Lamichhane Bikash, Khanal Leela, Shrestha Parashu Ram, Dawson Penny, Singh Samikshya
Child Health Division, Department of Health Service, Ministry of Health, Kathmandu, Nepal.
JSI Research and Training Institute, Inc., Kathmandu, Nepal.
J Nepal Health Res Counc. 2018 Oct 30;16(3):359-361.
Chlorhexidine is a broad-spectrum antiseptic, effective on gram positive and gram negative bacteria as well as some viruses, having strong skin binding effect. Randomized controlled trials conducted in South Asian countries have proven that the use of chlorhexidine (4% weight/weight) for cord care can reduce neonatal mortality and prevent severe cord infections. Between 2011 and 2017, Nepal completed nationwide scale-up of the use of chlorhexidine by integrating with ongoing maternal and neonatal health programs, under the leadership of the Child Health Division. The chlorhexidine coverage and compliance study (2017) has revealed that the country has achieved 59% coverage of the intervention to date, with lowest use among home births. The strategy should be further strengthened to ensure that every newborn in need is reached with chlorhexidine. Keywords: Chlorhexidine; cord care; Nepal experience, Newborn.
洗必泰是一种广谱抗菌剂，对革兰氏阳性菌和革兰氏阴性菌以及一些病毒有效，具有很强的皮肤结合作用。在南亚国家进行的随机对照试验证明，使用洗必泰（4%重量/重量）进行脐带护理可降低新生儿死亡率并预防严重的脐带感染。2011年至2017年期间，尼泊尔在儿童健康司的领导下，通过与正在进行的孕产妇和新生儿健康项目相结合，在全国范围内扩大了洗必泰的使用。洗必泰覆盖范围和依从性研究（2017年）显示，该国迄今已实现59%的干预覆盖率，在家中分娩的使用率最低。应进一步加强该战略，以确保每个有需要的新生儿都能使用洗必泰。关键词：洗必泰；脐带护理；尼泊尔经验；新生儿
