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Prophylaxis of Ophthalmia Neonatorum

A clinical and bacteriologic study of ophthalmia neonatorum and conjunctival bacterial flora of the newborn

Szerző
Koppenhága
Kiadó: Munksgaard
Kiadás helye: Koppenhága
Kiadás éve:
Kötés típusa: Ragasztott papírkötés
Oldalszám: 70 oldal
Sorozatcím: Acta Ophthalmologica
Kötetszám: 79
Nyelv: Angol  
Méret: 24 cm x 16 cm
ISBN:
Megjegyzés: Fekete-fehér ábrákkal.
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Előszó


PREFACE
The subject of the present study was suggested to me in 1957 by my teacher, the late Professor Mauno Vannas, M. D., former Ophthalmolo-gist-in-Chief of Helsinki University Eye Hospital.... Tovább

Előszó


PREFACE
The subject of the present study was suggested to me in 1957 by my teacher, the late Professor Mauno Vannas, M. D., former Ophthalmolo-gist-in-Chief of Helsinki University Eye Hospital. I highly appreciate his advice in the planning of the work.
My greatest thanks are due to Professor Salme Vannas, M.D., present Ophthalmologist-in-Chief of Helsinki University Eye Hospital. She kindly gave me an excellent opportunity for the performance of the study and helped me so much, especially in the final phases of the work, with her counsel and stimulating criticism.
Professor Uari Rantasalo, M.D., Chief of the Department of Hygiene, Helsinki University, who was earlier Chief of the Department of Bacteriology, The State Serum Institute, with his advice gave important assistance in the planning and practical arrangements of the bacteriologic aspects, especially in 1957.
Professor Aarno Turunen, M. D., Chief of Department I, and Professor Paavo Vara, M. D., Chief of Department II of The Helsinki University Women's Hospital, very generously gave their permission for the work that was done at the maternity wards of their departments. The staff of these departments gave me willing help in the taking of the samples.
Professor Eero Uroma, M. D., Chief of The State Serum Institute, kindly made available to me the institute laboratory for the bacteriologic studies. The acting head of the Department of Bacteriology of the Institute, Dr. Matti Jahkola, M.D., helped me with the organisation of the later phase of the work and gave me valuable advice on the interpretation of the results. I wish to thank the staff of the Bacteriologic Laboratory, especially Mrs Beatrice Uotila, for all the assistance received.
I should also like to thank Miss Aino Nikupaavo, M.A., librarian of Helsinki University Eye Hospital, for her splendid work in finding the literature, and my good friend and present chief Dr. Matti Koskenoja, M. D., who readily gave me the time for research and the publication of this book.
The English translation is by Miss Paivikki Ojansuu, M.A., and Mr L. A. Keyworth, M.A. (Cantab.).
Jyvaskyla, January 1965 Matti Kaivonen Vissza

Tartalom


CONTENTS
REVIEW OF THE LITERATURE 9
Bacterial finding in ophthalmia neonatorum 9
Incidence of ophthalmia neonatorum 11
Incidence of gonorrhea 14
Bacteriologic studies of the birth canal and the conjunctiva 15
Secondary infections 17
Summary of the literature 18
THE PRESENT INVESTIGATION 20
Introduction 20
Object 21
Preliminary study for the selection of prophylactic 21
Agents 22
Methods 22
Results 22
Material 23
Procedure 24
Prophylactic agents 24
Method of prophylaxis 25
Clinical study 25
Bacteriologic studies 26
Follow-up study 27
Results : 29
The bacterial flora of the conjunctiva of the newborn and
its development while in the maternity hospital 29
Bacterial finding from the conjunctiva related to the clinical
symptoms of inflammation 34
The significance of asepsis for the development of bacterial
flora on the conjunctiva of the newborn 35
The source of Staph, aureus strains isolated from the conjunctiva of the newborn 40
7
Comparison of silver nitrate and Biosept prophylaxis on the
basis of the bacterial finding 43
Comparison of silver nitrate and Biosept prophylaxis on the basis of the clinical symptoms of inflammation and the
bacterial finding 46
Summary of results 54
DISCUSSION 56
SUMMARY AND CONCLUSIONS 62
REFERENCES 64

Matti Kaivonen

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