At 12:20 PM 2/21/2002 , Jill Skeet wrote:
>Hi! I am Jill Skeet, RN-BSN, and ensign in the US Navy. I work in Labor
>and Delivery at the Navy's finest hospital, Naval Medical Center Portsmouth,
>in Portsmouth, Virginia.
>
>I have heard that research has been done that shows that triple dye is not
>as "effective" as it once was thought to have been, and that many
>hospitals/providers are no longer using it. I am having quite a difficult
>time finding articles regarding this topic. I am wanting to present this to
>our medical board, with appropriate substantiating claims. Is there anyone
>that can give me some ideas of where to look? Along with your ideas on such?
Here's something from another naval hospital:
Randomized study of six umbilical cord care regimens. Comparing length of
attachment, microbial control, and satisfaction.
Gladstone IM, Clapper L, Thorp JW, Wright DI.
Clin Pediatr (Phila) 1988 Mar;27(3):127-9
Department of Pediatrics, U.S. Naval Hospital, Bethesda, Maryland.
Two hundred and seventy one infants were enrolled in a study to compare six
different methods of treating the umbilical cord. Antimicrobial control was
equal for all methods. Repeated triple dye application was considered least
acceptable by staff and parents and had the longest attachment time.
Povidone-iodine was associated with the shortest attachment time and was
most liked. If there is no special need to treat a specific nosocomial
outbreak, duration of cord attachment and satisfaction of staff and parents
can help clinicians decide on a cord care regimen.
Len Leshin, MD, FAAP