Omphalitis Questions & Answers

Updated: May 20, 2019
  • Author: Patrick G Gallagher, MD; Chief Editor: Santina A Zanelli, MD  more...
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Questions & Answers

Overview

What is omphalitis?

What is the pathophysiology of omphalitis?

What are risk factors for omphalitis?

What causes omphalitis?

What is the prevalence of omphalitis?

What is the prognosis of omphalitis?

What causes necrotizing fasciitis in omphalitis?

What causes myonecrosis in omphalitis?

What is the prevalence of sepsis in omphalitis?

What are the sequelae of septic embolization in omphalitis?

What are the possible abdominal complications of omphalitis?

What are long-term or late complications of omphalitis?

Presentation

What is the focus of clinical history in the evaluation of omphalitis?

Which physical findings are characteristic of localized omphalitis?

Which physical findings are characteristic of extensive local omphalitis?

Which physical findings are characteristic of systemic omphalitis?

DDX

How is omphalitis diagnosed?

How are umbilical granulomas diagnosed and treated in omphalitis?

How is necrotizing fasciitis managed in omphalitis?

Workup

What is the role of lab testing in the workup of omphalitis?

How is sepsis and disseminated intravascular coagulation (DIC) assessed in omphalitis?

Which abnormalities suggest serious systemic infection in omphalitis?

What is the role of biopsy and lumbar puncture in the workup of omphalitis?

What is the role of imaging studies in the workup of omphalitis?

How is omphalitis staged?

Treatment

When should patient transfer be considered for the treatment of omphalitis?

Which specialist consultations are beneficial to patients with omphalitis?

How is omphalitis treated?

What is the role of antimicrobial therapy in the treatment of omphalitis?

What is included in supportive care for omphalitis?

Which dietary modifications are used in the treatment of omphalitis?

What is included in the monitoring of patients with omphalitis?

What is the role of hyperbaric oxygen in the treatment of omphalitis?

What is the role of patient/caregiver education in the treatment of omphalitis?

What is the role of surgery in the treatment of omphalitis?

How is omphalitis prevented?

Medications

Which medications are used in the treatment of omphalitis?

What are the umbilical cord care regimens for the treatment of omphalitis?

What is the role of topical therapy in the treatment of omphalitis?

Which medications in the drug class Antibiotics are used in the treatment of Omphalitis?