Folia Medica Indonesiana
ISSN 0303-7932
Vol. 41 / No. 2 / Published : 2005-04
Order : 6, and page :102 - 107
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Original Article :
The comparison of the effectiveness between 2.5% povidone-iodine eye drop and 1% tetracycline eye ointment on bacterial ophthalmia neonatorum prophylaxis
Author :
- Hamidah Ali and Retno Sutarti*1
- Department of Ophthalmology Airlangga University School of Medicine Dr Soetomo Teaching Hospital, Surabaya
Abstract :
Background: Ophthalmia neonatorum is an acute conjunctivitis in infant caused by bacterial gram positive, gram negative, herpes virus and HIV virus. The most frequent bacterial causes are perinatally-acquired gonococcus and chlamydia. Before prevention the cases demonstrated a high rate and after prevention the rate is decreased. Many preventive agents are used including 1% silver nitrate solution, 0.5% erythromycine eye ointment and 2.5% povidoneiodine eye drop (new application). Every country chooses and recommends those drugs differently as prophylaxis. Objective: To know the difference of the effectiveness between 2.5% povidone-iodine eye drop and 1% tetracycline eye ointment in newborn at Dr. Soetomo Hospital. Method: This study used experimental pre- and posttest design, i.e. comparing the effectiveness between 2.5% povidone-iodine eye drop and 1% tetracycline eye ointment. Population of study were 148 normal babies, divided into two groups: i.e., group one of 74 babies treated with 2.5% povidone-iodine eye drop and the second group comprised 74 babies with 1% tetracycline eye ointment. The data were collected and analyzed statistically with Chi-square test, Wilcoxon sign rank tests, Mann Whitney, McNemar and homogeneity test (p < 0.05 significantly). Result: the effectiveness of 2.5% povidone-iodine eye drop and 1% tetracycline eye ointment, both clinically and laboratory, were good. The differences were not significant. Chi - square test in clinical examinations showed that conjuctival hyperaemie had p= 1.000, conjunctival secretion had p= 0.202, Laboratory examinations revealed: polymorphonuclear cell p = 0.831, mononuclear cell p = 0.154 and the decrease of bacteria = 0.147. Conclusion: The effectiveness of 2.5% povidone-iodine eye drop and 1% tetracycline eye ointment is similar p > 0.05, thus 2.5% povidone-iodine can be considered as prophylaxis in newborn babies.
Keyword :
ophthalmia neonatorum, povidone-iodine, tetracycline,
References :
Friendly SD,(1983) Ophthalmia Neonatorum: Pediatric Clinics Of North America, Vol. 30 Washington DC : George Washington University
Havener WH,(1983) Ocular Pharmacology: Tetracycline St. Louis, Toronto : CV Mosby Company
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