Umbilical cord colonization rates were examined over a 4-year period following topical ap plication of bacitracin (1978-1980) or triple dye (1980-1982). A total of 2402 cords were cultured: 1229 following bacitracin cord care and 1173 after triple dye application. Cords treated with bacitracin had significantly higher colonization rates when compared to triple dye prophylaxis. Bacterial colonization with Staphylococcus epidermidis and group B β-hemolytic streptococcus was found only after bacitracin prophylaxis. Our data support the use of triple dye for routine cord care and suggest that bacitracin application may increase the rate of group B streptococcal col onization.
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References
1.
Speck WTDriscoll JM, O'Neill J., et al. Effect of antiseptic cord care on bacterial colonization in the newborn infant. Chemotherapy 980:26:372-6.
2.
Kumar A., Desai MS, Shah YP, et al. Effect of triple dye cord care on bacterial colonization in newborn infants. Ohio State Med J November 1981;667-9.
3.
Apeck WT, Driscoll JM, Polen RA, et al. Staphylococcal and streptococcal colonization of the newborn infant. Am J Dis Child1977; 131: 1005-8.
4.
Johnson JDMalachowski NC, Vosti KL, et al. A sequential study of various modes of skin and umbilical care and the incidence of staphylococcal colonization and infection in the neonate . Pediatrics1976;58:354-61.
5.
Pildes RS, Ramamurthy RS, Vidyasagar D.Effect of triple dye on staphylococcal colonization in the newborn infant . J Pediatr1973:82:987-90.
6.
DeLoache WR, Gantrell HF, Reubish GKProphylactic treatment of umbilical stump. Comparisons of technics . South Med J1976;69:627-8.
7.
Wald ER, Snyder MJ, Gutbertet RLGroup B beta-hemolytic streptococcal colonization. Am J Dis Child1977; 131:178-80.
8.
Wong P., Mason EO, Barrett FFGroup B streptococcal colonization in a newborn nursery. Effects of iodophor and triple dye cord care. South Med J1977 ;70:978-9.
9.
Barrett FF, Mason EO, Fleming D.The effect of three cord-care regimens on bacterial cotonixation of normal newborn infants. J Pediatr1979;94:796-800.
10.
Czarlinsky DK, Hall RT, Barnes WG, et al. Staphylococcal colonization in a newborn nursery. 1971-1976. Am J Epidemiol1979; 109:218.
