Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 16, 2022; 10(8): 2629-2636
Published online Mar 16, 2022. doi: 10.12998/wjcc.v10.i8.2629
Silver dressing in the management of an infant's urachal anomaly infected with methicillin-resistant Staphylococcus aureus: A case report
Ze-Yao Shi, Shu-Lin Hou, Xiao-Wen Li
Ze-Yao Shi, Shu-Lin Hou, Xiao-Wen Li, Department of Neonatology Nursing, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Ze-Yao Shi, Shu-Lin Hou, Xiao-Wen Li, West China School of Nursing, Sichuan University, Chengdu 610041, Sichuan Province, China
Ze-Yao Shi, Shu-Lin Hou, Xiao-Wen Li, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu 610041, Sichuan Province, China
Author contributions: Shi ZY contributed to the design, analysis, and write the manuscript; Hou SL analyzed the data and revised the manuscript; Li XW contributed to revise the manuscript; all authors read and approved the final manuscript.
Supported by Hospital Management Scientific Research Project, No. HLBKJ202129.
Informed consent statement: Parents of the patient were informed about the treatment-related risks and solutions. In addition, informed written consent was obtained from the patient's parents for publication of this report and any accompanying images.
Conflict-of-interest statement: We declare that we have no competing interests in this case report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Wen Li, RN, Associate Chief Nurse, Department of Neonatology Nursing, West China Second University Hospital, Sichuan University, No. 20 Section 3, Renmin South Road, Chengdu 610041, Sichuan Province, China. 2430159468@qq.com
Received: October 20, 2021
Peer-review started: October 20, 2021
First decision: December 17, 2021
Revised: December 29, 2021
Accepted: February 10, 2022
Article in press: February 10, 2022
Published online: March 16, 2022
Processing time: 141 Days and 16 Hours
Core Tip

Core Tip: Immediate surgical excision of urachal remnants has been generally recommended before. However, patients suffer multiple postoperative complications, resulting in re-operation. Recently, accumulating evidence has indicated that a nonoperative approach may be a safe, reasonable alternative to surgical intervention, especially in patients under 6 mo old. Here, we report a case of urachal anomaly with infection that managed with non-surgical therapy, including: Infection control, wound management and nutrition support. After 2 wk, umbilical symptoms fully recovered. Reoccurring symptoms were not found during follow-up.