Skip to main content

Advertisement

SpringerLink
Log in

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

  • Original Article
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

We 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 Réflexion et d’Evaluation de l’Environement des Nouveau-nés (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:

• Hygiene care is one of the most basic and widespread types of care received by healthy and sick newborns worldwide.

• There is no current guideline on hygiene for preterm or hospitalized term newborn.

What is new:

• The French Group of Reflection and Evaluation of the environment of Newborns (GREEN) provided here guidelines based on the current body of evidence.

• 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.

• 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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Abbreviations

LE:

Level of evidence

TEWL:

Transepidermal water loss

References

  1. Accueil - ANSM : Agence nationale de sécurité du médicament et des produits de santé. http://ansm.sante.fr/. Accessed 8 Dec 2018

  2. AlKharfy T, Ba-Abbad R, Hadi A, AlFaleh K (2014) Use of topical petroleum jelly for prevention of sepsis in very low-birthweight infants: a prospective, randomised controlled trial. Paediatr Int Child Health 34:194–197

    Article  PubMed  Google Scholar 

  3. Alonso C, Larburu I, Bon E, González MM, Iglesias MT, Urreta I, Emparanza JI (2013) Efficacy of petrolatum jelly for the prevention of diaper rash: a randomized clinical trial. J Spec Pediatr Nurs JSPN 18:123–132

    Article  PubMed  Google Scholar 

  4. Association of Women’s Health, Obstetric and Neonatal Nurses. https://www.awhonn.org/. Accessed 8 Dec 2018

  5. Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) (2013) Neonatal Skin Care: Evidence-Based Clinical Practice Guideline, 3rd Edition, Washington DC

  6. Brandon DH, Coe K, Hudson-Barr D, Oliver T, Landerman LR (2010) Effectiveness of No-Sting skin protectant and Aquaphor on water loss and skin integrity in premature infants. J Perinatol 30:414–419

    Article  CAS  PubMed  Google Scholar 

  7. Bryanton J, Walsh D, Barrett M, Gaudet D (2004) Tub bathing versus traditional sponge bathing for the newborn. J Obstet Gynecol Neonatal Nurs JOGNN 33:704–712

    Article  PubMed  Google Scholar 

  8. Çaka SY, Gözen D (2018) Effects of swaddled and traditional tub bathing methods on crying and physiological responses of newborns. J Spec Pediatr Nurs JSPN 23:23. https://doi.org/10.1111/jspn.12202

    Article  Google Scholar 

  9. Ceylan SS, Bolişik B (2018) Effects of swaddled and sponge bathing methods on signs of stress and pain in premature newborns: implications for evidence-based practice. Worldviews Evid-Based Nurs 15:296–303

    Article  PubMed  Google Scholar 

  10. Cleminson J, McGuire W (2016) Topical emollient for preventing infection in preterm infants Cochrane Database Syst Rev CD001150. https://doi.org/10.1002/14651858.CD001150.pub3,

  11. European Comission. Excipients in the label and package leaflet of medicinal product for human use. http://www.ema.europa.eu/docs/en_GB/ document_library/Scientific_guideline/2009/09/WC500003412.pdf. Accessed 8 Dec 2018

  12. Construire avec les femmes un monde juste, sain et durable. http://www.wecf.eu/francais/index.php. Accessed 8 Dec 2018

  13. da Cunha MLC, Procianoy RS (2005) Effect of bathing on skin flora of preterm newborns. J Perinatol 25:375–379

    Article  PubMed  Google Scholar 

  14. Darmstadt GL, Saha SK, Ahmed ASMNU et al (2005) Effect of topical treatment with skin barrier-enhancing emollients on nosocomial infections in preterm infants in Bangladesh: a randomised controlled trial. Lancet 365:1039–1045

    Article  CAS  PubMed  Google Scholar 

  15. Darmstadt GL, Saha SK, Ahmed ASMNU, Ahmed S, Chowdhury MAKA, Law PA, Rosenberg RE, Black RE, Santosham M (2008) Effect of skin barrier therapy on neonatal mortality rates in preterm infants in Bangladesh: a randomized, controlled, clinical trial. Pediatrics 121:522–529

    Article  PubMed  Google Scholar 

  16. Darmstadt GL, Ahmed S, Ahmed ASMNU, Saha SK (2014) Mechanism for prevention of infection in preterm neonates by topical emollients: a randomized, controlled clinical trial. Pediatr Infect Dis J 33:1124–1127

    Article  PubMed  Google Scholar 

  17. Edraki M, Paran M, Montaseri S et al (2014) Comparing the effects of swaddled and conventional bathing methods on body temperature and crying duration in premature infants: a randomized clinical trial. J Caring Sci 3:83–91

    PubMed  PubMed Central  Google Scholar 

  18. Edwards WH, Conner JM, Soll RF, Vermont Oxford Network Neonatal Skin Care Study Group (2004) The effect of prophylactic ointment therapy on nosocomial sepsis rates and skin integrity in infants with birth weights of 501 to 1000 g. Pediatrics 113:1195–1203

    Article  Google Scholar 

  19. Erdemir A, Kahramaner Z, Yuksel Y, Cosar H, Turkoglu E, Sutcuoglu S, Ozer EA, Kose S (2015) The effect of topical ointment on neonatal sepsis in preterm infants. J Matern-Fetal Neonatal Med 28:33–36

    Article  CAS  PubMed  Google Scholar 

  20. ESPD | European Society for Pediatric Dermatology. http://www.espd.info/. Accessed 8 Dec 2018

  21. Evaluation de la sécurité des produits cosmétiques destinés aux enfants de moins de trois ans - Point d’information - ANSM : Agence nationale de sécurité du médicament et des produits de santé. http://ansm.sante.fr/S-informer/Points-d-information-Points-d-information/Evaluation-de-la-securite-des-produits-cosmetiques-destines-aux-enfants-de-moins-de-trois-ans-Point-d-information/(language)/fre-FR. Accessed 8 Dec 2018

  22. Franck LS, Quinn D, Zahr L (2000) Effect of less frequent bathing of preterm infants on skin flora and pathogen colonization. J Obstet Gynecol Neonatal Nurs JOGNN 29:584–589

    Article  CAS  PubMed  Google Scholar 

  23. de Freitas P, Bueno M, Holditch-Davis D et al (2018) Biobehavioral responses of preterm infants to conventional and swaddled tub baths: a randomized crossover trial. J Perinat Neonatal Nurs 32:358–365

    PubMed  Google Scholar 

  24. Garcia Bartels N, Mleczko A, Schink T, Proquitt&eacute H, Wauer RR, Blume-Peytavi U (2009) Influence of bathing or washing on skin barrier function in newborns during the first four weeks of life. Skin Pharmacol Physiol 22:248–257

    Article  CAS  PubMed  Google Scholar 

  25. Garcia Bartels N, Scheufele R, Prosch F, Schink T, Proquitté H, Wauer RR, Blume-Peytavi U (2010) Effect of standardized skin care regimens on neonatal skin barrier function in different body areas. Pediatr Dermatol 27:1–8

    Article  PubMed  Google Scholar 

  26. Garcia Bartels N, Massoudy L, Scheufele R, Dietz E, Proquitté H, Wauer R, Bertin C, Serrano J, Blume-Peytavi U (2012) Standardized diaper care regimen: a prospective, randomized pilot study on skin barrier function and epidermal IL-1α in newborns. Pediatr Dermatol 29:270–276

    Article  PubMed  Google Scholar 

  27. Haute Autorité de Santé - Niveau de preuve et gradation des recommandations de bonne pratique - État des lieux. http://www.has-sante.fr/portail/jcms/c_1600564/fr/niveau-de-preuve-et-gradation-des-recommandations-de-bonne-pratique-etat-des-lieux. Accessed 8 Dec 2018

  28. Kanti V, Grande C, Stroux A, Bührer C, Blume-Peytavi U, Garcia Bartels N (2014) Influence of sunflower seed oil on the skin barrier function of preterm infants: a randomized controlled trial. Dermatol 229:230–239

    Article  CAS  Google Scholar 

  29. Kiechl-Kohlendorfer U, Berger C, Inzinger R (2008) The effect of daily treatment with an olive oil/lanolin emollient on skin integrity in preterm infants: a randomized controlled trial. Pediatr Dermatol 25:174–178

    Article  PubMed  Google Scholar 

  30. Kuhn P, Astruc D, Messer J, Marlier L (2011) Exploring the olfactory environment of premature newborns: a French survey of health care and cleaning products used in neonatal units. Acta Paediatr 100:334–339

    Article  PubMed  Google Scholar 

  31. Kuhn P, Sizun J, Casper C, GREEN study group from the French Neonatal Society (2018) Recommendations on the environment for hospitalised newborn infants from the French neonatal society: rationale, methods and first recommendation on neonatal intensive care unit design. Acta Paediatr 107:1860–1866

  32. Lavender T, Furber C, Campbell M, Victor S, Roberts I, Bedwell C, Cork MJ (2012) Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies: assessor-blinded randomised controlled equivalence trial. BMC Pediatr 12:59

    Article  PubMed  PubMed Central  Google Scholar 

  33. Lavender T, Bedwell C, Roberts SA, Hart A, Turner MA, Carter LA, Cork MJ (2013) Randomized, controlled trial evaluating a baby wash product on skin barrier function in healthy, term neonates. J Obstet Gynecol Neonatal Nurs JOGNN 42:203–214

    Article  PubMed  Google Scholar 

  34. Lee H-K (2002) Effects of sponge bathing on vagal tone and behavioural responses in premature infants. J Clin Nurs 11:510–519

    Article  PubMed  Google Scholar 

  35. Lee JC, Lee Y, Park HR (2018) Effects of bathing interval on skin condition and axillary bacterial colonization in preterm infants. Appl Nurs Res ANR 40:34–38

    Article  PubMed  Google Scholar 

  36. Liaw J-J, Yang L, Yuh Y-S, Yin T (2006) Effects of tub bathing procedures on preterm infants’ behavior. J Nurs Res JNR 14:297–305

    Article  PubMed  Google Scholar 

  37. Loring C, Gregory K, Gargan B, LeBlanc V, Lundgren D, Reilly J, Stobo K, Walker C, Zaya C (2012) Tub bathing improves thermoregulation of the late preterm infant. J Obstet Gynecol Neonatal Nurs JOGNN 41:171–179

    Article  PubMed  Google Scholar 

  38. Medves JM, O’Brien B (2001) Does bathing newborns remove potentially harmful pathogens from the skin? Birth 28:161–165

    Article  CAS  PubMed  Google Scholar 

  39. Medves JM, O’Brien B (2004) The effect of bather and location of first bath on maintaining thermal stability in newborns. J Obstet Gynecol Neonatal Nurs JOGNN 33:175–182

    Article  PubMed  Google Scholar 

  40. Nako Y, Harigaya A, Tomomasa T, Morikawa A, Amada M, Kijima C, Tsukagoshi S (2000) Effects of bathing immediately after birth on early neonatal adaptation and morbidity: a prospective randomized comparative study. Pediatr Int 42:517–522

    Article  CAS  PubMed  Google Scholar 

  41. Nangia S, Paul VK, Deorari AK et al (2015) Topical oil application and trans-epidermal water loss in preterm very low birth weight infants-a randomized trial. J Trop Pediatr 61:414–420

    PubMed  Google Scholar 

  42. Nellis G, Metsvaht T, Varendi H, Toompere K, Lass J, Mesek I, Nunn AJ, Turner MA, Lutsar I (2015) Potentially harmful excipients in neonatal medicines: a pan-European observational study. Arch Dis Child 100:694–699

    Article  PubMed  Google Scholar 

  43. Nellis G, Metsvaht T, Varendi H, Lass J, Duncan J, Nunn AJ, Turner MA, Lutsar I (2016) Product substitution as a way forward in avoiding potentially harmful excipients in neonates. Paediatr Drugs 18:221–230

    Article  PubMed  Google Scholar 

  44. Nesting. http://www.projetnesting.fr/. Accessed 8 Dec 2018

  45. Promotion de l’hygiène en milieu de soins | SF2H. https://sf2h.net/. Accessed 8 Dec 2018

  46. Quinn D, Newton N, Piecuch R (2005) Effect of less frequent bathing on premature infant skin. J Obstet Gynecol Neonatal Nurs JOGNN 34:741–746

    Article  PubMed  Google Scholar 

  47. Raboni R, Roberta R, Patrizi A et al (2014) Comparison of two different neonatal skin care practices and their influence on transepidermal water loss in healthy newborns within first 10 days of life. Minerva Pediatr 66:369–374

    CAS  PubMed  Google Scholar 

  48. Salam RA, Darmstadt GL, Bhutta ZA (2015) Effect of emollient therapy on clinical outcomes in preterm neonates in Pakistan: a randomised controlled trial. Arch Dis Child Fetal Neonatal Ed 100:F210–F215

    Article  PubMed  Google Scholar 

  49. Scientific Committee on Consumer Safety (SCCS) - Public Health - European Commission. In: Public Health. https://ec.europa.eu/health/scientific_committees/consumer_safety. Accessed 8 Dec 2018

  50. So H-S, You M-A, Mun J-Y, Hwang MJ, Kim HK, Pyeon SJ, Shin MY, Chang BH (2014) Effect of trunk-to-head bathing on physiological responses in newborns. J Obstet Gynecol Neonatal Nurs JOGNN 43:742–751

    Article  PubMed  Google Scholar 

  51. Société Française de Dermatologie Pédiatrique. http://www.sfdp.org/. Accessed 1 Dec 2018

  52. Strunk T, Pupala S, Hibbert J, Doherty D, Patole S (2018) Topical coconut oil in very preterm infants: an open-label randomised controlled trial. Neonatology 113:146–151

    Article  PubMed  Google Scholar 

  53. Turner MA, Duncan J, Shah U, Metsvaht T, Varendi H, Nellis G, Lutsar I, Vaconsin P, Storme T, Rieutord A, Nunn AJ (2013) European study of neonatal exposure to excipients: an update. Int J Pharm 457:357–358

    Article  CAS  PubMed  Google Scholar 

  54. Valeur KS, Hertel SA, Lundstrøm KE, Holst H (2018) The cumulative daily tolerance levels of potentially toxic excipients ethanol and propylene glycol are commonly exceeded in neonates and infants. Basic Clin Pharmacol Toxicol 122:523–530

    Article  CAS  PubMed  Google Scholar 

  55. Varda KE, Behnke RS (2000) The effect of timing of initial bath on newborn’s temperature. J Obstet Gynecol Neonatal Nurs JOGNN 29:27–32

    Article  CAS  PubMed  Google Scholar 

  56. Visscher M, Odio M, Taylor T, White T, Sargent S, Sluder L, Smith L, Flower T, Mason B, Rider M, Huebner A, Bondurant P (2009) Skin care in the NICU patient: effects of wipes versus cloth and water on stratum corneum integrity. Neonatology 96:226–234

    Article  PubMed  Google Scholar 

  57. Whittaker A, Currie AE, Turner MA, Field DJ, Mulla H, Pandya HC (2009) Toxic additives in medication for preterm infants. Arch Dis Child Fetal Neonatal Ed 94:F236–F240

    Article  CAS  PubMed  Google Scholar 

  58. World Health Organization, Department of Maternal N Child and Adolescent Health (2013) WHO recommendations on postnatal care of the mother and newborn

Download references

Author information

Authors and Affiliations

  1. Unité de Néonatalogie Soins Intensifs-Pédiatrie de Maternité, Centre Aliénor d’Aquitaine, Centre Hospitalier Universitaire de Bordeaux, Place Amélie Raba Léon, 33000, Bordeaux, France

    Laurent Renesme

  2. Port Royal Assitance Publique Hôpitaux de Paris, Paris, France

    A. Allen, M. Touzet & E. Zana-Taieb

  3. Centre Hospitalier Universitaire de Grenoble, Grenoble, France

    F. Audeoud

  4. Association SOS Préma, Boulogne-Billancourt, France

    C. Bouvard & A. Reynaud

  5. Centre Hospitalier Sud Francilien, Corbeil-Essonnes, France

    A. Brandicourt

  6. Centre Hospitalier Universitaire de Toulouse, Toulouse, France

    C. Casper & V. Pelofy

  7. Centre Hospitalier Inter-Communal de Créteil, Créteil, France

    L. Cayemaex

  8. Centre Hospitalier du Mans, Le Mans, France

    H. Denoual

  9. Centre Hospitalier Universitaire de Besançon, Besançon, France

    M. A. Duboz & G. Thiriez

  10. Comité Inter-Associatif de la Naissance, Paris, France

    A. Evrard

  11. Centre Hospitalier Universitaire de Saint Etienne, Saint Etienne, France

    C. Fichtner

  12. Centre Hospitalier Universitaire Vaudois Lausanne, Lausanne, Switzerland

    C. J. Fischer-Fumeaux

  13. Association Co-Naître, Pertuis, France

    L. Girard & S. Legouais

  14. Centre Hospitalier Universitaire de Lyon, Lyon, France

    F. Gonnaud, E. Laprugne-Garcia & J. C. Picaud

  15. Hôpital Saint-Pierre Bruxelles, Brussels, Belgium

    D. Haumont

  16. Centre Hospitalier Universitaire de Genève, Genève, Switzerland

    P. Hüppi

  17. Centre Hospitalier Universitaire de Strasbourg, Strasbourg, France

    N. Knezovic, C. Zores & P. Kuhn

  18. Centre Hospitalier Universitaire de Limoges, Limoges, France

    F. Mons

  19. Centre Hospitalier Régional Universitaire de Lille, Lille, France

    V. Pierrat & P. Truffert

  20. Centre Hospitalier Universitaire de Rennes, Rennes, France

    P. Pladys

  21. Agence Régionale de Santé Centre, Orleans, France

    G. Souet

  22. Centre Hospitalier Universitaire d’Amiens, Amiens, France

    P. Tourneux

  23. Centre Hospitalier Général de Valenciennes, Valenciennes, France

    C. Zaoui

  24. Centre Hospitalier Universitaire de Brest, Brest, France

    J. Sizun

Authors
  1. Laurent Renesme
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Allen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. F. Audeoud
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. Bouvard
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. Brandicourt
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. C. Casper
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. L. Cayemaex
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. H. Denoual
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. M. A. Duboz
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. A. Evrard
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. C. Fichtner
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. C. J. Fischer-Fumeaux
    View author publications

    You can also search for this author in PubMed Google Scholar

  13. L. Girard
    View author publications

    You can also search for this author in PubMed Google Scholar

  14. F. Gonnaud
    View author publications

    You can also search for this author in PubMed Google Scholar

  15. D. Haumont
    View author publications

    You can also search for this author in PubMed Google Scholar

  16. P. Hüppi
    View author publications

    You can also search for this author in PubMed Google Scholar

  17. N. Knezovic
    View author publications

    You can also search for this author in PubMed Google Scholar

  18. E. Laprugne-Garcia
    View author publications

    You can also search for this author in PubMed Google Scholar

  19. S. Legouais
    View author publications

    You can also search for this author in PubMed Google Scholar

  20. F. Mons
    View author publications

    You can also search for this author in PubMed Google Scholar

  21. V. Pelofy
    View author publications

    You can also search for this author in PubMed Google Scholar

  22. J. C. Picaud
    View author publications

    You can also search for this author in PubMed Google Scholar

  23. V. Pierrat
    View author publications

    You can also search for this author in PubMed Google Scholar

  24. P. Pladys
    View author publications

    You can also search for this author in PubMed Google Scholar

  25. A. Reynaud
    View author publications

    You can also search for this author in PubMed Google Scholar

  26. G. Souet
    View author publications

    You can also search for this author in PubMed Google Scholar

  27. G. Thiriez
    View author publications

    You can also search for this author in PubMed Google Scholar

  28. P. Tourneux
    View author publications

    You can also search for this author in PubMed Google Scholar

  29. M. Touzet
    View author publications

    You can also search for this author in PubMed Google Scholar

  30. P. Truffert
    View author publications

    You can also search for this author in PubMed Google Scholar

  31. C. Zaoui
    View author publications

    You can also search for this author in PubMed Google Scholar

  32. E. Zana-Taieb
    View author publications

    You can also search for this author in PubMed Google Scholar

  33. C. Zores
    View author publications

    You can also search for this author in PubMed Google Scholar

  34. J. Sizun
    View author publications

    You can also search for this author in PubMed Google Scholar

  35. P. Kuhn
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

L. Renesme selected and reviewed the articles, and wrote, drafted, and reviewed the manuscript. The members of the GREEN committee listed in the appendix participated in the assignment of level of evidence and reviewed the manuscript.

Corresponding author

Correspondence to Laurent Renesme.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Additional information

Communicated by Patrick Van Reempts

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

All the authors are members of the GREEN study group from the French Neonatal Society.

Appendix. Groupe de Réflexion et d’Evaluation de l’Environnement des Nouveau-nés (GREEN) de la Société Française de Néonatalogie (SFN).

Appendix. Groupe de Réflexion et d’Evaluation de l’Environnement des Nouveau-nés (GREEN) de la Société Française de Néonatalogie (SFN).

GROUPE DE REFLEXION ET D’EVALUATION DE L’ENVIRONNEMENT.

DES NOUVEAU-NES (GREEN) DE LA SOCIETE FRANCAISE DE.

NEONATALOGIE (SFN):

  • Aurore Allen (Port Royal-Paris)

  • Frédérique Audeoud (CHU Grenoble)

  • Charlotte Bouvard (SOS Préma)

  • Anne Brandicourt (CH Sud Francilien)

  • Charlotte Casper (CHU Toulouse)

  • Laurence Cayemaex (CHIC Créteil)

  • Héléne Denoual (CH Le Mans)

  • Marie Agnès Duboz (CHU Besançon)

  • Anne Evrard (Comité Inter-Associatif de la Naissance)

  • Christine Fichtner (CHU Saint-Etienne)

  • Céline J. Fischer-Fumeaux (CHUV Lausanne)

  • Laurence Girard (Association Connaître)

  • Françoise Gonnaud (CHU Lyon)

  • Dominique Haumont (Hôpital Saint-Pierre Bruxelles)

  • Petra Hüppi (CHU Genève)

  • Nadine Knezovic (CHU Strasbourg)

  • Pierre Kuhn (CHU Strasbourg)

  • Elisabeth Laprugne-Garcia (CHU Lyon)

  • Sophie Legouais (Paris)

  • Fabienne Mons (CHU Limoges)

  • Valérie Pelofy (CHU Toulouse)

  • Jean-Charles Picaud (CHU Lyon)

  • Véronique Pierrat (CHU Lille, Inserm EPopé)

  • Patrick Pladys (CHU Rennes)

  • Audrey Renaud (SOS préma)

  • Laurent Renesme (CHU Bordeaux)

  • Jacques Sizun (CHU Brest)

  • Gilles Souet (ARS Centre)

  • Gérard Thiriez (CHU Besançon)

  • Pierre Tourneux (CHU Amiens)

  • Marie Touzet (Hôpital de Port-Royal, Paris)

  • Patrick Truffert (CHU Lille)

  • Catherine Zaoui (CHG Valenciennes)

  • Elodie Zana-Taieb (Hôpital de Port-Royal)

  • Claire Zores (CHU Strasbourg)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Renesme, L., Allen, A., Audeoud, F. et al. Recommendation for hygiene and topical in neonatology from the French Neonatal Society. Eur J Pediatr 178, 1545–1558 (2019). https://doi.org/10.1007/s00431-019-03451-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00431-019-03451-3

Keywords

Search

Navigation