Skip to main content
. 2021 May 7;2021(5):CD001150. doi: 10.1002/14651858.CD001150.pub4

Summary of findings 3. Topical ointment or cream versus oil for preterm infants.

Topical ointment or cream versus oil for preventing infection in preterm infants
Patient or population: preterm (< 37 weeks) and low birth weight (< 2500 g) infants
Settings: high‐income countries, and low‐ and middle‐income countries
Intervention: topical ointment or cream
Comparison: topical oil
Outcomes Illustrative comparative risks* (95% CI) Relative effect
(95% CI) No of participants
(studies) Quality of the evidence
(GRADE) Comments
Assumed risk Corresponding risk
Routine skin care Topical oil
Invasive infection
until hospital discharge 189 per 1000 172 per 1000
(108 to 275) RR 0.91 (0.57 to 1.46) 316
(1) ⊕⊕⊝⊝
lowa,b  
Mortality until hospital discharge (or latest reported) 660 per 1000 542 per 1000
(449 to 647) RR 0.82 
(0.68 to 0.98) 316
(1) ⊕⊕⊝⊝
lowa,c  
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: confidence interval; RR: risk ratio.

¶ Sunflower, sunflower seed, other vegetable oils.
aDowngraded one level due to serious risk of bias (unclear random sequence generation or allocation concealment; caregivers and investigators not masked in any trials).
bDowngraded one level due to imprecision. 95% CI (0.57 to 1.46) consistent with potentially important benefit or harm.
cDowngraded one level due to imprecision. 95% CI (0.68 to 0.98) consistent with potentially important benefit or minimal effect.