: Normal skin flora CFU count, predominantly coagulase-negative staphylococci, increased within 48 hours after bathing compared to values 30 minutes after bathing. There were no differences in normal skin flora CFU on Days 2, 3, and 4. Pathogens were identified in 12 infants for at least one time point during the study. Significantly fewer pathogens were found in the cultures over time, despite longer interval since bathing, and no infant developed symptoms of infection during the study period. CONCLUSION: Findings from this study suggest that the frequency of bathing of preterm infants can be reduced without increasing the risk of infection.
L S Franck; D Quinn; L Zahr
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  29     ISSN:  0884-2175     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2000 Nov-Dec
Date Detail:
Created Date:  2001-03-01     Completed Date:  2001-04-05     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  584-9     Citation Subset:  IM; N    
King's College London School of Nursing and Midwifery and Great Ormond Street Hospital for Children NHS Trust, England.
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MeSH Terms
Bacteria / growth & development
Baths / methods*,  nursing
Clinical Nursing Research
Colony Count, Microbial
Infant, Newborn
Infant, Premature*
Intensive Care, Neonatal / methods
Neonatal Nursing / methods*
Skin / microbiology*
Time Factors
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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