The omphalitis

The omphalitis - inflammation of the skin and subcutaneous tissue in the area of the navel, caused by infection of the umbilical wound. The main cause of omphalitis is failure to observe sanitary and hygienic rules of care of newborns. Often the omphalitis develops in immunocompromised children born from mothers with adversely flowed pregnancy and childbirth.
The clinical picture of omphalitis characterized by local changes and the General reaction of the child. The area of funic remnant or umbilical wound and surrounding tissue giperemiei, edematous, infiltrated. The remains of umbilical vessels on the front surface of the abdominal wall sealed and infiltrated. From umbilical wound or funic remnant stands out purulent secret that, drying up, forms of purulent brown. One can often observe purulent fusion and ulceration of the navel. Weak current omphalitis in the constant irritation of tissue purulent discharge develop excessive granulation, which hinders healing. In the absence of vigorous remedial measures the omphalitis is complicated by abscess of abdominal wall, in severe cases, peritonitis , or sepsis.
The disease, usually accompanied by fever, anxiety, or lethargy of the child, waiving his chest, sleep disorders.
Treatment of omphalitis should be energetic, comprehensive and under the supervision of a physician. Umbilical wound daily wash out of 0.02% solution furatsilina , or 3% solution of hydrogen peroxide with the subsequent lubrication its 1% alcohol solution brilliant green or 70% alcohol. Child with severe cases prescribed antibiotics in optimal doses and long course. Antibiotics are prescribed taking into account the sensitivity of flora sown from umbilical detachable, to particular drugs. Use intravenous administration of plasma and single-group of blood at a rate of 5 ml per 1 kg of body weight, vitamins (b and C). Locally appointed bandages with hypertonic solution of sodium chloride, with rivanol (1:1000), 1% syntomycin emulsion, tetracycline ointment, and ultraviolet radiation (on recommendation of a physiotherapist). Granulation is removed by burning 10% solution of nitrate of silver.

The omphalitis (omphalitis; from the Greek. omphalos - navel - is an inflammation of the skin and subcutaneous tissue at the umbilicus caused by infection of the umbilical wound. Infection can occur immediately after birth, during the first toilet, and later through the umbilical residue, and after his falling away, until the umbilical wound not yet covered by the epithelium. Before the introduction of asepsis the omphalitis was one of the common diseases of the newborn; often observed epidemic Acting with high fatality. Currently the Acting is rare. The disease is often called streptococci, staphylococci, rarely - coli and Pseudomonas aeruginosa.
Begins omphalitis usually 2-3 weeks of the child's life. The skin around the navel is red, intense and brilliant, Vienna expanded appear infiltration and swelling. Infected umbilical wound often closed serous or purulent skin. The area of umbilicus protruding in the form of a cone. The child becomes restless, keep feet firmly pressed against my stomach to ease the tension of the abdominal wall. The temperature can rise, delayed weight gain, appetite is reduced. Purulent discharge indicates the infections navel (blennorrhea, s. pyorrhea, umbilici).
Prolonged healing of festering umbilical wounds can cause ulcers navel (ulcus umbilici) - round or oval defect inflamed tissue edges and covered with pus bottom. If on the bottom of the ulcer has a plaque, it is necessary to exclude diphtheria navel. The growth of granulation tissue with the protracted umbilical wound healing forms a small tumor - mushroom navel (fungus umbilici). In severe cases, the infection can spread beyond the navel with the development of cellulitis or even sepsis.
Incorrectly referred to omphalitis weeping belly button that appears, and clean the umbilical wound with small serous discharge. After deciduation of funic remnant umbilical wound completely healed after 1-2 weeks; during this time you may experience weeping.
For diagnosis O. should take into account the nature and duration soak umbilical wound.
Treatment of omphalitis consists of daily washing of umbilical wounds of 0.02% solution furatsilina, or 3% solution of hydrogen peroxide with the subsequent lubrication its 1 % alcohol solution brilliant green, a 5% solution of potassium permanganate, or 70% alcohol. At growth of granulation and education mushroom navel wash the wound 3% of a solution of peroxide of hydrogen, followed by the burning of granulations wand Lyapis. When a large mushroom is recommended to wrap it up at the base of sterile silk ligature. In severe with the overall reaction is carried out not only local, but also a General treatment with the use of broad-spectrum antibiotics. Along with the use of antibiotics is set to increase the body's resistance newborn good care and proper breastfeeding, the introduction of gamma globulin, hemotherapy and blood transfusions.
To prevent infection in the navel careful observance of asepsis in ligation of the umbilical cord and in the care of her balance and umbilical wound in the future (use of aseptic drying bandages). Accelerated deciduation of funic remnant with advanced methods ligation (bracketed Century. E. Rogovina, processing of funic remnant alcoholic solution of gramicidin 1 : 100) contributes to a more rapid epithelization of umbilical wounds and prevents the infection.