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A Survey of Current Prophylactic Treatment for Ophthalmia Neonatorum in Croatia and a Review of International Preventive Practices (CROSBI ID 256905)

Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija

Kaštelan, Snježana ; Anić Jurica, Sonja ; Orešković, Slavko ; Župić, Tomislav ; Herman, Mislav ; Gverović Antunica, Antonela ; Marković, Irena ; Bakija, Ivana A Survey of Current Prophylactic Treatment for Ophthalmia Neonatorum in Croatia and a Review of International Preventive Practices // Medical science monitor, 24 (2018), 8042-8047. doi: 10.12659/msm.910705

Podaci o odgovornosti

Kaštelan, Snježana ; Anić Jurica, Sonja ; Orešković, Slavko ; Župić, Tomislav ; Herman, Mislav ; Gverović Antunica, Antonela ; Marković, Irena ; Bakija, Ivana

engleski

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

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.

conjunctivitis ; ophthalmia neonatorum ; post-exposure prophylaxis ; postnatal care

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Podaci o izdanju

24

2018.

8042-8047

objavljeno

1234-1010

1643-3750

10.12659/msm.910705

Povezanost rada

Javno zdravstvo i zdravstvena zaštita, Kliničke medicinske znanosti

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