What is included in the monitoring of patients with omphalitis?

Updated: May 20, 2019
  • Author: Patrick G Gallagher, MD; Chief Editor: Santina A Zanelli, MD  more...
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Answer

Consider the following:

  • Monitor patients for progression of disease. Early surgical intervention may be lifesaving.

  • In uncomplicated cases, expect erythema of the umbilical stump to improve within 12-24 hours after the initiation of antimicrobial therapy. Failure to respond may suggest disease progression, presence of an anatomic defect, or an immunodeficiency state.

  • For patients who have undergone surgical intervention, postoperatively, inspect the gross appearance of the tissue on the perimeter of the debrided area several times a day or more frequently if the infant has any unresolved signs of systemic infection.

  • Monitor aminoglycoside levels, and adjust the dose accordingly.

  • Monitor and manage metabolic abnormalities, which are common in any ill neonate.


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