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Recommendation for hygiene and topical in neonatology from the French Neonatal Society

dc.contributor.authorRENESME, L.
dc.contributor.authorALLEN, A.
dc.contributor.authorAUDEOUD, F.
dc.contributor.authorBOUVARD, C.
dc.contributor.authorBRANDICOURT, A.
dc.contributor.authorCASPER, C.
dc.contributor.authorCAYEMAEX, L.
dc.contributor.authorDENOUAL, H.
dc.contributor.authorDUBOZ, M. A.
hal.structure.identifierUniversity of Michigan [Ann Arbor]
dc.contributor.authorEVRARD, A.
dc.contributor.authorFICHTNER, C.
dc.contributor.authorFISCHER-FUMEAUX, C. J.
dc.contributor.authorGIRARD, L.
dc.contributor.authorGONNAUD, F.
dc.contributor.authorHAUMONT, D.
hal.structure.identifierHôpitaux universitaires de Genève = University Hospitals of Geneva [HUG]
dc.contributor.authorHUPPI, P.
dc.contributor.authorKNEZOVIC, N.
dc.contributor.authorLAPRUGNE-GARCIA, E.
dc.contributor.authorLEGOUAIS, S.
dc.contributor.authorMONS, F.
dc.contributor.authorPELOFY, V.
hal.structure.identifierCardiovasculaire, métabolisme, diabétologie et nutrition [CarMeN]
dc.contributor.authorPICAUD, J. C.
dc.contributor.authorPIERRAT, V.
hal.structure.identifierCentre Hospitalier Universitaire [Rennes]
dc.contributor.authorPLADYS, P.
dc.contributor.authorREYNAUD, A.
dc.contributor.authorSOUET, G.
hal.structure.identifierCentre Hospitalier Régional Universitaire de Besançon [CHRU Besançon]
dc.contributor.authorTHIRIEZ, G.
dc.contributor.authorTOURNEUX, P.
hal.structure.identifierInstitut de Mécanique et d'Ingénierie de Bordeaux [I2M]
dc.contributor.authorTOUZET, M.
dc.contributor.authorTRUFFERT, P.
dc.contributor.authorZAOUI, C.
dc.contributor.authorZANA-TAIEB, E.
dc.contributor.authorZORES, C.
dc.contributor.authorSIZUN, J.
hal.structure.identifierGerman Aerospace Center [DLR]
dc.contributor.authorKUHN, P.
dc.date.accessioned2021-05-14T09:36:39Z
dc.date.available2021-05-14T09:36:39Z
dc.date.issued2019
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/76300
dc.description.abstractEnWe 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 Reflexion et d'Evaluation de l'Environement des Nouveau-nes (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.What is known:center dot Hygiene care is one of the most basic and widespread types of care received by healthy and sick newborns worldwide.center dot There is no current guideline on hygiene for preterm or hospitalized term newborn.What is new:center dot The French Group of Reflection and Evaluation of the environment of Newborns (GREEN) provided here guidelines based on the current body of evidence.center dot Caregivers should be aware of the many issues related to hygiene care of newborns including newborns' behavioral responses to hygiene care, exposition to excipients of interest, and the potential risk of protective topical agents in a preterm infant. provided here guidelines based on the current body of evidence.center dot Caregivers should be aware of the many issues related to hygiene care of newborns including newborns' possible behavioral responses to hygiene care, exposition to excipients of interest and the potential risk of protective topical agents in a preterm infant.
dc.language.isoen
dc.subject.enHygiene
dc.subject.enpotentially harmful excipients
dc.subject.entherapy
dc.subject.enPediatrics
dc.subject.ensepsis
dc.subject.enprevention
dc.subject.encare
dc.subject.eninfants
dc.subject.enpreterm infants
dc.subject.enNewborn
dc.subject.ennewborns
dc.subject.enbirth-weight
dc.subject.enExcipient of interest
dc.subject.enPreterm
dc.subject.enskin barrier function
dc.subject.enTopical
dc.subject.enwater-loss
dc.title.enRecommendation for hygiene and topical in neonatology from the French Neonatal Society
dc.typeArticle de revue
dc.identifier.doi10.1007/s00431-019-03451-3
dc.subject.halSciences du Vivant [q-bio]
bordeaux.journalEuropean journal of pediatrics
bordeaux.page1545--1558
bordeaux.volume178
bordeaux.hal.laboratoriesInstitut de Mécanique et d’Ingénierie de Bordeaux (I2M) - UMR 5295*
bordeaux.issue10
bordeaux.institutionUniversité de Bordeaux
bordeaux.institutionBordeaux INP
bordeaux.institutionCNRS
bordeaux.institutionINRAE
bordeaux.institutionArts et Métiers
hal.identifierhal-02465930
hal.version1
hal.origin.linkhttps://hal.archives-ouvertes.fr//hal-02465930v1
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=European%20journal%20of%20pediatrics&rft.date=2019&rft.volume=178&rft.issue=10&rft.spage=1545--1558&rft.epage=1545--1558&rft.au=RENESME,%20L.&ALLEN,%20A.&AUDEOUD,%20F.&BOUVARD,%20C.&BRANDICOURT,%20A.&rft.genre=article


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