if infection is suspected then take a swab for microscopy and culture. Localised umbilical infection may be treated with topical therapy e.g. fusidic acid cream tds.
a persistent granuloma can be cauterised with the tip of a silver nitrate stick.
the surrounding normal skin should be protected with petroleum jelly in order to prevent chemical burns.
a patient may be reviewed after a week to check if a further application of silver nitrate is required.
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