Credéche prophylaxis

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Credé`s prophylaxis

Definition
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Today, prophylaxis to avoid gonoblenorrhoea in newborns is no longer officially prescribed but recommended.

Implementation
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Today 0.05-1% silver nitrate solution (e.g. Mova Nitrate Pipette eye drops), 1% erythromycin (e.g. Ecolicin eye drops, Ecolicin eye ointment) are used. Method: After the birth instillation of 1-2 trp. or 1 cm of ointment into each eye As a general prophylaxis after the birth, many maternity clinics today use antibiotics (see above), since this helps to fight the nowadays frequent chlamydial infections (see also inclusion corpuscular conjunctivitis).

Undesirable effects
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The conventional silver nitrate solution can lead to irritation of the conjunctiva. Occurs within 6-8 hours after treatment, subsides after 24-48 hours. However, since silver nitrate still proves to be the safest agent against gonococci (no resistance!), it is still used today as a one-time prophylaxis, especially in cases of proven gonococcal infection of the mother.

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Last updated on: 29.10.2020