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November 1939


Author Affiliations

From the Department of Pediatrics, St. Mary's Hospital.

Am J Dis Child. 1939;58(5):931-934. doi:10.1001/archpedi.1939.01990100013001

It is generally agreed that impetigo in the nursery of the newborn is spread by the attendants' hands. Sauer,1 describing the spread of a recent epidemic of respiratory infection in the Evanston Cradle, spoke of impetigo as a contact hand infection.

After observing the incidence of impetigo in our own nurseries for the past sixteen years, my associates and I have come to the same conclusion and have decided (1) that there has been a definite correlation between the nursery population and the incidence of the disease, (2) that any nursery procedure which minimizes the handling of the infant also reduces the incidence of impetigo and (3) that the occurrence of the sporadic case is almost unavoidable.

During this time we have altered the technic of the nursery many times, starting with open nursery care and ending with the individual crib procedure. We found that in spite of what

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