Milot Jean
Université de Montréal.
Can Bull Med Hist. 2008;25(2):499-514. doi: 10.3138/cbmh.25.2.499.
In the 19th century the occurrence of ophthalmia neonatorum had reached alarming rates in the maternity wards not only of Europe but also across Canada. The impact of this blinding ocular infection on Canadian medicine from 1872 to 1985 is examined through a review of 80 medical journals, books, and lay press articles of that period. The prophylactic and therapeutic use of 2% silver nitrate introduced by Credé in 1880 to prevent neonatal blindness is reviewed. The signs, symptoms, and corneal complications of this disease as well as the multiple ocular drugs used during this era will be presented. The judicial consequences on midwives and obstetricians will be discussed. The subsequent use of colloidal silver based agents such as collargol, protargol and argyrol followed by the introduction of sulfonamides and finally the routine use of prophylactic topical antibiotics will be reviewed.
19世纪,新生儿眼炎的发生率在欧洲以及加拿大各地的产科病房都达到了惊人的程度。通过回顾该时期的80种医学期刊、书籍和通俗报刊文章,研究了1872年至1985年这种致盲性眼部感染对加拿大医学的影响。回顾了1880年克里德引入的2%硝酸银预防新生儿失明的预防性和治疗性用途。将介绍这种疾病的体征、症状和角膜并发症,以及该时期使用的多种眼科药物。将讨论对助产士和产科医生的司法后果。还将回顾随后使用的胶体银制剂,如弱蛋白银、蛋白银和银盐蛋白,接着是磺胺类药物的引入,最后是预防性局部抗生素的常规使用。