Abstract

The article "Ophthalmia Neonatorum: A Chart Review" by Armstrong et al. (Pediatrics 57:884, June 1976) catches my eye. If one reads the Credé prophylaxis method of instilling silver nitrate into the eyes of newborns, one realizes that should anything be instilled into the eye afterwards to wash out the silver nitrate it should not be saline. The chloride reacts with the silver, forming silver chloride, which is ineffective as an antibacterial. Perhaps this is why they had as many as 43 cases of gonococcal conjunctivitis during their six-year review!

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