Umbilical Cord Care: A Study of Bacitracin Ointment vs. Triple Dye

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 s...

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Bibliographic Details
Published in:Clinical pediatrics 1984-06, Vol.23 (6), p.342-344
Main Authors: Andrich, Mary P., Golden, Stephen M.
Format: Article
Language:English
Subjects:
Acridines - administration & dosage
Anti-Bacterial Agents - administration & dosage
Antibacterial agents
Antibiotics. Antiinfectious agents. Antiparasitic agents
Bacitracin - administration & dosage
Bacterial Infections - prevention & control
Biological and medical sciences
Drug Combinations - administration & dosage
Drug Therapy, Combination
Gentian Violet - administration & dosage
Humans
Infant Care
Infant, Newborn
Medical sciences
Nurseries, Hospital
Ointments
Pharmacology. Drug treatments
Proflavine - administration & dosage
Quaternary Ammonium Compounds - administration & dosage
Retrospective Studies
Staphylococcus - isolation & purification
Streptococcus - isolation & purification
Umbilical Cord - microbiology
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Summary: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.
ISSN:0009-9228
1938-2707
DOI:10.1177/000992288402300609