Document Detail


Source of the conjunctival bacterial flora at birth and implications for ophthalmia neonatorum prophylaxis.
MedLine Citation:
PMID:  3177565     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To understand better the source of conjunctival bacteria in neonates, we studied 106 infants immediately after birth before any eyedrops were applied. The 50 infants delivered by cesarean section had significantly fewer species (0.50 +/- 0.85 vs 1.84 +/- 1.33) and colony forming units (272 +/- 1,019 vs 1,790 +/- 3,779) cultured per subject than the 56 infants delivered vaginally. In infants delivered by cesarean section within three hours of membrane rupture, 24 of 30 (80%) of the conjunctival cultures were sterile, while the rest bore a few cutaneous bacteria (0.23 +/- 0.50 species and 2 +/- 9 colony forming units per subject). The conjunctivae of infants delivered vaginally bore significantly more bacteria characteristic of vaginal flora: microaerophilic as Lactobacillus or truly anaerobic as Bifidobacterium. Neonates delivered by cesarean section more than three hours after membrane rupture showed a bacteriologic flora mixture quantitatively and qualitatively midway between those two groups. Infants delivered by cesarean section within three hours of membrane rupture may not need prophylactic eyedrops because of the type and scarcity of conjunctival bacteria.
Authors:
S J Isenberg; L Apt; R Yoshimori; J W McCarty; S R Alvarez
Related Documents :
16626605 - Translating data to dialogue: how to discuss mode of delivery with your patient with tw...
3606755 - Thoracic spinal cord (t3-t4) transection in a breech-presenting, cesarean-section-deliv...
2366135 - Effect of the feeding practices on the establishment of bacterial interactions in the i...
22007245 - Postnatal corticosteroids for prevention and treatment of chronic lung disease in the p...
17713205 - Nontarget deposition and losses of oxamyl in surface runoff from flatwoods citrus produ...
24746535 - Symptomatic os vesalianum pedis: long-term follow-up of a rare entity in childhood.
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of ophthalmology     Volume:  106     ISSN:  0002-9394     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  1988 Oct 
Date Detail:
Created Date:  1988-11-07     Completed Date:  1988-11-07     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  458-62     Citation Subset:  AIM; IM    
Affiliation:
Jules Stein Eye Institute, Los Angeles, CA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Bacteria / isolation & purification*
Cesarean Section*
Conjunctiva / microbiology*
Delivery, Obstetric*
Extraembryonic Membranes / physiology
Female
Humans
Infant, Newborn
Labor, Obstetric
Male
Ophthalmia Neonatorum / prevention & control*
Pregnancy
Time Factors
Grant Support
ID/Acronym/Agency:
RR00425/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The management of optic nerve sheath meningiomas.
Next Document:  Course and outcome of ocular sarcoidosis.