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Neonates intensive care paediatrics

Thi Thanh Binh Nguyen, Hea-Jong Chung, Hyeon-Jin Kim, Seong-Tshool Hong
For decades, supporting the optimal growth of low birth weight (LBW) infants has been considered one of the most important paediatric challenges, despite advances in neonatal intensive care technology and nutrition interventions. Since gut microbiota affects such diverse phenotypes in adults, the difference in gut microbiota composition between normal infants and LBW infants raises the possibility of gut microbiota playing an important role in different growth rates of neonates. Based on the concept that probiotics are generally beneficial to the health, numerous studies have been made on probiotics as a supplement to the diet of the LBW infants...
February 18, 2019: Critical Reviews in Microbiology
Dayane de Melo Costa, Khalid Johani, Dulcelene Sousa Melo, Lillian Kelly de Oliveira Lopes, Liwcy Keller de Oliveira Lopes Lima, Anaclara Ferreira Veiga Tipple, Honghua Hu, Karen Vickery
The aim of this study was to determine the epidemiology (location, microbial load, microbiome, presence/absence of biofilm, and pathogens, including ESKAPE - Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa and Enterobacter species, and antimicrobial susceptibility profiles) of the bacterial contamination on intensive care units (ICUs) surfaces. Fifty-seven high-touched surfaces were collected from adult, paediatric and neonatal ICUs from two large public Brazilian hospitals from central and north regions...
February 13, 2019: Letters in Applied Microbiology
Sandie Cabon, Fabienne Poree, Antoine Simon, Olivier Rosec, Patrick Pladys, Guy Carrault
Video and sound acquisition and processing technologies have known great improvements in the last decades, with many applications in the biomedical area. The motivation of this paper is to provide an overall state of the art of the advances within these topics in paediatrics, to evaluate their potential application for monitoring in Neonatal Intensive Care Unit (NICU). For this purpose, more than 150 papers dealing with video and audio processing were reviewed. For both topics, clinical applications are described according to the considered cohorts, either full-term newborns, infants and toddlers, or preterm newborns...
January 22, 2019: Physiological Measurement
K B Oppel, S L Holgate, H Finlayson
BACKGROUND: Ampicillin to treat Listeria monocytogenes (LM) infection is empirically added to the treatment of infants (<3 months) with suspected sepsis or meningitis. OBJECTIVES: In view of limited LM cases, the paucity of South African (SA) data and an ampicillin shortage, our objective was to describe the occurrence of LM infections at Tygerberg Hospital (TBH), Cape Town, with the aim of rationalising the paediatric antibiotic policy. METHODS: An 11-year (2006 - 2016) retrospective descriptive study of children (<13 years) from TBH and referral hospitals with a positive blood or cerebrospinal fluid (CSF) culture for LM was conducted...
October 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Mark Corbett, David Marshall, Melissa Harden, Sam Oddie, Robert Phillips, William McGuire
BACKGROUND: Extravasation injuries are caused by unintended leakages of fluids or medicines from intravenous lines but there is no consensus on the best treatment approaches, particularly in infants and young children. METHODS: This paper presents a more succinct account of a study of treatments for extravasation injuries in infants and children which has also been reported in full as an NIHR HTA report. A systematic scoping review and survey of UK NHS practice were undertaken...
January 7, 2019: BMC Pediatrics
F J Gill, J M Latour
No abstract text is available yet for this article.
January 2019: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
Bonnie Dorise, Amit Trivedi, Claire Galea, Karen Walker, Bhavesh Mehta
OBJECTIVES: To assess the impact of feeding practices on growth in infants with Pierre Robin Sequence (PRS) during their inpatient stay in a neonatal intensive care unit in a large tertiary paediatric hospital setting. METHODS: A retrospective review of feeding practices in infants with PRS was conducted between January 2006 and September 2017. Baseline demographics, nutrition-related and general outcomes were collected. Feeding difficulties, length of stay (LOS) and malnutrition were the primary outcome measures...
December 7, 2018: International Journal of Pediatric Otorhinolaryngology
Gyde Steffen, Michael Pietsch, Martin Kaase, Sören Gatermann, Guido Werner, Stephan Fuchs, Yvonne Pfeifer, Wolfgang Schmitt, Henning Adam, Tim Eckmanns, Sebastian Haller
BACKGROUND: In August 2015 seventeen neonates with Enterobacter (E.) cloacae colonisation were identified in a neonatal intensive care unit (NICU) in Germany. Two developed severe brain abscesses. Despite temporary NICU closure in September another infant with E. cloacae colonisation was detected in October 2015. METHODS: We defined potential cases as inpatients treated in the NICU or any paediatric/maternity ward in 2015 with E. cloacae in any specimen before molecular typing...
December 13, 2018: Pediatric Infectious Disease Journal
Daynia Elizabeth Ballot, Tanusha Ramdin, Debbie Ann White, Jeffrey Lipman
OBJECTIVE: Paediatric intensive care resources are limited in sub-Saharan Africa. The mortality rate in a combined Paediatric/Neonatal Intensive Care Unit in Johannesburg, South Africa was almost double that in a dedicated paediatric intensive care unit in the same country. This study aimed to compare the raw mortality rate with that predicted with the Paediatric Index of Mortality (version 3), by doing a retrospective analysis of an existing database. RESULTS: A total of 530 patients admitted to the intensive care unit between 1 January 2015 and 31 December 2017 were included...
November 26, 2018: BMC Research Notes
Ilaria de Barbieri, Eugenia de Anna, Veronica Strini
AIM: The purpose of this review is to describe acoustic pollution in neonatal and paediatric intensive care units, sources and effects of noise on patients and health care professions and interventions to reduce it. METHOD: The literature review was carried out using four main databanks from November 2016 to December 2016 through variously combined keywords and Mesh. 237 papers were detected. Presence of full text and pertinence were selection criteria. OUTCOME: 43 papers and 2 guidelines were selected...
July 2018: Professioni Infermieristiche
Yin Ba, Jin Xu, Lin Yuan, Haiyan Zhu, Yipei Yang, Mei Mei Lam, Shulian Zhang, Mili Xiao, Jiayin Xu, Rong Zhang, Chao Chen
Objective: To validate a three-step protocol that assesses the clinical risk associated with using blood glucose monitoring systems (BGMS) in neonates for the management of dysglycaemia. Method: The three-step validation approach included confirmation of the accuracy of the reference method using National Institute of Standards and Technology (NIST) glucose standards, assessment of analytical risk performed on whole blood collected from paediatric patients routinely tested for glucose and a clinical risk assessment performed using heel stick capillary samples collected from 147 new-born babies and neonates admitted to intensive care...
2018: BMJ Paediatrics Open
Santosh Upadhyaya Kafle, Gaurav Kattel, Tanchona Nembang, Smriti Karki
INTRODUCTION: Blood component separation facility began dispatching its blood component units from 21st April 2013 at the new blood component separation service complex at B.P. Koirala Institute of Health Sciences. With the supply of blood components being finite and with the added recognition of a high rate of inappropriate use of blood component services around the world, there is a need to monitor and regulate these services. Our study was conducted to identify blood component utilization pattern in institute and to know about different blood components demand for future preparedness...
March 2018: JNMA; Journal of the Nepal Medical Association
Eszter Nagy, Nelli Farkas, Katalin Hollódy
Background and purpose: Differential diagnosis of neonatal and infantile seizures based only on inspection poses a challenge even for specialists. Aims - To investigate the evaluations of neonatal and infantile paroxysmal events based only on inspection. Research question - Is there any difference in the opinion of neonatologists, paediatric neurologists and neurologists about the assessment of common paroxysmal events in infancy? Methods: Video recordings about paroxysmal movements of 15 neonates or infants (aged 2 days- 5 months) were displayed for 47 paediatric neurologists, 35 neonatologists and nurses working in Neonatal or Perinatal Intensive Care Units and 43 neurologists...
September 30, 2018: Ideggyógyászati Szemle
Malcolm R Battin, Christopher Jd McKinlay
AIM: The aim was to survey the Australian and New Zealand Neonatal Network (ANZNN) member units regarding current services and management guidelines for the ex-premature infant with severe chronic lung disease (CLD) still requiring significant respiratory support at term. METHODS: A 16-question survey was sent to clinical directors of all Level 3 units in Australia and New Zealand via the network. Reminder emails were sent, as required, to prompt a satisfactory response rate...
October 10, 2018: Journal of Paediatrics and Child Health
Elisabeth Segers, Henrietta Ockhuijsen, Petra Baarendse, Irene van Eerden, Agnes van den Hoogen
OBJECTIVE: To explore the impact of family centred care interventions on parents' satisfaction and length of stay for patients admitted to a paediatric intensive care unit or a neonatal intensive care unit. METHODS: A systematic review was conducted. Searches have been done in Cinahl, Cochrane, Embase and PubMed from February 2016 till October 2017. All included studies were quality appraised. Due to the heterogeneity of interventions findings were narratively reviewed...
February 2019: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Sören Verstraete, Sascha C Verbruggen, José A Hordijk, Ilse Vanhorebeek, Karolijn Dulfer, Fabian Güiza, Esther van Puffelen, An Jacobs, Sandra Leys, Astrid Durt, Hanna Van Cleemput, Renate D Eveleens, Gonzalo Garcia Guerra, Pieter J Wouters, Koen F Joosten, Greet Van den Berghe
BACKGROUND: The paediatric early versus late parenteral nutrition in critical illness (PEPaNIC) multicentre, randomised, controlled trial showed that, compared with early parenteral nutrition, withholding supplemental parenteral nutrition for 1 week in the paediatric intensive care unit (PICU; late parenteral nutrition) reduced infections and accelerated recovery from critical illness in children. We aimed to investigate the long-term impact on physical and neurocognitive development of early versus late parenteral nutrition...
September 14, 2018: Lancet Respiratory Medicine
Shamala Balan, Mohamed Azmi Ahmad Hassali, Vivienne S L Mak
BACKGROUND: In the past two decades, many legislative and regulatory initiatives were taken globally to improve drug use in children. However, children are still found to be prescribed with off-label drugs. This study was conducted to provide an overview of the worldwide trend in off-label prescribing in children from the year 1996 to 2016. DATA SOURCES: The articles published in PubMed, MEDLINE and Google Scholar were searched using text words: off-label, unlicensed, paediatric and children...
September 14, 2018: World Journal of Pediatrics: WJP
Zeynep Ozkurt, Selahattin Balsak, Yusuf Yildirim, Harun Yuksel, Ihsan Caca
Background: Red reflex screening is the primary but unheeded test for the detection of vision- and life-threatening eye conditions. Aims: To evaluate the red reflex of newborns, percentage of ocular diseases resulting in red reflex abnormality, and their relation with consanguinity in Southeast Turkey. Methods: Newborns (n = 1358) were examined with pencil light and direct ophthalmoscopy. Results: Eight hundred of these newborns were hospitalized in a rooming-in unit...
September 6, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
Ioannis N Mammas, Demetrios A Spandidos
Professor Alan Michael Weindling, Emeritus Professor of Perinatal Medicine at the University of Liverpool in the UK, is one of the pioneers of modern neonatal care worldwide with an enormous contribution to the care of premature babies in the city of Liverpool. During the last 3 decades, his contributions focused on the development of the clinical service, the training provided and the strong research achievements at Liverpool Women's Hospital NHS Trust, one of the most widely respected centres for neonatal medicine in western Europe...
September 2018: Experimental and Therapeutic Medicine
Ioannis N Mammas, Demetrios A Spandidos
Dr Prakash Thiagarajan, consultant neonatologist and clinical director at Women's and Children's Division at Noble's Hospital on the Isle of Man, is one of the most talented neonatologists in the UK with a great experience in newer modes of infant ventilation and the application of technology in neonatal medicine and paediatrics. Under his leadership, the new neonatal intensive care unit (NICU) at Noble's Hospital is a state-of-the-art neonatal unit offering the very highest standards of care for critically ill babies on the island...
September 2018: Experimental and Therapeutic Medicine
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