NICU implements 3-part program to reduce S. aureus infections | Pediatric group issues guidance on reflux in preemies | Blood vessel condition in preemies treated with plug technique
June 19, 2018
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Critical Care Update
NICU implements 3-part program to reduce S. aureus infections
Spectrum Health Helen DeVos Children's Hospital in Grand Rapids, Mich., implemented a three-part program to reduce Staphylococcus aureus infections in newborns. The program, which increased hand hygiene awareness, educated NICU staff about S. aureus infections and had parents clean their skin before skin-to-skin contact with infants, reduced the number of infants developing S. aureus from 59 the year before the program was introduced to 20 the year after, according to a study prepared for presentation at the Association for Professionals in Infection Control and Epidemiology's annual meeting.
HealthDay News (6/15) 
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Pediatric group issues guidance on reflux in preemies
Pediatricians should diagnose preterm infants with gastroesophageal reflux using GER-associated symptoms -- such as feeding intolerance, apnea, arching, inadequate growth, desaturation, pulmonary condition exacerbations, irritability and perceived feeding discomfort -- and the disorder is normal and often self-resolving among premature babies, according to an American Academy of Pediatrics clinical report in Pediatrics. The report does not recommend pharmacologic treatments.
Healio (free registration)/Infectious Diseases in Children (6/18) 
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Medicine in the News
Senators ask FDA to determine cause of nationwide drug shortages
Senators ask FDA to determine cause of nationwide drug shortages
Gottlieb (Drew Angerer/Getty Images)
A bipartisan group of 31 senators sent a letter to FDA Commissioner Scott Gottlieb asking the agency to convene its Drug Shortages Task Force to find out the possible causes of nationwide drug shortages, particularly of local anesthetics, sterile IV fluids and other routinely used medications. The senators also asked the agency to come up with policy recommendations on how to address the shortages by the end of next year at the latest.
The Hill (6/18) 
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Study: Rural Neb. hospitals have infection control problems
A study of 36 critical access hospitals in rural Nebraska found problems with infection prevention and control, researchers reported at the Association for Professionals in Infection Control and Epidemiology's annual meeting. Key problem areas included injection safety, prevention of central line-associated bloodstream infections, and prevention of catheter-associated urinary tract infections.
Healio (free registration)/Infectious Disease News (6/15) 
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Trends and Technology
Study: ICU telemedicine program cuts patient transfers
A Department of Veterans Affairs telemedicine program implemented at 52 ICUs led to a reduction in interhospital patient transfers from 3.46% to 1.99%, compared with a decrease in patient transfers from 2.03% to 1.68% in 94 facilities that did not have a telemedicine program. The study published in the journal Chest found the ICU telemedicine program did not increase 30-day mortality rates.
Physician's Briefing/HealthDay News (6/18),  MedPage Today (free registration) (6/18) 
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Machine learning, EHR data may predict survival after echocardiography
A study published in the Journal of the American College of Cardiology: Cardiovascular Imaging showed that machine learning models that use EHR information and image data produced "significantly higher" accuracy in predicting mortality among patients who underwent echocardiography, compared with a linear logistic regression method. Researchers used a cohort of 171,510 patients and found that machine learning models achieved 96% of the maximum prediction accuracy using just 10 variables, six of which were from echocardiography interpretations.
Health Imaging online (6/15) 
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