CDC: Contaminated tap water caused P. aeruginosa outbreak in NICU | Researchers question use of routine empirical antibiotics | CDC reviews cases of water births linked to Legionnaires' disease in infants
CDC researchers reported that the 2013 outbreak of Pseudomas aeruginosa bacteria in a NICU was due to contaminated tap water in the hospital. The findings in the journal Infection Control & Hospital Epidemiology also showed that neonatal patients infected were more likely to have stayed in a room without a point-of-use filter and had higher odds of exposure to invasive ventilation and peripherally inserted central catheters.
Late-preterm or term babies born to mothers with chorioamnionitis may not need routine empirical antibiotics, a finding that goes against current guidelines, researchers reported in Pediatrics. Researchers said an alternative protocol -- under which infants were not given antibiotic therapy unless they became symptomatic or had a positive culture or abnormal lab results -- prevented unnecessary antibiotic exposure, NICU admission, higher costs and the disruption of mother-infant bonding and breast-feeding.
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CDC researchers reported the cases of two infants in Arizona delivered through water birth who developed respiratory problems and tested positive for Legionella bacteria, both of whom were treated with a 10-day course of azithromycin. Officials, writing in the agency's Morbidity and Mortality Weekly Report, cited "numerous gaps in infection prevention" during the water births.
Youths whose mothers were obese at the start of pregnancy had a twofold increased likelihood of developing nonalcoholic fatty liver disease in adolescence, compared with those whose mothers weren't obese, Australian researchers reported in the Journal of Hepatology. The findings, based on data involving 1,100 Australian children followed from birth until age 17, also showed a 40% higher NAFLD risk among those who received infant formula prior to completing six months of breast-feeding.
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Colombian researchers reviewed a case series involving 17 infants in Colombia whose mothers had Zika virus and found that serial ultrasound identified Zika-related microcephaly at a median gestational age of 28 weeks and a median of 18 weeks after the onset of maternal Zika virus symptoms. The findings in the journal Obstetrics & Gynecology also showed that three babies had evident congenital Zika syndrome symptoms such as ventriculomegaly and clubfoot prior to microcephaly diagnosis.
Babies with the highest prenatal exposure to naled, an insecticide used against Zika-carrying mosquitoes, scored 3% to 4% lower on fine motor skills tests at age 9 months, compared with those who had the least exposure, according to a study in the journal Environmental International. The findings also showed that prenatal naled exposure was more likely to affect motor function in girls than boys.
NANN is offering registration scholarships to attend the 33rd Annual Conference taking place Oct. 11-14, 2017, in Providence, R.I. Each scholarship is equal to the early-bird conference rate ($245-$505) and will be distributed as a complimentary registration. Deadline to apply is June 23, 2017. Apply now!
The 2017 NANN and NANNP elections are now underway! To learn more about the neonatal nurses eager to lead NANN into the future, visit the NANN and NANNP Candidate Corners before casting your vote. It only takes a few moments to help select NANN's next leaders, so vote today! The polls close on Monday, July 17, 2017 at 11:59 p.m. Pacific Time. Use your member ID and last name to vote!