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. 2022 Nov 14;2022(11):CD013534. doi: 10.1002/14651858.CD013534.pub3

Da Cunha 2008.

Study characteristics
Methods Study design: randomised clinical trial
Recruitment date: infants delivered between 13 September 2005 and 14 March 2006 
Treatment arms: 2
AD follow‐up: time points: first bath (first collection), 30 minutes after bath (second collection), and 24 hours after bath (third collection)
Participants Randomised: N = 112 (chlorhexidine, experimental group n = 56, neutral liquid soap, control group n = 56)
Inclusion criteria: normal term newborns with gestational age between 37 and 42 weeks 
Exclusion criteria: 
  1. Skin breakdown

  2. Congenital infection

  3. Premature rupture of membranes for over 18 hours

  4. Foetid amniotic fluid

  5. HIV+ mother

  6. Mother with suspicion of or with bacterial infection before delivery or presenting axillary temperature > 37.8 °C

  7. Hospitalisation before the bath at 24 hours 

  8. Second bath before 24 hours 

Interventions Intervention: chlorhexidine liquid soap bath, admission bath between 1 and 1.5 hours after birth 
Comparator: neutral liquid soap bath, admission bath same as above 
Moisturiser/emollient: neutral liquid soap (ingredients: Texapon SBN (detergent), Dehyton KB (cocamide), Plantaren 2000 (detergent), Glycerin (emollient), Coperlan KDB (thickener), citric acid,  deionised water, pH = 7) 
Chlorhexidine liquid soap bath (chlorhexidine digluconate liquid soap at 0.4%, resulting from dilution of 10 mL of chlorhexidine digluconate liquid soap at 4% in 90 mL of warm water that released 0.25% chlorhexidine)
Outcomes Staphylococcus aureus skin colonisation 
Adverse effects: none reported
Identification Country: Brazil 
Setting: Obstetric Centre of Hospital de Clinicas de Porto Alegre
Sponsorship source: this study was supported by the Fundo de Incentivo à Pesquisa (Research Incentive Fund) of Hospital de Clínicas de Porto Alegre (FIPE/HCPA), and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPQ) 
Declarations of interest None reported in publication.
Notes