A WHO study conducted in Vietnam found reductions in life-threatening infections in newborns and NICU admissions at hospitals using the Early Essential Newborn Care package, researchers reported in The Lancet's EClinicalMedicine. The package, which includes evidence-based practices recommended by the WHO, reduced sepsis cases from 3.2% to 0.9%, hypothermia cases from 5.4% to 3.9% and NICU admissions from 18.3% to 12.3%.
Researchers looked at antibiotic use at neonatal intensive care units in 143 hospitals and found that none of the facilities addressed all components of the CDC's Core Elements of Hospital Antibiotic Stewardship Programs, and compliance for most components was below 50%, suggesting substantial gaps between recommendations and practice. The study, reported in Pediatrics, also found that only 26% of NICU patients who received more than 48 hours of antibiotics had positive cultures.
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The FDA has granted Abbott approval for its Amplatzer Piccolo Occluder, a pea-sized device to treat patent ductus arteriosus in premature infants. "We've never had anything like this, a device from a major medical manufacturer that was specifically designed with these tiny, really at risk, very fragile babies in mind," said Evan Zahn, lead investigator and director of the congenital heart program at Cedars-Sinai Smidt Heart Institute in Los Angeles.
A New Jersey law new for 2019 requires health insurers to cover the cost of donated human breast milk for infants in certain cases. Other states with similar laws include California, New York, Missouri, Kansas and Texas, as well as the District of Columbia.
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Researchers looked at 84 pairs of twins and siblings who had similar alcohol exposure during gestation and found that identical twins had the same fetal alcohol disorder diagnoses, but fraternal twins and full and half siblings had different outcomes, with disparities increasing as the pairs became less related. The findings in the journal Advances in Pediatric Research prompted researchers to conclude that no amount of prenatal alcohol exposure is safe for infants due to varying genetic vulnerabilities.
Researchers who studied about 1,000 Irish women found about double the risk of delivering babies with short gestational age or abnormally low birth weight among those who had the highest consumption of caffeine during pregnancy. The study in The American Journal of Clinical Nutrition found the link was consistent regardless of whether caffeine was consumed in coffee or tea, and the authors urged expectant women to at least limit caffeine intake.
Do you have a clinical EBP project or researchable question? We want to help fund it! NANN's Small Grants Committee is now accepting applications. The program is designed to encourage novice researchers and nurses with clinical questions to formalize their projects and submit for funding. Apply today!
We're thrilled to announce the publication has been updated for the first time in eight years to provide the most current policies, procedures, and competencies in the practice of neonatal nursing. The new edition can equip your organization with best-practice protocols, language that can be customized to align to your local and state regulations, a new policy on donor milk use, and more! Provide strong support to your neonatal nurses and neonatal nurse practitioners as they seek to give the highest quality of care to their vulnerable patients. Purchase your copy in the NANN store for February 2019 delivery!