A Survey of Current Prophylactic Treatment for Ophthalmia Neonatorum in Croatia and a Review of International Preventive Practices

Autor: Tomislav Župić, Sonja Anić Jurica, Ivana Bakija, Snježana Kaštelan, Antonela Gverović Antunica, Slavko Orešković, Irena Marković, Mislav Herman
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Postnatal Care
Ophthalmia Neonatorum
Pediatrics
medicine.medical_specialty
Croatia
medicine.medical_treatment
Neonatal conjunctivitis
03 medical and health sciences
Gonorrhea
0302 clinical medicine
Clinical Research
Pregnancy
Surveys and Questionnaires
medicine
Tobramycin
Prevalence
Humans
030212 general & internal medicine
Post-exposure prophylaxis
Pregnancy Complications
Infectious
Povidone-Iodine
Response rate (survey)
business.industry
Infant
Newborn
General Medicine
medicine.disease
Conjunctivitis
Infectious Disease Transmission
Vertical
Neisseria gonorrhoeae
eye diseases
Anti-Bacterial Agents
Erythromycin
conjunctivitis
ophthalmia neonatorum
post-exposure prophylaxis
postnatal care
030221 ophthalmology & optometry
Silver Nitrate
Female
business
Post-Exposure Prophylaxis
Prophylactic treatment
medicine.drug
Zdroj: Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
DOI: 10.12659/msm.910705
Popis: BACKGROUND:Ophthalmia neonatorum, or neonatal conjunctivitis, is an acute infection that occurs within the first 28 days of life. This aim of this survey was to evaluate the current methods of preventive treatment for ophthalmia neonatorum in maternity hospitals in Croatia. MATERIAL AND METHODS: The annual hospital birth rate in Croatia is approximately 40, 000. A clinical survey was undertaken with data collected using questionnaires sent to all 32 maternity hospitals in Croatia. There was a 100% response rate to the questionnaires. RESULTS: Preventive treatment for ophthalmia neonatorum was administrated to all newborns in 75% (24/32) of Croatian maternity hospitals. In 45.8% of maternity hospitals, (11/32) these procedures were performed within the first hour after birth. In 54.2% of maternity hospitals (13/32), preventive treatment for ophthalmia neonatorum was administrated to all newborns from one to three hours after birth. The main treatment agent was tobramycin (83.3%). Other topical prophylactic treatments included povidone- iodine (8.3%), erythromycin (4.2%), and silver nitrate (4.2%). In 25% of obstetric units, prophylaxis for ophthalmia neonatorum was not used routinely, but in cases of diagnosed neonatal conjunctivitis, antibiotic treatment with tobramycin was mainly used. CONCLUSIONS: A survey of all 32 maternity hospitals in Croatia showed variation in the prevalence of preventive treatment for ophthalmia neonatorum and the methods used. These findings support the need to implement standardized preventive measures that both conform to international clinical guidelines and recognize treatment availability in Croatia, where topical povidone-iodine is currently preferred for the prevention of ophthalmia neonatorum.
Databáze: OpenAIRE
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