Cochrane · systematic review · CD001150

Topical emollient for preventing infection in preterm infants

Cleminson, J, McGuire, W · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Neonatal3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 25%Low 6 · 75%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Topical ointment or cream versus routine skin care for preventing infection in preterm infants

Population: preterm (< 37 weeks') and low birth weight (< 2500 g) infants
CD001150.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Invasive infection until hospital discharge
Topical ointment or cream vs routine skin care
RR 1.13 [0.97, 1.31]8 studies · 2086 participantsLow
Downgraded: risk of bias, imprecision
Mortality until hospital discharge (or latest reported)
Topical ointment or cream vs routine skin care
RR 0.87 [0.75, 1.03]7 studies · 2067 participantsLow
Downgraded: risk of bias, imprecision

Topical oil versus routine skin care for preterm infants

Population: preterm (< 37 weeks) and low birth weight (< 2500 g) infants
CD001150.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Invasive infectionuntil hospital discharge
Topical oil vs routine skin care
RR 0.71 [0.52, 0.96]9 studies · 3256 participantsLow
Downgraded: risk of bias, inconsistency
Mortality until hospital discharge (or latest reported)
Topical oil vs routine skin care
RR 0.94 [0.82, 1.08]11 studies · 1119 participantsLow
Downgraded: risk of bias, imprecision

Topical ointment or cream versus oil for preterm infants

Population: preterm (< 37 weeks) and low birth weight (< 2500 g) infants
CD001150.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Invasive infectionuntil hospital discharge
Topical ointment or cream vs oil
RR 0.91 [0.57, 1.46]1 study · 316 participantsLow
Downgraded: risk of bias, imprecision
Mortality until hospital discharge (or latest reported)
Topical ointment or cream vs oil
RR 0.82 [0.68, 0.98]1 study · 316 participantsLow
Downgraded: risk of bias, imprecision

Topical oil versus another oil for preterm infants

Population: preterm (< 37 weeks) and low birth weight (< 2500 g) infants
CD001150.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Invasive infectionuntil hospital discharge
Topical oil vs another oil
no estimate extracted1 study · 64 participantsVery low
Downgraded: risk of bias, imprecision
Mortality until hospital discharge (or latest reported)
Topical oil vs another oil
no estimate extracted1 study · 64 participantsVery low
Downgraded: risk of bias, imprecision

Topical ointment or cream versus routine skin care for preventing infection in preterm infants

Population: Preterm (< 37 weeks') and low birth weight (< 2500 g) infants
CD001150.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Invasive infection (any organism)
Topical ointment or cream vs routine skin care
RR 1.13 [0.97, 1.31]8 studies · 2098 participantsLow
Downgraded: risk of bias, inconsistency
Mortality
Topical ointment or cream vs routine skin care
RR 0.87 [0.75, 1.03]7 studies · 2067 participantsLow
Downgraded: risk of bias, inconsistency

Topical oil versus routine skin care for preterm and low birth weight infants

Population: Preterm (< 37 weeks) and low birth weight (< 2500 g) infants
CD001150.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Invasive infection (any organism)
Topical oil vs routine skin care
RR 0.716 studies · 844 participantsLow
Downgraded: risk of bias, inconsistency
Mortality
Topical oil vs routine skin care
RR 0.94 [0.81, 1.08]9 studies · 1002 participantsModerate
Downgraded: risk of bias, inconsistency

Topical ointment or cream versus routine skin care for preventing infection in preterm infants

Population: Preterm (< 37 weeks') and low birth weight (< 2500 g) infants
CD001150.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Invasive infection (any organism)
Topical ointment or cream vs routine skin care
RR 1.13 [0.97, 1.31]8 studies · 2098 participantsLow
Downgraded: risk of bias, inconsistency
Mortality
Topical ointment or cream vs routine skin care
RR 0.87 [0.75, 1.03]7 studies · 2067 participantsLow
Downgraded: risk of bias, inconsistency

Topical oil versus routine skin care for preterm and low birth weight infants

Population: Preterm (< 37 weeks) and low birth weight (< 2500 g) infants
CD001150.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Invasive infection (any organism)
Topical oil vs routine skin care
RR 0.716 studies · 844 participantsLow
Downgraded: risk of bias, inconsistency
Mortality
Topical oil vs routine skin care
RR 0.94 [0.81, 1.08]9 studies · 1002 participantsModerate
Downgraded: risk of bias, inconsistency