Ophthalmia neonatorum

One hundred thirty-eight [138] cases in neonatal ward at the maternity and childhood hospital in Najaf city, were diagnosed as having ophthalmia neonatorum. Eye swabs were obtained from 114 neonates included in the study, age ranged [1-28] day, the aim of the study to investigate bacterial causes of ophthalmia neonatorum. Of these, 57[50%] yielded growths and five group of bacterial microorganism were identified using standard techniques. klebsiella sp. was the most prevalent [23] [20%] Enterobacter accounted for [12] [10%], Staphylococcus aureus [9] [7%], Escherichia coli [7] [6%], Pseudomonas aeruginosa [6] [5%] Susceptibility patterns of bacterial isolates to antibiotics were determined. Also male sexes, normal vaginal delivery, prolong rupture of membrane and age less than one week was identified as risk factors. MPH: Maternity and pediatric hospital. N.V.D: Normal vaginal delivery. CIS: Cesarean section. P.R.O.M: Prolonged rupture of membrane. A.B: Antibiotic. E.coli: Escherichia coli. GM: Gentamycin. CTX: Cefotaxim. NA: Norfioxacin. TOB: Tobramycin. NX: Nalidaxic acid. CIP: Ciprofloxacin. No: Number

Profilaxia da oftalmia neo-natorum / Prophylaxis of ophthalmia neonaturum

A oftalmia neonatorum provocada pelo gonococo é uma inflamçäo destrutiva que costuma levar a cegueira suas vítimas. A situaçäo começou a melhorar com a adoçäo de medidas higiênicas como a lavagem das mäos das mäes, recém-natos e obstetras e a incidência caiu de 20% para 0,2% com o método de Credé que utiliza o nitrato de prata a 2,5%, depois diminuído para 1%. Outros agentes profiláticos säo o Protargol e o Argirol e as sulfas e antibióticos. Para as condiçöes existentes no nosso País a adoçäo de instilaçäo de antibiótico ou pomada oftálmica de antibiótico parece ser a melhor forma de instituir a profilaxia de oftalmia neonatorum