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    Non-Immediate-Newborn-Care Immunization

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    Mary Faith Kiat-ong
    This document discusses the practice of Crede's prophylaxis, which involves instilling antibiotic ointment into newborns' eyes to prevent blindness from conjunctivitis caused by Neisseria gonorrhea passed from infected mothers. The ointments are bacteriostatic and bactericidal against N. gonorrhoeae and Chlamydia trachomatis. It is routine newborn care to provide this prophylactic eye treatment to prevent gonorrhea conjunctivitis.

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    Non-Immediate-Newborn-Care Immunization

    Uploaded by

    Mary Faith Kiat-ong
    19 views11 pages
    This document discusses the practice of Crede's prophylaxis, which involves instilling antibiotic ointment into newborns' eyes to prevent blindness from conjunctivitis caused by Neisseria gonorrhea passed from infected mothers. The ointments are bacteriostatic and bactericidal against N. gonorrhoeae and Chlamydia trachomatis. It is routine newborn care to provide this prophylactic eye treatment to prevent gonorrhea conjunctivitis.

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    Nursing Notes

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    This document discusses the practice of Crede's prophylaxis, which involves instilling antibiotic ointment into newborns' eyes to prevent blindness from conjunctivitis caused by Neisseria gonorrhea passed from infected mothers. The ointments are bacteriostatic and bactericidal against N. gonorrhoeae and Chlamydia trachomatis. It is routine newborn care to provide this prophylactic eye treatment to prevent gonorrhea conjunctivitis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views11 pages

    Non-Immediate-Newborn-Care Immunization

    Uploaded by

    Mary Faith Kiat-ong
    This document discusses the practice of Crede's prophylaxis, which involves instilling antibiotic ointment into newborns' eyes to prevent blindness from conjunctivitis caused by Neisseria gonorrhea passed from infected mothers. The ointments are bacteriostatic and bactericidal against N. gonorrhoeae and Chlamydia trachomatis. It is routine newborn care to provide this prophylactic eye treatment to prevent gonorrhea conjunctivitis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 11

    Crede’s prophaylaxis is the instilling of ordered

    ophthalmic ointment into the newborn’s eyes to avoid


    damage and blindness due to conjunctivitis brought
    about by Neisseria gonorrhea.
     ACTION: These antibiotic ointments are
    bacteriostatic and bactericidal. They provide
    prophylaxis against Neisseria gonorrhoeae and
    chlamydia trachamatis.
     INDICATION: These medications are applied
    to prevent ophthalmia neonatorum in newborns
    of mothers who are infected of gonorrhea and
    conjunctivitis in newborn of mothers infected
    with chlamydia.
     It is part of the routine care of the newborn to give
    prophylactic eye treatment against gonorrhea
    conjunctivitis or opthalmia neonatorum.

     Neisseria gonorrhea, the causative agent, may be


    passed on the fetus from the vaginal canal during
    delivery.

     This practice was introduced by Crede, a German


    gynecologist in1884. Silver nitrate, erythromycin and
    tetracycline ophthalmic ointments are the drugs used
    for this purpose.
    2. Vitamin K
     Fat soluble vitamin
     Essential for function of blood coagulation
     At birth –
    • Reduced vitamin K stores
    • Minimal placental transfer
     After birth
    • Vitamin K is limited in breast milk (Van Winckel et al, 2008)

     Given IM injection – lateral anterior thigh muscle


     Phytonadione (1mg) = 0.1 cc (mature)
    = 0.05 ml (premature)
    3. Hepa B Vaccine
    Birth dose and interval between the
    doses are extremely important :
    • not only for the robustness of the
    immune response, but
    as well for the prevention of vertical and
    horizontal transmission and
    • the long term protection post-
    vaccination.
     Hepatitis B vaccine can
    prevent hepatitis B. Hepatitis B is a liver
    disease that can cause mild illness
    lasting a few weeks, or it can lead to a
    serious, lifelong illness.
     Acute hepatitis B infection is a short-
    term illness that can lead to fever, fatigue,
    loss of appetite, nausea, vomiting,
    jaundice (yellow skin or eyes, dark urine,
    clay-colored bowel movements), and
    pain in the muscles, joints, and stomach.
     Chronic hepatitis B infection is a long-
    term illness that occurs when the
    hepatitis B virus remains in a person’s
    body. Most people who go on to develop
    chronic hepatitis B do not have
    symptoms, but it is still very serious and
    can lead to liver damage (cirrhosis), liver
    cancer, and death. Chronically-infected
    people can spread hepatitis B virus to
    others, even if they do not feel or look
    sick themselves.

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