Overview
Emxidine Gel (Chlorhexidine Digluconate 7.1%) is a specialized topical antiseptic gel designed primarily for neonatal care. It belongs to the therapeutic class of biguanide antiseptics. This high-potency formulation is specifically developed to provide a sterile environment for the umbilical cord stump in newborns, significantly reducing the risk of localized and systemic infections during the first weeks of life.
Uses / Indications
Emxidine Gel is indicated for the prevention of omphalitis—an infection of the umbilical cord stump that can affect newborns. Its primary uses include:
- Umbilical Cord Care: Routine antiseptic cleansing of the umbilical cord stump immediately after birth.
- Infection Prevention: Reducing bacterial colonization in the umbilical area in healthcare settings and community environments.
- Maternal and Neonatal Health: As a critical intervention to lower neonatal mortality rates associated with sepsis.
Ingredient
The active pharmaceutical ingredient in this formulation is Chlorhexidine Digluconate.
The gel base is formulated to ensure the active ingredient stays in contact with the application site longer than liquid rinses, providing a persistent protective barrier.
How It Works
Emxidine Gel works through a rapid and persistent antimicrobial mechanism.
When applied to the umbilical cord, the Chlorhexidine molecules carry a positive charge that binds strongly to the negatively charged cell walls of bacteria. This interaction disrupts the bacterial membrane, causing the cellular contents to leak out, which ultimately kills the bacteria (bactericidal action).
Unlike simple alcohol rubs, Emxidine Gel provides a “residual effect,” meaning it continues to kill bacteria for several hours after application, keeping the area protected as the cord naturally dries and heals.
Dosage & Administration
While the application should follow local clinical guidelines or a healthcare provider’s instructions, the general procedure is as follows:
- Preparation: Wash hands thoroughly with soap and water before handling the newborn’s umbilical area.
- Application: Apply the specified amount of gel to the tip of the cord, the stump, and the area where the cord joins the skin (the “umbilical ring”).
- Timing: Usually applied once, shortly after birth, though clinical protocols in some regions may vary.
- Post-Care: Allow the gel to dry naturally; do not cover the area with tight bandages or diapers that may cause irritation.
Possible Side Effects
Emxidine Gel is generally safe for neonatal skin, but occasional reactions may occur:
- Minor Skin Irritation: Slight redness or dryness at the application site.
- Allergic Reactions: Rare instances of hypersensitivity, which may manifest as a rash or localized swelling.
If severe skin irritation or signs of a systemic allergic reaction occur, seek medical attention immediately.
Precautions & Warnings
- For External Use Only: This gel is for topical application on the umbilical cord stump. It should never be ingested.
- Eye and Ear Safety: Avoid contact with the infant’s eyes and ears, as Chlorhexidine can cause damage to these sensitive tissues.
- Body Cavities: Do not use inside deep wounds or body cavities.
- Hypersensitivity: Do not use if the infant has a known allergy to Chlorhexidine or any of the inactive ingredients.
Frequently Asked Questions
Does applying the gel sting the baby?
No. Emxidine Gel is an aqueous (water-based) formulation and does not contain alcohol, so it does not cause the stinging or burning sensation associated with many other antiseptics.
Can I use this on a diaper rash?
No. This product is specifically formulated for umbilical cord care. For diaper rash, you should use a barrier cream or treatment specifically indicated for that purpose.
Conclusion
Emxidine Gel is a vital tool in neonatal hygiene, providing a clear, effective, and easy-to-use barrier against infection. By utilizing a proven antiseptic in a stable gel format, it ensures that newborns receive the highest standard of cord care during their most vulnerable stage of development.
