I am a lurker and usually have had good results getting amswers to my
questions by just hanging out and reading what others ask and answer. Maybe
I'm just lazy. But I was interested in the post by K. Jean Cotterman about
the alcohol vs. acqueous gential violet and waited two days for replies, so
am unlurking to get more info.
A patient I worked with as a relatively new LC rotating in 3 busy hospitals
had an interesting history of postpartum uterine infection and the baby with
meningitis so both had been on antibiotics, but because of "no sxs" in the
baby only she had been treated with Diflucan. We dealt with many issues of
medications and anesthesia for a D & C from docs not too supportive of
breastfeeding and she and her mother were very intelligent in their
questions and appreciated having my advice backed up by research. They are
both very pro breastfeeding and she is doing well now, but sore nipples and
baby has a diaper rash (no symptoms, remember) for which he got Nystatin
cream. So we talked about Gential Violet and she purchased it and called me
back saying that there was a message on the bottle stating not for oral
ingestion and to call the poison hotline if it is (ingested). That made her
a little nervous, but then she read the alcohol content of the 1% solution
and wondered about that in a 7 week old. I called other LCs and pharmacies
and found that we have been using this for years and everyone felt very
comfortable with it, until I looked it up in Tom Hale's book and it states
we should use the acqueous solution in the pediatric setting. Our corporate
pharmacist and many of the local ones are very supportive and would get the
acqueous solution if they could find it, but so far have been unable to do
that. They do, however, say that they are very comfortable with the amount
of alcohol in the Gential Violet that would actually get to the infant when
it is used as in Dr. Newman's handout.
Three questions: what is the compound you mentioned described in MMM? What
was Dr. Hales advice? Does anyone know what supplier has the acqueous
solution?
I could call Dr. Hale, but since you have, I thought this might generate
information from him and a lot of other sources, even pharmacists, that
everyone could benefit from.
We have just finished JCAHO survey and felt good about saying we were
following protocols and were researched-based in our practice. Oops, after
reading about Gential Violet in Dr. Hales book. Can someone help us back on
the straight and narrow?
You may reply to the list or to me personally.
Kathleen Sacks, RN, IBCLC
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