Study: 100% hand hygiene does not eliminate MRSA transmission | Preemies more likely to die of SIDS, study finds | Adverse fetal outcomes tied to maternal DKA, study finds
July 10, 2017
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Study: 100% hand hygiene does not eliminate MRSA transmission
Tests conducted in a simulated NICU found 100% hand hygiene compliance reduced colonization of methicillin-resistant Staphylococcus aureus bacteria by 86%, suggesting that even optimal hygiene cannot eradicate MRSA transmission to infants, researchers reported in Infection Control & Hospital Epidemiology. "The biggest implication is that hospitals should not just rely upon hand hygiene alone for protecting patients from becoming colonized and possibly infected with a difficult-to-treat organism," said lead author Neal Goldstein.
Becker's Hospital Review (6/30) 
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Patient Safety & Clinical Update
Preemies more likely to die of SIDS, study finds
Infants born between 24 and 27 weeks of gestation had a more than three times increased likelihood of dying from sudden infant death syndrome and other sleep-related infant deaths before reaching age 1 year, compared with those born full-term, according to a study in Pediatrics. The findings should prompt parent education on safe infant sleep practices in the NICU as well as the development of more evidence-based initiatives to bolster compliance to safe sleep practices, said researcher Barbara Ostfeld.
United Press International (6/26),  Business Standard (India) (tiered subscription model)/Asian News International (6/28) 
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Adverse fetal outcomes tied to maternal DKA, study finds
A study in Diabetes Care found that fetal demise occurred in 15.6% of cases among 62 women who had at least one diabetic ketoacidosis event during pregnancy. Higher pre-DKA HbA1C levels and smoking were associated with an increased risk of preterm birth, while higher NICU admission rates correlated with higher anion gap during DKA event, preterm birth, preeclampsia and smoking.
Physician's Briefing/HealthDay News (6/21) 
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Study links thyroid function to pregnancy weight gain
Higher thyroid-stimulating hormone levels in early pregnancy were linked to a higher prepregnancy BMI and early pregnancy weight gain compared with normal thyroid function, according to a study in Clinical Endocrinology. Researchers measured maternal weight before and during pregnancy along with thyroid-stimulating hormone and free thyroxine levels at 13.5 weeks' gestation.
Healio (free registration)/Endocrine Today (7/7) 
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Lower-dose aspirin may protect against preterm preeclampsia
Researchers said 1.6% of at-risk pregnant women who took a 150-milligram dose of aspirin daily developed preterm preeclampsia, compared with 4.3% of women in a placebo group. The study in The New England Journal of Medicine noted women took the aspirin from 11 to 14 weeks of gestation through 36 weeks of gestation.
Healio (free registration)/Cardiology Today (6/28) 
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CDC: Placental, fetal tissue can help determine Zika infection in newborns
CDC researchers tested the placental and fetal tissue of newborns for Zika virus infection and found that only 1 in 10 infants at risk from Zika was infected, and infection did not always result in birth defects. The findings were published in the agency's Morbidity and Mortality Weekly Report.
HealthDay News (6/22) 
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Mammography schedule should be shared decision, gynecologists say
Women with average risk of breast cancer should consider mammograms at age 40, and regular screenings at 1- or 2-year intervals should begin by age 50 and continue to age 75 or older, according to guidelines from the American Congress of Obstetricians and Gynecologists. Screening decisions should always be shared between the patient and medical professionals, based on the patient's health, priorities and preferences, ACOG said.
MedPage Today (free registration) (6/22) 
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Professional Practice
NICU care evolves to keep preemies, parents together
Beacon Children's Hospital in South Bend, Ind., is among the hospitals changing how NICU care is provided so premature infants can benefit from more close physical contact with their parents. Beacon designed its NICU so families can stay together in private rooms and clinicians can coach parents on caring for their infants.
The Wall Street Journal (tiered subscription model) (6/25) 
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Policy, Ethics & Legal Update
Va. collaborative to seek more resources for NAS treatment
Health care organizations in Virginia launched the Virginia Neonatal Perinatal Collaborative to address neonatal abstinence syndrome and the opioid crisis. The collaborative will work toward passage of laws that give providers and health care facilities greater resources to treat mothers and newborns with NAS.
WVEC-TV (Norfolk, Va.) (6/28),  WTVR-TV (Richmond, Va.) (6/28) 
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Technology & Trends
Hospital NICU tests app to track breast milk
The Hospital of the University of Pennsylvania's Intensive Care Nursery is testing the Keriton app, designed by nurses and mothers, that monitors the hospital's inventory of breast milk and serves as a communication tool. The app has four functions, including an inventory management system and a dashboard that allows nurses to monitor pumping patterns, along with forums connecting moms to lactation specialists and allowing nurses to send baby photos to mothers.
PhillyVoice (Philadelphia) (6/13) 
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News from NCC
Convenient and affordable NCC CE -- fits any schedule!
Convenient and affordable NCC CE -- fits any schedule!
Using professional conferences to earn CE can be time-consuming and expensive. CE from NCC offers convenient and affordable continuing education that is "close to home." Completed modules with passing scores are automatically entered into your NCC maintenance application. CE from NCC is a time-saving and convenient resource! With costs ranging from $8 for 2 hours to $39 for 15 hours, CE from NCC is an affordable and valuable resource! See the NEW CE modules NCC just released this summer!
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NCC National Volunteer Team -- Call for members!
NCC is looking for certified professionals who would like to become involved in the future of certification at the national level. The NCC National Volunteer Team is open to professionals holding an active NCC certification and willing to complete a free online item writing and development program. Members of the team may be asked to write and review test questions to be used on certification examinations & competency assessment tests or assist in writing and reviewing modules for CE. They may also be called to participate in standard setting activities and content teams when needed. Learn more.
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Attending a conference this fall? A few things you should know before you go ...
NCC has reviewed and provided maintenance codes for the ANN, Contemporary Forums, NANN and NPWH fall educational conferences. The NCC CE specialty codes will be available on the various conference websites. Use the provided coding to choose the continuing education needed for your NCC maintenance. NCC is also attending! NCC wants to connect with the nurses in our community and hear how certification has helped them professionally or personally. Learn more.
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About NCC
The National Certification Corporation (NCC) is a non-profit organization committed to promoting quality health care to women, neonates and their families. NCC provides certification, recognition and educational programs for nurses, physicians and other licensed health professionals in the obstetric, gynecologic and neonatal specialties. More than 150,000 licensed health care professionals have been awarded prestigious NCC certifications since its inception in 1975.

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