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Subject 511-5-3 PROPHYLACTIC TREATMENT OF THE EYES OF THE NEWBORN

Rule 511-5-3-.01 Purpose

The purpose of this Rule is to prescribe the prophylactic treatment of the eyes of the newborn; to require the person in attendance at childbirth to instill the prophylactic in the eyes of the live newborn immediately following birth; and to require the reporting of Ophthalmia Neonatorium.

Rule 511-5-3-.02 Definitions

Unless a different meaning is required by the context, the following terms as used in these Rules shall have the meaning hereafter respectively ascribed to same:

(1) "Ophthalmia Neonatorium" means an infection by Neisseria Gonoccocus of the eyes of an infant and occurring in the early neonatal period.
(2) "Prophylactic treatment" means the instillation of a one (1) percent aqueous silver nitrate solution in a single dose ampule, or an ophthalmic ointment or drops containing one (1) percent tetracycline or one-half (0.5) percent erythromycin in a single-use tube or ampule in the eyes of the live newborn immediately following birth. None of the agents used for prophylaxis should be flushed from the eyes following instillation.

Rule 511-5-3-.03 Provisions

(1) The person in attendance at any childbirth shall instill the prophylactic treatment in the eyes of the live newborn immediately following birth.
(2) On written application setting forth the objectives, the reasons requiring the use of a prophylactic treatment other than that defined in Section 511-5-3-.02(b) and the control methods to be followed, the Georgia Department of Public Health may authorize the use of another agent or method of prophylactic treatment of the eyes of the newborn for research and other controlled use.
(3) Any physician licensed to practice in Georgia under the Medical Practice Act shall report each case of Gonoccocal Ophthalmia Neonatorium diagnosed or treated by him.
(4) Each person who by Georgia law is permitted to attend the pregnant woman at childbirth but who is not permitted by Georgia law to prescribe medication or treat Ophthalmia Neonatorium shall immediately upon discovery report to the local District Health Director any newborn with signs of Ophthalmia Neonatorium such as swelling, redness of eyes or any discharge therefrom.