{"id":"https://openalex.org/W2043764442","doi":"https://doi.org/10.3109/14767058.2014.993373","title":"Chlorhexidine \u2013 a novel intervention to decrease the nursery stay and antibiotic exposure duration \u2013 randomized trial","display_name":"Chlorhexidine \u2013 a novel intervention to decrease the nursery stay and antibiotic exposure duration \u2013 randomized trial","publication_year":2014,"publication_date":"2014-12-01","ids":{"openalex":"https://openalex.org/W2043764442","doi":"https://doi.org/10.3109/14767058.2014.993373","mag":"2043764442","pmid":"https://pubmed.ncbi.nlm.nih.gov/25434645"},"language":"en","primary_location":{"id":"doi:10.3109/14767058.2014.993373","doi":"https://doi.org/10.3109/14767058.2014.993373","is_oa":false,"landing_page_url":"https://doi.org/10.3109/14767058.2014.993373","pdf_url":null,"source":{"id":"https://openalex.org/S1605907","display_name":"The Journal of Maternal-Fetal & Neonatal Medicine","issn_l":"1476-4954","issn":["1476-4954","1476-7058"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320449","host_organization_name":"Informa","host_organization_lineage":["https://openalex.org/P4310320449"],"host_organization_lineage_names":["Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Maternal-Fetal &amp; Neonatal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5100786499","display_name":"Deepak Kumar Sharma","orcid":"https://orcid.org/0000-0001-7612-3486","observed_orcids":["https://orcid.org/0000-0001-7612-3486"]},"institutions":[{"id":"https://openalex.org/I4210094209","display_name":"Fernandez Hospital","ror":"https://ror.org/00jqpet07","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210094209"]},{"id":"https://openalex.org/I4210096133","display_name":"Hospital Fern\u00e1ndez","ror":"https://ror.org/00tdzhd41","country_code":"AR","type":"healthcare","lineage":["https://openalex.org/I4210096133"]}],"countries":["AR","IN"],"is_corresponding":true,"raw_author_name":"Deepak Sharma","raw_affiliation_strings":["Department of Neonatology, Fernandez Hospital","Department of Neonatology , Fernandez Hospital , Hyderabad , Andhra Pradesh , India "],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neonatology, Fernandez Hospital","institution_ids":["https://openalex.org/I4210094209","https://openalex.org/I4210096133"]},{"raw_affiliation_string":"Department of Neonatology , Fernandez Hospital , Hyderabad , Andhra Pradesh , India ","institution_ids":["https://openalex.org/I4210094209"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108146729","display_name":"Geeta Gathwala","orcid":"https://orcid.org/0000-0001-6351-4365","observed_orcids":["https://orcid.org/0000-0001-6351-4365"]},"institutions":[{"id":"https://openalex.org/I13529149","display_name":"Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences","ror":"https://ror.org/053y9xq02","country_code":"IN","type":"education","lineage":["https://openalex.org/I13529149"]},{"id":"https://openalex.org/I4210140486","display_name":"Pandit Bhagwat Dayal Sharma University of Health Sciences","ror":"https://ror.org/03xpvwe80","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210140486"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Geeta Gathwala","raw_affiliation_strings":["Department of Pediatrics, Pandit B.D. Sharma Postgraduate Institute of Medical Sciences","Department of Pediatrics , Pandit B.D. Sharma Postgraduate Institute of Medical Sciences , Rohtak , Haryana , India , and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Pandit B.D. Sharma Postgraduate Institute of Medical Sciences","institution_ids":["https://openalex.org/I13529149"]},{"raw_affiliation_string":"Department of Pediatrics , Pandit B.D. Sharma Postgraduate Institute of Medical Sciences , Rohtak , Haryana , India , and","institution_ids":["https://openalex.org/I13529149","https://openalex.org/I4210140486"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5056131085","display_name":"Sweta Shastri","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405255648","display_name":"Jawahar Medical Foundation's Annasaheb Chudaman Patil Memorial Medical College & Hospital","ror":"https://ror.org/038f2eq15","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405255648"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Sweta Shastri","raw_affiliation_strings":["ACPM Medical College","ACPM Medical College , Dhule , Maharasthra , India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ACPM Medical College","institution_ids":["https://openalex.org/I4405255648"]},{"raw_affiliation_string":"ACPM Medical College , Dhule , Maharasthra , India","institution_ids":["https://openalex.org/I4405255648"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5100786499"],"corresponding_institution_ids":["https://openalex.org/I4210094209","https://openalex.org/I4210096133"],"apc_list":null,"apc_paid":null,"fwci":3.1877,"has_fulltext":false,"cited_by_count":12,"citation_normalized_percentile":{"value":0.91037582,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"29","issue":"2","first_page":"213","last_page":"217"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13206","display_name":"Neonatal skin health care","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13206","display_name":"Neonatal skin health care","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11961","display_name":"Neonatal and Maternal Infections","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chlorhexidine","display_name":"chlorhexidine","score":1.0},{"id":"https://openalex.org/keywords/umbilical-cord-care","display_name":"umbilical cord care","score":0.9879999756813049},{"id":"https://openalex.org/keywords/neonatal-intensive-care-unit-stay","display_name":"neonatal intensive care unit stay","score":0.8320000171661377},{"id":"https://openalex.org/keywords/antibiotic-exposure","display_name":"antibiotic exposure","score":0.8669999837875366},{"id":"https://openalex.org/keywords/neonatal-sepsis","display_name":"neonatal sepsis","score":0.9259999990463257},{"id":"https://openalex.org/keywords/early-hospital-discharge","display_name":"early discharge","score":0.5099999904632568},{"id":"https://openalex.org/keywords/multidrug-resistance","display_name":"multidrug resistance","score":0.8019999861717224},{"id":"https://openalex.org/keywords/newborns","display_name":"neonates","score":0.45399999618530273}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8983364105224609},{"id":"https://openalex.org/C2776955114","wikidata":"https://www.wikidata.org/wiki/Q172563","display_name":"Umbilical cord","level":2,"score":0.734887421131134},{"id":"https://openalex.org/C2777084678","wikidata":"https://www.wikidata.org/wiki/Q15646788","display_name":"Chlorhexidine","level":2,"score":0.6727842688560486},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.6043715476989746},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.6004860401153564},{"id":"https://openalex.org/C2775953899","wikidata":"https://www.wikidata.org/wiki/Q6993495","display_name":"Neonatal sepsis","level":3,"score":0.5335522294044495},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.457913339138031},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3787054419517517},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2829815447330475},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.091706782579422},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.0},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000891","descriptor_name":"Anti-Infective Agents, Local","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D002710","descriptor_name":"Chlorhexidine","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007363","descriptor_name":"Intensive Care Units, Neonatal","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014470","descriptor_name":"Umbilical Cord","qualifier_ui":"Q000187","qualifier_name":"drug effects","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3109/14767058.2014.993373","doi":"https://doi.org/10.3109/14767058.2014.993373","is_oa":false,"landing_page_url":"https://doi.org/10.3109/14767058.2014.993373","pdf_url":null,"source":{"id":"https://openalex.org/S1605907","display_name":"The Journal of Maternal-Fetal & Neonatal Medicine","issn_l":"1476-4954","issn":["1476-4954","1476-7058"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320449","host_organization_name":"Informa","host_organization_lineage":["https://openalex.org/P4310320449"],"host_organization_lineage_names":["Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Maternal-Fetal &amp; Neonatal Medicine","raw_type":"journal-article"},{"id":"pmid:25434645","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25434645","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":31,"referenced_works":["https://openalex.org/W1586253744","https://openalex.org/W1774116823","https://openalex.org/W1905011372","https://openalex.org/W1968606593","https://openalex.org/W1969025340","https://openalex.org/W1971695608","https://openalex.org/W1977551038","https://openalex.org/W1985554333","https://openalex.org/W1998605536","https://openalex.org/W2010459412","https://openalex.org/W2016598657","https://openalex.org/W2019384884","https://openalex.org/W2021280974","https://openalex.org/W2023126404","https://openalex.org/W2027322394","https://openalex.org/W2037907598","https://openalex.org/W2071916897","https://openalex.org/W2087290915","https://openalex.org/W2119259412","https://openalex.org/W2125881894","https://openalex.org/W2126861008","https://openalex.org/W2128592628","https://openalex.org/W2138254688","https://openalex.org/W2148183699","https://openalex.org/W2155839439","https://openalex.org/W2156369189","https://openalex.org/W2162334426","https://openalex.org/W2182271449","https://openalex.org/W2328693701","https://openalex.org/W2330577353","https://openalex.org/W4214698757"],"related_works":["https://openalex.org/W1968606593","https://openalex.org/W2328693701","https://openalex.org/W3111910473","https://openalex.org/W4394938921","https://openalex.org/W4388140280","https://openalex.org/W2329065808","https://openalex.org/W2342591860","https://openalex.org/W2006211198","https://openalex.org/W2323399469","https://openalex.org/W3215857757"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"study":[2,32],"the":[3,72,89,114,126,129,175,231,240,254,258,262],"effect":[4],"of":[5,18,76,91,96,105,125,128,138,171,193,200,242,261],"chlorhexidine":[6],"(CHD)":[7],"application":[8],"on":[9,16,63,257],"umbilical":[10,54,64,86,196],"cord":[11,55,65,77,87,197],"and":[12,21,37,42,57,70,93,108,203,229,264],"evaluate":[13],"its":[14],"impact":[15],"duration":[17,104,137,199],"NICU":[19,106],"stay":[20,107,140,202],"antibiotic":[22,109,172,204],"exposure":[23,173,232],"days.":[24],"METHOD:":[25],"We":[26],"enrolled":[27],"140":[28],"newborns":[29],"in":[30,34,39,48,113,136,143,146,169,174,217,226,238,252],"our":[31],"(70":[33],"intervention":[35,58,176,211,247],"group":[36,50,59,145,150,177],"70":[38],"control":[40,49,131,149],"group),":[41],"their":[43],"data":[44,117,127],"were":[45,51,83,111],"collected.":[46],"Newborns":[47],"given":[52],"routine":[53],"care,":[56],"received":[60],"CHD":[61,144,194],"spray":[62],"three":[66,74,92],"times":[67],"a":[68,122],"day":[69],"for":[71,98,116],"next":[73],"days":[75,95,110,170,205],"fall.":[78],"In":[79],"this":[80],"study,":[81],"swabs":[82],"sent":[84],"from":[85],"at":[88],"age":[90],"seven":[94],"life":[97],"culture.":[99],"Data":[100],"regarding":[101],"culture-proven":[102],"sepsis,":[103],"recorded":[112],"proforma":[115],"collection.":[118],"RESULTS:":[119],"This":[120,209,245],"is":[121],"secondary":[123],"analysis":[124],"randomized":[130],"trial.":[132],"A":[133],"significant":[134],"reduction":[135,165],"nursery":[139,201,207,220],"was":[141,166],"seen":[142,168],"comparison":[147],"with":[148],"(12.4":[151],"\u00b1":[152,157,179,184],"5.38":[153],"d":[154,181],"versus":[155,182],"14.7":[156],"6.62":[158],"d,":[159,186],"p":[160,187],"=":[161,188],"0.04,":[162,189],"significant).":[163,190],"Significant":[164],"also":[167,249],"(9.74":[178],"6.88":[180],"12.1":[183],"7.78":[185],"CONCLUSION:":[191],"Application":[192],"to":[195,233],"shortens":[198],"during":[206],"admission.":[208],"simple":[210],"may":[212,236,248],"be":[213,250],"used":[214],"as":[215,224],"mode":[216],"places":[218],"where":[219],"facilities":[221],"are":[222],"limited,":[223],"aid":[225],"early":[227],"discharge":[228],"shortening":[230],"antibiotic,":[234],"which":[235],"help":[237],"reducing":[239,253],"prevalence":[241],"multidrug-resistance":[243],"microbes.":[244],"cheap":[246],"effective":[251],"economical":[255],"burden":[256],"health":[259],"infrastructure":[260],"country":[263],"parents.":[265]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":5},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
