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題名 | Single Application of Triple Dye to the Umbilical Cord to Diminish Stapylococcus aureus Colonization=單次使用三合染劑消毒處理嬰兒臍帶可有效降低臍帶處之金黃色葡萄球菌的移生率 |
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作者 | 許振芳; 王志堅; 雷玉華; 陳遠浩; 朱夢麟; | 書刊名 | 微免與感染雜誌 |
卷期 | 31:1 1998.03[民87.03] |
頁次 | 頁23-26 |
分類號 | 417.517 |
關鍵詞 | 三合染劑; 消毒; 嬰兒臍帶; 金黃色葡萄球菌; Triple dye; Umbilical cord; Colonization rate; Staphylococcus aureus; |
語文 | 英文(English) |
中文摘要 | 金黃色葡萄球菌是本院院內感染重要的感染致病菌,且嬰兒室內大多數的感染亦由 該病菌所引起。文獻報告,以單次和多次兩種方式使用三合染劑消毒處理新生嬰兒臍帶,皆 可有效的抑制金黃色葡萄球菌的移生率和降低感染的發生。致於使用這兩種方式處理嬰兒臍 帶,以及該處之金黃色葡萄球菌的移生率在這兩種方式之間是否有差異,則研究的不多。總 共213名新生嬰兒參與實驗(其中1名因疑似敗血症使用抗生素而去除),212名嬰兒完成實 驗,其中單次使用三合染劑組之金黃色葡萄球菌的移生率為4.36%(5/116),多次使用三合染 劑組為4.17%(4/96)。經以卡方檢定加以統計分析,得知兩組的移生率並無統計學上的差異 (P值為0.77)。因此我們建議對出生嬰兒只須單次使用三合染劑消毒處理臍帶即可達到多次 使用三合染劑的抑菌效果,並且合乎經濟效益。 |
英文摘要 | It has been reported that both regimens of a single application and multiple applications (performed during hospitalization only) of triple dye have been effectively utilized in umbilical cord care. However, little is known about the difference in reducing the colonization rate of Staphylococcus aureus between the single and multiple applications of triple dye. The effectiveness of single and multiple applications of triple dye for umbilical cord care in the reduction of the colonization rate of S. aureus was, therefore, evaluated in a study of 213 neonates. One neonate was excluded due to suspected neonatal sepsis and was treated with antibiotic therapy. The colonization rates of S. aureus were 4.36%(5/116) in the single application group and 4.17%(4/96) in the multiple application group. Using Chi-square testing, there were no significant differences (p=0.77) between these two groups. In conclusion, the regimen of a single application of triple dye may be considered as an effective regimen and as a possible alternative to a regimen of multiple applications of triple dye for reducing the colonization rate of S. aureus in the newborn nursery. |
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