Omphalitis of newborn
Chapter 16:Certain conditions originating in the perinatal period
ICD-10 P38 is a billable code used to indicate a diagnosis of omphalitis of newborn.
Omphalitis is an infection of the umbilical stump that occurs in newborns, typically within the first week of life. It is characterized by inflammation, redness, and discharge at the site of the umbilical cord. The condition can arise from various factors, including poor hygiene, contamination during delivery, or inadequate care of the umbilical stump. Omphalitis can lead to serious complications such as sepsis, which may require hospitalization and intensive care. The infection is often caused by bacteria, including Staphylococcus aureus and Escherichia coli. Clinical signs may include fever, irritability, and feeding difficulties. Early recognition and treatment are crucial to prevent progression to systemic infection. Management typically involves antibiotic therapy and, in severe cases, surgical intervention may be necessary to remove necrotic tissue. Proper care of the umbilical cord stump, including keeping it clean and dry, is essential in preventing omphalitis in newborns.
Detailed clinical notes on the presentation, treatment, and response to therapy are essential.
A newborn presents with a red, swollen umbilical stump and fever, requiring evaluation in the NICU.
Neonatologists must document the timing of the infection and any interventions performed.
Pediatricians should document the history of umbilical cord care and any parental education provided.
A pediatric follow-up visit for a newborn with a history of omphalitis.
Consideration of long-term outcomes and potential complications in follow-up care.
Used when a newborn with omphalitis requires intensive monitoring and treatment.
Detailed notes on the infant's condition, treatment provided, and response to care.
Neonatologists should ensure that all critical care elements are documented.
Common signs include redness, swelling, and discharge at the umbilical stump, along with systemic signs such as fever and irritability.
Treatment typically involves antibiotic therapy and, in severe cases, surgical intervention to remove necrotic tissue.
