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Biomedical subjects

M Marland

Publications and source records attributed to M Marland.

6 recordsLinked to original sources
PubMed1985

Comparative efficiency of chlorhexidine and ethanol in umbilical cord care.

Recurrent epidemic spread of beta-hemolytic streptococci of Lancefield group A was seen in our maternity wards during a period when 70% ethanol was used for umbilical care. This prompted us to compare this regimen with one using 4% chlorhexidine in detergent for a period of 9 consecutive months. 2016 infants were studied. Umbilical colonization with group A, C and G streptococci was almost eliminated by use of 4% chlorhexidine in detergent and epidemic spread was not seen. Colonization rate of Staphylococcus aureus at the umbilical cord was reduced from 92% to 27%. The incidence of superficial infections during the first 4 postnatal weeks was reduced. Following the 9 months of comparative study 4% chlorhexidine in detergent has been routinely used in umbilical cord care at our hospital for more than 1 year without any epidemic spread of streptococci and with the same antibacterial efficiency.

Chlorhexidine↗
PubMedDate not supplied

Cleaning and disinfection of reusable items in Swedish hospitals.

1. In Sweden, every ward has one or two utility rooms equipped with a washer disinfector for cleaning and disinfection of such items as instruments and wash basins, and a flusher disinfector for cleaning and disinfection of bedpans/urinals and emptying of fluids. 2. Thermal disinfection of reusable items is accomplished in a sealed chamber with an efficient, controlled process--which is a simple, inexpensive, and reliable method for high-level disinfection. 3. The use of flusher and washer disinfectors in hospital wards, surgery areas, and critical care units is recommended to minimize the use of single-use items and provide a safer environment for patients and personnel.

Cross Infection↗