Hostname: page-component-84b7d79bbc-l82ql Total loading time: 0 Render date: 2024-07-26T23:21:08.909Z Has data issue: false hasContentIssue false
  • English
  • Français

A prospective study of staphylococcal infection and its prevention among infants and mothers after childbirth in hospital and at home

Published online by Cambridge University Press:  15 May 2009

K. G. Baber ,
Beryl Corner ,
Ethel H. L. Duncan ,
Sheila M. Eades ,
W. A. Gillespie  and
Sarah C. B. Walker
K. G. Baber
Affiliation:
Departments of Bacteriology, Child Health and Public Health, University of Bristol
Beryl Corner
Affiliation:
Departments of Bacteriology, Child Health and Public Health, University of Bristol
Ethel H. L. Duncan
Affiliation:
Departments of Bacteriology, Child Health and Public Health, University of Bristol
Sheila M. Eades
Affiliation:
Departments of Bacteriology, Child Health and Public Health, University of Bristol
W. A. Gillespie
Affiliation:
Departments of Bacteriology, Child Health and Public Health, University of Bristol
Sarah C. B. Walker
Affiliation:
Departments of Bacteriology, Child Health and Public Health, University of Bristol
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Staphylococcal colonization and infection were studied prospectively in infants, mothers and households after childbirth at home and in hospital. Infants were treated prophylactically with frequent applications of ‘Ster-zac’ hexachlorophane dusting powder. Some were treated in addition with ‘Naseptin’ nasal disinfectant cream.

The incidence of staphylococcal sepsis in infants was much less than before the adoption of hexachlorophane prophylaxis. The sepsis rate was further reduced when ‘Naseptin’ was used in addition to hexachlorophane. Of the two prophylactic agents, hexachlorophane was the more convenient and probably the more effective. ‘Naseptin’ was difficult to employ correctly and unsuitable for routine use.

The treatment of infants with disinfectants reduced nasal carriage markedly in infants and to a smaller extent in mothers. Both agents contributed to the reductions which persisted for some weeks after treatment ceased.

Breast abscesses were almost entirely confined to mothers of infants who became nasal carriers by the second week of life.

Staphylococcal colonization of infant's skin was greater when they wore impervious garments, probably because skin moisture increased.

Type
Research Article
Information
Journal of Hygiene , Volume 65 , Issue 3 , September 1967 , pp. 381 - 393
Copyright
Copyright © Cambridge University Press 1967

References

REFERENCES

Anderson, E. S. & Williams, R. E. O. (1956). Baoteriophage typing of enteric pathogens and staphylococci and its use in epidemiology. J. clin. Path. 9, 94.CrossRefGoogle ScholarPubMed
Corner, B. D., Crowther, S. T. & Eades, S. M. (1960). Control of staphylococcal infection in a maternity hospital. Br. med. J. i, 1927.CrossRefGoogle Scholar
Elias-Jones, T. F., Gordon, I. & Whittaker, L. (1961). Staphylococcal infection of the newborn in hospital and in domiciliary practice. Lancet i, 571.CrossRefGoogle Scholar
Farquharson, C. D., Penny, S. F., Edwards, H. E. & Barr, E. (1952). The control of staphylococcal skin infections in the nursery. Can. med. Ass. J. 67, 247.Google ScholarPubMed
Forfar, J. O., Keay, A. J., Maccabe, A. F., Gould, J. C. & Bain, A. D. (1966). Liberal use of antibiotics and its effect in neonatal staphylocoecal infection, with particular reference to Erythromycin. Lancet ii, 295.CrossRefGoogle Scholar
Gezon, H. M., Thompson, D. J., Rogers, K. D., Hatch, T. F. & Taylor, P. M. (1964). Hexachlorophane bathing in early infancy. Effect on staphylococcal disease and infection. New Engl. J. Med. 270, 379.CrossRefGoogle ScholarPubMed
Gillespie, W. A., Simpson, K. & Tozer, R. C. (1958). Staphylococcal infection in a maternity hospital. Lancet ii, 1075.CrossRefGoogle Scholar
Helms, P. & Stenderup, A. (1961). Staphylococcal dissemination and sepsis in infants. Acta obstet. gynec. scand. 40, 289.CrossRefGoogle ScholarPubMed
Hughes, M. H. (1961). Staphylococcal infections following childbirth. J. Hyg., Camb. 59, 419.Google ScholarPubMed
Jennison, R. F. & Komrower, G. M. (1961). Effect of an antibacterial nasal cream on nasal colonisation and infection in the newborn. Br. med. J. i, 89.CrossRefGoogle Scholar
Ludlam, G. B. (1953). Incidence and penicillin sensitivity of Staphylococcus aureus in the nose of infants and their mothers. J. Hyg., Camb. 51, 64.CrossRefGoogle ScholarPubMed
Payne, M. C., Wood, H. F., Karakawa, W. & Gluck, L. (1965). A prospective study of Staphylococcal colonization and infections in newborns and their families. Am. J. Epidem. 82, 305.CrossRefGoogle ScholarPubMed
Plueckhahn, V. D. & Banks, J. (1964 a). Neonatal Staphylococcal infection. Lancet i, 1042.CrossRefGoogle Scholar
Plueckhahn, V. D. & Banks, J. (1964 b). Breast abscess and Staphylococcal disease in a maternity hospital. Br. med. J. ii, 414.CrossRefGoogle Scholar
Simpson, K., Tozer, R. C. & Gillespie, W. A. (1960). Prevention of Staphylococcal sepsis in a maternity hospital by means of Hexachlorophane. Br. med. J. i, 315.CrossRefGoogle Scholar
Thompson, D. J., Gezon, H. M., Hatch, T. F., Rycheck, R. R. & Rogers, K. D. (1963). Sex distribution of Staphylococcus aureus colonization and disease in newborn infants. New Engl. J. Med. 269, 337.CrossRefGoogle Scholar
Williams, R. E. O. (1964). Sex distribution of colonization and infection with Staphylococcus aureus in the newborn. Lancet i, 274.CrossRefGoogle Scholar