detinfДЕТСКИЕ ИНФЕКЦИИCHILDREN INFECTIONS2072-81072618-8139Association of Pediatricians and Infection Disease doctors10.22627/2072-8107-2023-22-1-37-40detinf-811Research ArticleВ ПОМОЩЬ ПРАКТИЧЕСКОМУ ВРАЧУTO HELP OF PRACTICAL PEDIATRICSСравнительная характеристика бактериальной микрофлоры пуповины у новорожденных детейComparative characteristics of the bacterial microflora of the umbilical cord in newborn childrenhttps://orcid.org/0000-0002-4634-3696БочковаЛ. Г.BochkovaL.

Бочкова Лариса Геннадьевна, к.м.н., доцент кафедры госпитальной педиатрии и неонатологии

Саратов

Bochkova L., PhD, Associate Professor

Saratov

Lu_lg@mail.ruhttps://orcid.org/0000-0002-5663-9220ЭйберманА. С.EibermanA.

Эйберман Александр Семенович, д.м.н., профессор кафедры госпитальной педиатрии и неонатологии

Саратов

Eiberman А., MD, Professor

Saratov

aberman@bk.ruhttps://orcid.org/0000-0002-6896-7563ЧерненковЮ. В.ChernenkovY.

Черненков Юрий Валентинович, д.м.н., профессор, заведующий кафедрой госпитальной педиатрии и неонатологии

Саратов

Chernenkov Y., MD, Professor

Saratov

chernenkov64@mail.ruhttps://orcid.org/0000-0003-2821-7896КирилочевО. К.KirilochevO.

Кирилочев Олег Константинович, д.м.н., профессор, заведующий кафедрой анестезиологии и реаниматологии

Астрахань

Kirilochev O., MD, Professor

Astrakhan

kirilochevoleg@gmail.comhttps://orcid.org/0000-0003-2480-6407ТарасоваЗ. Г.TarasovaZ.

Тарасова Зоя Германовна, к.м.н., ассистент кафедры госпитальной педиатрии с курсом последипломного образования

Астрахань

Tarasova Z., PhD, Assistant

Astrakhan

zoya_isenalieva@mail.ruФГБОУ ВО «Саратовский государственный медицинский университет им. В.И. Разумовского» МЗ РФРоссияSaratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian FederationRussian FederationФГБОУ ВО «Астраханский государственный медицинский университет» МЗ РФРоссияAstrakhan State Medical University of the Ministry of Health of the Russian FederationRussian Federation2023010420232213740Copyright © Бочкова Л.Г., Эйберман А.С., Черненков Ю.В., Кирилочев О.К., Тарасова З.Г., 20232023Бочкова Л.Г., Эйберман А.С., Черненков Ю.В., Кирилочев О.К., Тарасова З.Г.Bochkova L., Eiberman A., Chernenkov Y., Kirilochev O., Tarasova Z.This work is licensed under a Creative Commons Attribution 4.0 License.https://detinf.elpub.ru/jour/article/view/811

Целью данного исследования было выявление различий бактериальной колонизации пупочного остатка у новорожденных при совместном пребывании с матерями и у новорожденных, получавших лечение отдельно от матерей. Материалы и методы: проведено исследование 180 новорожденных, родившихся в Перинатальном центре в период с октября 2014 г. по март 2019 г., и распределенных на 3 группы: 82 новорожденных, родившихся при вагинальных родах (ВР) и находившихся в режиме совместного пребывания с матерями; 60 новорожденных, родившихся путем кесарева сечения (КС) и находившихся совместно с матерями; 38 новорожденных, поступивших в ОРИТН и находившихся отдельно от матерей. Уход за пуповиной у всех новорожденных заключался в естественном высыхании пуповины. Учитывались способ родоразрешения, паритет беременности, пол ребенка, вес при рождении и гестационный возраст. Данные анализировались программой SPSS (версия 20.0). Определение нормальности распределение данных проводилось с использованием критерия χ-квадрат Колмогорова-Смирнова. Результаты. Анализ данных показал, что в исследуемых группах не выявлено существенных различий бактериальной обсемененности у детей разного пола и первородящих матерей, но отмечались различия в зависимости от сроков беременности и веса при рождении.

The aim of this study was to study the bacterial colonization of the umbilical residue in newborns when staying together with mothers and in newborns treated separately from mothers. Materials and methods: a study was conducted of 180 newborns born in the Perinatal Center in the period from October 2014 to March 2019, and divided into 3 groups: 82 newborns born during vaginal birth (VR) and were in cohabitation with mothers; 60 newborns born by caesarean section (CS) and shared with their mothers; 38 newborns admitted to the NICU and were separated from their mothers. Care for the umbilical cord in all newborns consisted in the natural drying of the umbilical cord. The method of delivery, pregnancy parity, sex of the child, birth weight and gestational age were taken into account. The data was analyzed by SPSS (version 20.0). The normality of the distribution of the data was determined using the criterion χ-square Kolmogorova-Smirnova. Results. Analysis of the data showed that in the study groups there were no significant differences in bacterial contamination in children of different sexes and primiparous mothers, but there were differences depending on the timing of pregnancy and birth weight.

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The authors declare that there are no conflicts of interest present.