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07 January 2009

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Incubators are necessary for managing babies especially pre-term to help maintain temperature. Most developing countries are warm and are unlikely manage very pre-term babies due to cost. Using and maintaining this equipment is expensive. Bacteria are rapidly becoming resistant to biocides and detergents. This will result in colonization of antibiotic resistant bacteria in these incubators and so cost of managing infection is likely to escalate.

I have worked with very pre-term babies for a long time and noticed babies managed in open incubators (overhead heating) are less likely to get infections. We must discourage developing countries using incubators to reduce avoidable death of babies due to un-sterile equipment.

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