Omphalitis in newborns: all about the disease
Care for a newborn child includes a daily sanitation of the umbilical wound until it is completely healed. This process can last for several weeks, but with the right approach and the implementation of all the pediatrician’s recommendations for health problems, the baby usually does not arise. However, if basic hygiene rules are not respected, the skin around the navel begins to turn red, get wet and fester, and the baby’s health gradually deteriorates. These symptoms are harbingers of a serious illness, the ignoring of which can lead to serious consequences up to a lethal outcome. However, with the timely start of treatment, omphalitis in newborns passes quickly and without a trace.
Omphalitis is an inflammatory lesion of the skin and subcutaneous tissue in the umbilical region of children, occurring most often in the 2-3 week of life. The main pathogens are some bacteria (Escherichia coli, Streptococcus, Staphylococcus aureus) and fungi. There are several forms (stages) of the disease:
- A simple form, the most common and proceeding without complications. It is characterized by reddening and swelling of the umbilical ring, marked increase in skin temperature around the focus of infection, lethargy and anxiety. The separable wound is clear or light yellow, sometimes with a small amount of blood.
- Purulent form. It is accompanied by poor health of the child, weakness, lack of appetite, fever to 38 ° C and above, marked reddening and swelling of the skin on the abdomen. Discharges from the navel become more viscous and dark, acquire an unpleasant odor.
- Phlegmonous form. The condition of the newborn is severe, characterized by a persistent increase in temperature above 39 ° C, convulsions of the extremities, vomiting, rejection of the breast. The wound surface increases in size and is a pus-filled ulcer. The venous network appears on the skin of the abdomen, because of which it acquires a cyanotic shade. Infection quickly spreads to neighboring tissues and vessels of the abdominal cavity.
- Necrotic form. It occurs in the late stages of the disease and is characterized by the death of the affected tissues. In the absence of immediate treatment, the infection leads to sepsis.