Outbreaks of skin
infections due to Staphylococcus aureus continue to be a major problem in newborn nurseries. In this report, we described how the
staphylococcal skin infections were controlled in the nursery during the last 5 1/2 years. An outbreak of staphylococcal skin
infection (totally 29 cases) developed in January 1985, and declined dramatically to 3 cases in March of the same year when 3%
hexachlorophene (HCP) bathing was used (period 1-January 1985 to March 1985). The
infections increased to 30 cases in May when HCP bathing was discontinued and was replaced by baby
soap baths (period 2-April 1985 to May 1985). Once again, HCP bathing (period 3-June 1985 to January 1987) was reinstituted and
infection rate was reduced. After discontinuation of HCP (period 4-February 1987 to March 1987), another outbreak of staphylococcal skin
infection reappeared. It was controlled again with HCP bathing (period 5-April 1987 to April 1988). Daily baby
soap baths were continued during period 6 (May 1988 to October 1988), and skin
infections increased again. Finally in period 7 (November 1988 to June 1990), daily baby
soaps were reinstituted and a
triple dye was applied daily to the cord and to the surrounding skin (1 inch diameter) until discharge. During this period,
staphylococcal skin infections was reduced to 1-4 cases and no more outbreaks occurred. Our data confirmed that 3% HCP bathing of newborns reduced the
infection rate of Staphylococcus aureus during an endemic period, and supported that
triple dye may be an alternative to HCP for preventing staphylococcal skin
infection in a newborn nursery.