Mupirocin prophylaxis reduces NICU infections, study says | Study examines budesonide treatment for bronchopulmonary dysplasia in preemies | Maintaining blood glucose concentration effective for neonatal hypoglycemia
November 2, 2015
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News for Obstetric, Neonatal & Women's Health Care Professionals
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Mupirocin prophylaxis reduces NICU infections, study says
NICU infants given monthly applications of mupirocin prophylaxis had fewer methicillin-resistant Staphylococcus aureus and invasive staphylococcal infections, University of Louisville researchers reported at IDWeek 2015. Data showed that after the preventive intervention, MRSA infections decreased by 43% and invasive infections decreased 73%. (10/10)
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Patient Safety & Clinical Update
Study examines budesonide treatment for bronchopulmonary dysplasia in preemies
A Swiss study in the New England Journal of Medicine revealed a 27.8% incidence of bronchopulmonary dysplasia among extremely premature infants who were given inhaled budesonide within 24 hours of birth, compared with 38% among those on placebo. Researchers used a cohort of 863 extremely premature infants and found those on budesonide had a lower proportion of infants who needed reintubation, but a possible increase in mortality risk. News (10/15)
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Maintaining blood glucose concentration effective for neonatal hypoglycemia
New Zealand researchers found neonates with hypoglycemia didn't experience an increase in the risk of the primary outcomes of neurosensory impairment and processing difficulty after they were treated to maintain a blood glucose concentration of at least 47 mg/dL, compared with those with unrecognized hypoglycemia, who didn't have increased risks. The findings, published in the New England Journal of Medicine, were based on 528 neonates considered to be at high risk for hypoglycemia with a gestational age of at least 35 weeks. News (10/15)
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Analysis sheds light on using cervical length to predict labor
A review of data from five studies found that cervical length measured by transvaginal ultrasound was moderately predictive of the onset of labor in women who were 38 or 39 weeks pregnant, researchers reported in BJOG. The authors said this method may be indicated in high-risk cases when pregnant women may need to be transferred to a facility with a NICU or when there is a risk of stillbirth. Medscape (free registration) (10/30)
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ACS recommends annual breast screening start at 45
Women should begin annual mammograms at the age of 45, continuing yearly until age 54, after which they can be screened every two years if they are still in good health, according to the American Cancer Society's updated guidelines published in the Journal of the American Medical Association. The society, which previously recommended starting mammograms at age 40, based the changes on evidence that annual mammography is most effective among women approaching menopause. The US Preventive Services Task Force said it will review the new body of evidence as it finalizes its own guidelines for breast screening. HealthDay News (10/20)
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Professional Practice
OB/GYN group updates guidance on operative vaginal delivery
An American College of Obstetricians and Gynecologists practice bulletin published in Obstetrics & Gynecology said operative vaginal delivery is an important part of current labor management, and clinicians should be knowledgeable about the risks and proper use of instruments. The report said operative vaginal delivery accounted for 3.3% of deliveries in 2013, but has been decreasing in the US over the past few decades. (10/23)
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Fla. hospital challenge leads to 100 additional certifications for RNs
Registered nurses at Oak Hill Hospital in Brooksville, Fla., have met a Board Certification Nursing Challenge goal of reaching 100 additional certifications by Dec. 31. RNs who passed certification tests received more than a $3,000 pay increase. "The challenge came about when the nursing leadership team talked about what we could do to motivate nurses to better themselves. The nurses benefit personally and professionally, but certification also benefits everyone in the health care organization," said Chief Nursing Officer Leanne Salazar. (10/23)
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Policy, Ethics & Legal Update
N.C. requires genetic testing for SCID in newborns
A new law in North Carolina requires hospitals to test newborns for severe combined immunodeficiency disorder, a condition caused by a genetic defect that leads to abnormally low levels of lymphocytes. The symptomless condition is treatable with bone marrow transplantation if detected early. Twenty-six other states also require the screening. WRAL-TV (Raleigh, N.C.) (10/19)
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Technology & Trends
Study: Medical home model helps newborns discharged from NICU
Newborns discharged from a neonatal ICU into a transitional medical home model had fewer primary care and hospital emergency department visits, researchers reported at the American Academy of Pediatrics meeting. The intervention included follow-up by NICU professionals from one to two weeks after discharge, primary care coordination, and monitoring and treatment of acute and chronic medical problems. Healio (free registration) (10/24)
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FDA clears device to measure infant mouth strength
The FDA cleared NFANT Labs' smart baby bottle, which has sensors that measure infant tongue strength and sends the information to a mobile device. The bottle may help determine when NICU infants are ready to transition from tube feeding to bottle or breast-feeding. (10/12)
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News from NCC
NCC maintenance due dates are changing!
NCC Maintenance Dates Have Changed
Effective Jan. 1, 2016: All maintenance due dates will be on the 15th of the month, instead of the end of the month. All individuals due to maintain NCC certification in 2016, 2017, 2018 or beyond have a new maintenance due date. This change affects all individuals holding an NCC credential, including RNC-E and those newly certified. NCC maintenance due dates are reflected in each individual's personal account.
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NCC achieves NCCA accreditation renewal
NCC is pleased to announce that the National Commission of Certifying Agencies (NCCA) has renewed NCC's accreditation for a five-year period, through March 31, 2020. Learn more.
NCC CE modules -- Expiring soon!
Continuing Education from NCC offers affordable and convenient ways to maintain specialty knowledge competencies and keep abreast of the latest practice updates. To keep these educational offerings current and relevant, NCC adds new modules throughout the year and REMOVES modules at the end of every year. Don't miss out -- order before they are no longer available. See the listing of modules that will be discontinued on Dec. 31.
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In the midst of chaos, there is also opportunity."
-- Sun Tzu,
military leader
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About NCC
The National Certification Corporation is a not for profit organization that provides national credentialing programs and continuing education opportunities to nurses, physicians and other licensed health care professionals within the obstetric, neonatal and women's health care specialties. NCC has awarded more than 115,000 certifications or certificates of added qualification since its inception in 1975.
Learn more about certification and continuing education opportunities for obstetric, neonatal and women's health care professionals –
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