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1

Vera, Samuel Oliveira da, Márcia Teles de Oliveira Gouveia, Amanda Lúcia Barreto Dantas, and Silvana Santiago da Rocha. "Stressors in patients of neonatal intensive care unit." Revista da Rede de Enfermagem do Nordeste 19 (October 3, 2018): e3478. http://dx.doi.org/10.15253/2175-6783.2018193478.

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2

Walker, Paul, and Vito Forte. "Failed Extubation in the Neonatal Intensive Care Unit." Annals of Otology, Rhinology & Laryngology 102, no. 7 (July 1993): 489–95. http://dx.doi.org/10.1177/000348949310200701.

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One of the roles of the pediatric otolaryngologist in the neonatal intensive care unit (NICU) is the assessment and management of the neonate who fails a trial of extubation. This paper reviews the recent 5-year institutional experience at The Hospital for Sick Children, Toronto, with neonates who failed extubation and who subsequently underwent diagnostic endoscopy. One hundred twenty-eight neonates from the NICU underwent diagnostic endoscopy. Of these, 58 neonates underwent diagnostic endoscopy for failure to extubate. Nine neonates were extubated after diagnostic endoscopy and retrial (16% of the series). Eleven neonates were extubated after additional endoscopic procedures (19% of the series). Twenty-four neonates underwent anterior cricoid split, of whom 20 or 83% (34% of the series) were eventually successfully extubated with no further airway intervention required during the study period (minimum 6 months' follow-up). Eleven neonates underwent tracheotomy (19% of the series). Four neonates underwent another external procedure to allow extubation (7% of the series). Three neonates died while still intubated (5% of the series). Our management of the neonate who fails a trial of extubation is discussed.
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Rodrigues, Bruna Caroline, Roberta Tognollo Borotta Uema, Gabrieli Patrício Rissi, Larissa Carolina Segantini Felipin, and Ieda Harumi Higarashi. "Family centered care and practice in the neonatal intensive care unit." Rev Rene 20 (April 25, 2019): e39767. http://dx.doi.org/10.15253/2175-6783.20192039767.

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4

Miller, Alicia S. "Neonatal Intensive Care Unit Pathway." Hospital Pharmacy 38, no. 8 (August 2003): 794–97. http://dx.doi.org/10.1177/001857870303800803.

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This continuing feature will inform readers about the process of implementing, maintaining, and supporting computerized prescriber order entry (CPOE) at the Ohio State University Medical Center. (By “pre-scribers,” we refer to health care professionals authorized to prescribe medications by their states.) Practical information on what worked and what failed will be provided, along with current updates on the status of CPOE at the Medical Center.
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5

Luby, Joan L. "The Neonatal Intensive Care Unit." Journal of the American Academy of Child & Adolescent Psychiatry 49, no. 5 (May 2010): 439–40. http://dx.doi.org/10.1097/00004583-201005000-00003.

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6

Sutton, Lee, and Barbara Bajuk. "Neonatal intensive care unit study." New South Wales Public Health Bulletin 3, no. 1 (1992): 3. http://dx.doi.org/10.1071/nb92002.

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7

Shah, Dr Parul, and Dr Palak Bhatia. "Pseudooutbreak of Candida guilliermondii fungemia in Neonatal Intensive Care Unit." International Journal of Scientific Research 1, no. 5 (June 1, 2012): 112–13. http://dx.doi.org/10.15373/22778179/oct2012/40.

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8

Sinha, Shandip Kumar, and Sujoy Neogi. "Bedside Neonatal Intensive Care Unit Surgery- Myth or Reality!" Journal of Neonatal Surgery 2, no. 2 (March 13, 2013): 20. http://dx.doi.org/10.47338/jns.v2.32.

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Neonatal transport is associated with complications, more so in sick and unstable neonates who need immediate emergency surgery. To circumvent these problems, surgery in Neonatal intensive care unit (NICU) is proposed for these neonates. This article reviews the literature regarding feasibility of this novel concept and based on the generated evidence, suggest the NICU planners to always include infrastructure for this. Also neonatal surgical team can be developed that could be transported.
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9

Abera, Tesfaye, Lami Bayisa, Teshome Bekele, Mulugeta Dessalegn, Diriba Mulisa, and Lalisa Chewaka Gamtessa. "Neonatal Mortality and Its Associated Factors among Neonates Admitted to Wollega University Referral Hospital Neonatal Intensive Care Unit, East Wollega, Ethiopia." Global Pediatric Health 8 (January 2021): 2333794X2110301. http://dx.doi.org/10.1177/2333794x211030157.

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Ethiopia has a high neonatal mortality rate in spite of dearth of study. Therefore we aimed to assess magnitude and associated factors of neonatal mortality among neonates admitted to neonatal intensive care units of Wollega University Referral Hospital. Accordingly, a facility based cross-sectional study was conducted on 289 by reviewing medical records of neonates admitted to neonatal intensive care unit. The collected data were entered in to Epi data version 3.1 and Stata version 14 used for analysis. Variables with P-value < 0.25 at with 95% confidence interval in binary logistic regression analysis were taken to the multiple logistic regression analysis. Finally, variables with Likewise, variable with P-value < 0.05 at 95% confidence interval in multiple logistic regression analysis were considered as statistically significant. Among 289 neonates admitted to neonatal intensive care unit, 53 (18.34 %) were died. Majority 42(79.25%) of those deaths occurred at ≤ 7 days of birth. Preterm [AOR 4.15, 95% CI (1.67-10.33)], neonates faced birth asphyxia [AOR 3.26, 95% CI (1.33-7.98)], neonates who developed sepsis [AOR 2.29 95% CI (1.01-5.20)] and neonates encountered with jaundice [(AOR 11.08, 95% CI (1.03-119.59)] were more at risk to die. In general, the magnitude of neonatal mortality among neonates admitted to neonatal intensive care unit was high. Gestational age (maturity of new born), birth asphyxia, neonatal sepsis and neonatal jaundice were predictors of neonatal mortality. Neonates admitted to neonatal intensive care unit with sepsis, jaundice, and birth asphyxia demand special attention to reduce neonatal mortality.
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10

Kilicci, Cetin, Cigdem Yayla Abide, Enis Ozkaya, Evrim Bostancı Ergen, İlter Yenidede, Neriman Basak Baksu, Resul Karakus, and Seda Kucukoglu. "Confounders for Neonatal Intensive Care Unit Admission ın Neonates of Mothers with Preeclampsia." Gynecology Obstetrics & Reproductive Medicine 24, no. 3 (December 25, 2018): 162. http://dx.doi.org/10.21613/gorm.2018.804.

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<p><strong>Objective:</strong> The aim of this study was to investigate the effect of some maternal and neonatal clinical parameters on the neonatal intensive care unit admission rates of neonates born to mothers who had preeclampsia. </p><p><strong>Study Design:</strong> Study included 402 singleton pregnant women with preeclampsia who admitted to Maternal-Fetal Medicine Unit of Zeynep Kamil Children and Women’s Health Training and Research Hospital. Pregnancies with uterine rupture, chorioamnionitis and congenital malformations were excluded. Some maternal and neonatal clinical characteristics were assessed to predict neonatal intensive care unit admission.</p><p><strong>Results:</strong> Among 402 neonates, 140 (35%) of them had an indication for neonatal intensive care unit admission, among 140 neonates, 136 (97%) of them were preterm neonates. Comparison of groups with and without neonatal intensive care unit admission indicated significant differences between groups in terms of gestational age, Apgar scores at 1st and 5th minutes, birth weight, some maternal laboratory parameters (Hemoglobin, hematocrit, alanine aminotransferase, aspartate aminotransferase, albumin). In multivariate analysis, among all study population, gestational age at delivery, birth weight and Apgar scores were found to be significantly associated with neonatal intensive care unit admission. On the other hand, in subgroup of term neonates, none of the variables was shown to be associated with neonatal intensive care unit admission.</p><p><strong>Conclusion:</strong> Gestational age at delivery and the birth weight are the main risk factors for neonatal intensive care unit admission of neonates born to mothers who had preeclampsia.</p>
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Andrade, Priscila Araujo, Maria Aparecida Beserra, Maria Suely Medeiros Corrêa, and Ysmário Francisco Valeriano de Andrade. "Profile of the mortality of infants affected by infections in neonatal intensive care unit." Revista de Enfermagem UFPE on line 4, no. 4 (October 9, 2010): 1785. http://dx.doi.org/10.5205/reuol.1125-9558-1-le.0404201028.

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ABSTRACTObjective: to characterize the mortality of newborns suffering from neonatal infections in the intensive care unit of a maternity clinic in Recife. Method: retrospective, descriptive, transverse study, from January 2006 to December 2007, involving medical records of infants who died of neonatal infection. Results: neonatal mortality due to infection occurred in 47.73% of neonatal deaths, of which 91.42% were of infants weighing less than 2,500g; 88.57% aged less than 37 weeks, 51.43 % female. The early infections were 92.38%. Mothers aged 20 or older accounted for 71.43% and 55.24% were illiterate. Urinary tract infection represented 63.41%. With respect to prenatal, 83.81% of the mothers had less than six visits. Conclusions: this study noticed that with the reduction of risk factors for neonatal infection, you can minimize the number of neonatal deaths, which currently remains high. Therefore, it is important to concentrate efforts for prioritizing this public health problem. Descriptors: neonatal mortality; infection neonatal; intensive care unit; health profile .RESUMOObjetivo: caracterizar o perfil da mortalidade de recém-nascidos acometidos por infecções neonatais na unidade de tratamento intensivo de uma maternidade de Recife. Método: trata-se de um estudo retrospectivo, descritivo, transversal, no período de janeiro de 2006 a dezembro de 2007, utilizando prontuários de recém-nascidos que foram a óbito por infecção neonatal. Resultados: mortalidade neonatal por infecção ocorreu em 47,73% dos óbitos neonatais, dos quais 91,42% foram de recém-nascidos com peso inferior a 2.500g, 88,57% com idade gestacional inferior a 37 semanas, 51,43% do sexo feminino. As infecções precoces representaram 92,38%. As mães com 20 anos ou mais representaram 71,43% e 55,24% eram analfabetas. A infecção do trato urinário representou 63,41%. Quanto ao pré-natal, 83,81% das mães realizaram menos de seis consultas. Conclusões: este estudo mostrou que com a diminuição dos fatores de risco para a mortalidade neonatal por infecção, pode-se minimizar o número de óbitos neonatais, que atualmente permanece alto. Portanto, é importante que sejam concentrados esforços para que se priorize esse problema de saúde pública. Descritores: mortalidade neonatal; infecção neonatal; unidade de terapia intensiva; perfil epidemiológico. RESUMENObjetivos: caracterizar la mortalidad de los recién nacidos que sufren de infecciones neonatales en la unidad de cuidados intensivos de una maternidad em Recife. Método: estudio retrospectivo, descriptivo, transversal, desde enero 2006 hasta diciembre 2007, utilizando registros médicos de los niños que murieron de infección neonatal. Resultados: la mortalidad neonatal debido a la infección se produjo en 47,73% de las muertes neonatales, de los cuales 91,42% eran niños que pesaban menos de 2.500g, 88,57% con menos de 37 semanas, 51,43 % de mujeres. Las infecciones tempranas fueron 92,38%. Las madres de 20 años o más representaban 71,43% y 55,24% eran analfabetas. Infección del tracto urinario representaban 63,41%. Cuanto al pre-natal, 83,81% de lãs madres tenían menos de seis visitas. Conclusiones: este estudio observió que con la reducción de factores de riesgo de infección neonatal, puede reducir al mínimo el número de muertes de recién nacidos, que actualmente sigue siendo alta. Por lo tanto, es importante concentrar los esfuerzos para dar prioridad a este problema de salud pública a fin de tratar de resolver a través de un cuidado de alta calidad durante la atención prenatal, perinatal y neonatal. Descriptores: mortalidad neonatal; infección neonatal; unidade de terapia intensiva; perfil epidemiológico.
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12

Silva, Brenda, Maria Eduarda Santos, Hedyanne Pereira, Monica Britto, Maihana Fonseca, and Eulália Maia. "NEEDS OF MOTHERS OF NEWBORNS HOSPITALIZED IN THE NEONATAL INTENSIVE CARE UNIT." Psicologia, Saúde & Doença 22, no. 02 (June 2021): 768–77. http://dx.doi.org/10.15309/21psd220234.

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13

Suarez, Amanda, David C. Knoppert, David S. C. Lee, Donna Pletsch, and Jamie A. Seabrook. "Opioid Infusions in the Neonatal Intensive Care Unit." Journal of Pediatric Pharmacology and Therapeutics 15, no. 2 (April 1, 2010): 142–46. http://dx.doi.org/10.5863/1551-6776-15.2.142.

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ABSTRACT OBJECTIVES The primary objective of this study was to compare the use of opioid infusions to that proposed in guidelines published in an in-house medication handbook. Secondary objectives were to assess the documented use of a standardized neonatal pain assessment tool and to describe the supplemental use of opioids concurrent with an opioid infusion. METHODS A retrospective chart review was performed for all patients in the NICU who received opioid infusions between November 1, 2005, and November 30, 2006. Data collected included patient characteristics, opioid infusion dosing and duration, supplemental opioid use, and pain assessment documentation. RESULTS Of the110 neonates who received morphine or fentanyl during the study period, 65 patients met inclusion criteria. Reasons for starting an opioid infusion included nonsurgical sedation and/or analgesia (51%), postoperative pain (17%), and procedural pain (1%). No reason was documented for 31% of patients. Thirtyeight percent of neonates received a loading dose of opioid before initiation of the infusion. The median dose was 100 mcg/kg (IQR=48.2) for morphine and and 1 mcg/kg (IQR=0.8) for fentanyl. The mean ± SD starting rates of morphine and fentanyl infusions were 12.3 ± 4.7 mcg/kg/hr and 1.5 ± 1.7 mcg/kg/hr, respectively. Supplemental opioid doses were given to 46% of neonates during the infusion period. Supplemental doses were given for procedures (69%) and pain/agitation/sedation (26%). No reason was documented for 5% of patients. The Neonatal Pain, Agitation and Sedation Scale scores were only documented 9% of the time for each day that the patient received an opioid infusion. CONCLUSIONS Dosing of opioids generally was within the recommendations that are described in the in-house medication handbook. A substantial percentage of neonates received supplemental opioid doses while on opioid infusions, mostly for procedural pain management. Documentation of the reason for using opioid infusions and the assessment of neonatal pain was poor.
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14

Passariello, Annalisa. "Diarrhea in neonatal intensive care unit." World Journal of Gastroenterology 16, no. 21 (2010): 2664. http://dx.doi.org/10.3748/wjg.v16.i21.2664.

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15

Maheshwari, Akhil, and Robert D. Christensen. "Neutropeniain the Neonatal Intensive Care Unit." NeoReviews 5, no. 10 (October 2004): e431-e443. http://dx.doi.org/10.1542/neo.5-10-e431.

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16

Perlman, Max. "Neonatal Intensive Care Unit Report Cards." Pediatrics 102, no. 4 (October 1, 1998): 975–76. http://dx.doi.org/10.1542/peds.102.4.975.

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17

Khan, Mahbub Ul Karim. "Neonatal Intensive care unit; Bangladesh perspective." Community Based Medical Journal 1, no. 1 (February 17, 2013): 1–2. http://dx.doi.org/10.3329/cbmj.v1i1.13816.

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18

Smith, Vincent C., Dmitry Dukhovny, John A. F. Zupancic, Heidi B. Gates, and DeWayne M. Pursley. "Neonatal Intensive Care Unit Discharge Preparedness." Clinical Pediatrics 51, no. 5 (January 25, 2012): 454–61. http://dx.doi.org/10.1177/0009922811433036.

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19

Tolan, Nicole V., Erin J. Kaleta, Jennifer L. Fang, Christopher E. Colby, William A. Carey, Brad S. Karon, and Nikola A. Baumann. "Neonatal Intensive Care Unit Quality Initiative." American Journal of Clinical Pathology 146, no. 1 (June 29, 2016): 113–18. http://dx.doi.org/10.1093/ajcp/aqw086.

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20

Schulman, J., R. J. Dimand, H. C. Lee, G. V. Duenas, M. V. Bennett, and J. B. Gould. "Neonatal Intensive Care Unit Antibiotic Use." PEDIATRICS 135, no. 5 (April 20, 2015): 826–33. http://dx.doi.org/10.1542/peds.2014-3409.

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21

Rastogi, Alok, Julie A. Luken, Rosita S. Pildes, Dale Chrystof, and Florious LaBranche. "Endocarditis in neonatal intensive care unit." Pediatric Cardiology 14, no. 3 (July 1993): 183–86. http://dx.doi.org/10.1007/bf00795653.

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22

Cross, JaNeen. "Neonatal Intensive Care Unit Awareness Month." Neonatology Today 16, no. 9 (September 20, 2021): 82–83. http://dx.doi.org/10.51362/neonatology.today/202191698283.

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23

Choure, Mangal Kishanrao, Rakesh Ramratan Jadhav, and Sudhir Laxmanrao Padwal. "DRUG UTILIZATION STUDY IN NEONATAL INTENSIVE CARE UNIT AT RURAL TERTIARY CARE HOSPITAL." Asian Journal of Pharmaceutical and Clinical Research 10, no. 4 (April 1, 2017): 102. http://dx.doi.org/10.22159/ajpcr.2017.v10i4.16111.

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Objectives: To study the trends of drug utilization pattern in neonatal intensive care unit (NICU) at rural tertiary care hospital using the World HealthOrganization core indicators.Methods: The study was cross-sectional, observational study in NICU of Government Medical College, Ambajogai, Maharashtra. Data were collected byscrutinizing the prescriptions written by pediatricians in NICU. The consent of parents of neonate was obtained for inclusion in the study. Parameterssuch as age, gender, birth weight, current illness, congenital anomalies, gestational age at birth, and drugs prescription analyzed.Results: A total 220 prescription were scrutinized. Out of 220 neonates, 53.6% was males and 46.3% females. The total number of drugs prescribedwas 808 and the average number of drugs per prescription was 3.6. The most frequently prescribed therapeutic class of drugs antimicrobial agents(60.64%) followed by vitamin K (26.7%) and aminophylline (9.4%). The maximum number (50%) of neonate born with birth weight <2.5. Themaximum number (42%) of neonate was born at 34-36 weeks of gestation. Preterm low birth weight was the most common observed reason foradmission to NICU. The drugs are prescribed by branded name outnumbered than generic name.Conclusion: This study highlights the problem of overprescribing of antibiotics, inadequate labeling and a trend toward polypharmacy.Keywords: Drug utilization study, Neonatal intensive care unit, Prescription, Neonate.
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Akter, Shaheen, Rubiya Parvin, and B. H. Nazma Yasmeen. "Admission Hypothermia Among Neonates Presented to Neonatal Intensive Care Unit." Journal of Nepal Paediatric Society 33, no. 3 (December 14, 2013): 166–71. http://dx.doi.org/10.3126/jnps.v33i3.8312.

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Introduction: In developing countries, thermal protection of the newborn is not properly addressed. Neonates presented to Neonatal intensive care unit (NICU) for admission with various problems are frequently found to be hypothermic. The objective of this study was to determine the incidence and associated risk factors for neonatal hypothermia on admission to NICU. Materials and Methods: This was a prospective observational study carried over a period of three years at Enam Medical College and Hospital (EMCH) among the newborns admitted to NICU. Hypothermia has been defined as axillary temperature <36.5°C (<97.7° F). Temperature was measured at admission. Data were collected regarding perinatal and socio economic factors. Bivariate and multivariate analysis has been done to see the association of risk factors. Result: A total of 2310 babies between 0 and 680 h of age (mean 43± 12 hours) were studied. Thirty four percent (785) of the neonates had hypothermia. Mean gestation was 34±3 weeks and 42.5% were inborn. Significant determinants of neonatal hypothermia at admission included factors like preterm (p=0.03), low birth weight (p=0.005), normal delivery (p=0.012), birth asphyxia (p=0.001) below average socioeconomic status (p=0.001) and long distance (>10 km) travelled by the neonate (p=0.03). Independent variables are resuscitation at birth [p=.001, Odds Ratio (OR), 2.43; Confidence Interval (CI), 1.47 to 4.00], (p=0.001), age less than 24 hours (p=.02; OR 2.25; CI, 1.13 to 4.47), low birth weight (p=0.03; OR,2.0; CI, 1.06 to 3.82), caesarean section(C/S) delivery (p=.006; OR 1.35; CI, 1.18-2.12) and below average economic status (p=0.001; OR, 2.76; CI, 1.56 to 5.90). Conclusion: Incidence of admission hypothermia among neonates in our NICU was 34%. Independent risk factors are resuscitation at birth, very low birth weight, C/S delivery, age less than 24 hours and poor socio-economic condition. Proper thermal care should be provided for neonates both at home and hospitals. DOI: http://dx.doi.org/10.3126/jnps.v33i3.8312 J. Nepal Paediatr. Soc. 2013;33(3):166-171
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Schultz, Eric D., David T. Tanaka, Ronald N. Goldberg, Daniel K. Benjamin, and P. Brian Smith. "Effect of Methicillin-Resistant Staphylococcus aureus Colonization in the Neonatal Intensive Care Unit on Total Hospital Cost." Infection Control & Hospital Epidemiology 30, no. 4 (April 2009): 383–85. http://dx.doi.org/10.1086/596610.

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The rate of methicillin-resistant Staphylococcus aureus (MRSA) infection is increasing in neonatal intensive care units. We determined the economic impact of isolating and cohorting MRSA-colonized neonates on total hospital cost at a 49-bed, level III-IV neonatal intensive care unit.
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Sultana, Jesmin, Nure Ishrat Nazme, and Nurun Nahar Fatema Begum. "Patterns of Neonatal Admission and Outcome in Neonatal Intensive Care Unit of a Tertiary Care Hospital." Journal of Armed Forces Medical College, Bangladesh 13, no. 2 (May 13, 2019): 49–53. http://dx.doi.org/10.3329/jafmc.v13i2.41376.

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Introduction: Analyzing the neonatal admission pattern helps the policymakers to make better strategies for healthcare provider to deliver better service. Objective: To demonstrate the admission pattern and outcome of patients in the Neonatal Intensive Care Unit (NICU) in a tertiary care hospital of Bangladesh. Materials and Methods: This retrospective descriptive study was conducted on all neonates admitted to the NICU of Combined Military Hospital (CMH), Dhaka from January to December 2015. Data were collected from file records of the patients regarding age, gender, mode of delivery, working diagnosis, length of stay in NICU and immediate outcome. Results: A total of 502 neonates were admitted during the study period. Majority of the patients (77.3%) were admitted on the 1st day of life. There were 279(55.6%) males with a male to female ratio 1.2:1. The major cause of admission was prematurity (23.1%) and other leading causes were birth asphyxia (BA)14.9%, infant of a diabetic mother (IDM) 13.5%, neonatal sepsis 12.5%. Most of the neonates (82.7%) were delivered by caesarean section. About 84.1% were discharged after improvement, 65(12.94%) died and 15(3%) were referred to other specialties for further management. Within the first 24 hours of admission, 9.4% deaths occurred and two common causes of neonatal death were preterm (49.18%) and birth asphyxia (23%). Conclusion: Good outcome of a neonate depends on adequate management, monitoring and good nursing care in an intensive care unit. By paying good attention to perinatal services and improving the facilities in the unit, morbidity and mortality in neonates can be reduced. Journal of Armed Forces Medical College Bangladesh Vol.13(2) 2017: 49-53
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Prasad, G. A., Paula G. Jones, Jacqueline Michaels, Jeffery S. Garland, and Chandra R. Shivpuri. "Outbreak ofSerratia marcescensInfection in a Neonatal Intensive Care Unit." Infection Control & Hospital Epidemiology 22, no. 5 (May 2001): 303–5. http://dx.doi.org/10.1086/501906.

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AbstractWe report an outbreak ofSerratia marcescensinfection in the neonatal intensive care unit of a community hospital. The outbreak involved eight neonates, (five infected and three colonized), one of whom died. Pulsed-field gel electrophoresis confirmed that all isolates were identical strains. Cohorting and isolation of the infected neonates helped to control the outbreak. No environmental source of infection was found.
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Jackson, Christopher, and Chakra Vasudevan. "Palliative care in the neonatal intensive care unit." Paediatrics and Child Health 30, no. 4 (April 2020): 124–28. http://dx.doi.org/10.1016/j.paed.2020.01.002.

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Fox, Miriam D. "Wound Care in the Neonatal Intensive Care Unit." Neonatal Network 30, no. 5 (2011): 291–303. http://dx.doi.org/10.1891/0730-0832.30.5.291.

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The skin is a vital organ with key protective functions. Infants in the NICU are at risk for skin injury because of developmental immaturity and intensive care treatments. When skin injury occurs, the neonatal nurse is challenged to provide wound care to optimize functional and cosmetic healing. Optimal wound care requires basic knowledge of the mechanisms of injury, physiology of wound healing, host factors affecting wound healing, and wound assessment. This knowledge provides the basis for determining appropriate wound treatment, including dressing selection. Attention to pain issues associated with wound care is difficult because of the infant’s developmental stage, but is essential because of the potentially negative life-long impact of pain. The premature infant’s propensity for skin stripping limits the selection of appropriate dressing, as does the paucity of research examining wound care products in this population.
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30

Gold, Jeffrey I., and Lara P. Nelson. "Palliative care in a neonatal intensive care unit." Journal of Critical Care 27, no. 1 (February 2012): 95–96. http://dx.doi.org/10.1016/j.jcrc.2011.06.005.

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Fernandez Rodriguez, Beatriz, Lorena Peña Gonzalez, Maria Cruz Calvo, Fernando Chaves Sanchez, Carmen Rosa Pallas Alonso, and Concepción de Alba Romero. "Oral care in a neonatal intensive care unit." Journal of Maternal-Fetal & Neonatal Medicine 30, no. 8 (June 17, 2016): 953–57. http://dx.doi.org/10.1080/14767058.2016.1192599.

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32

Suman, Praveen, Neelam Kler, and Satish Saluja. "Development Supportive Care in Neonatal Intensive Care Unit." Journal of Neonatology 15, no. 4 (December 2001): 59–60. http://dx.doi.org/10.1177/0973217920010412.

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33

Namnabati, Mahboobeh, Sedigheh Farzi, and Najmeh Ajoodaniyan. "Care Challenges of the Neonatal Intensive Care Unit." Iranian Journal of Nursing Research 11, no. 4 (October 10, 2016): 35–42. http://dx.doi.org/10.21859/ijnr-110404.

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34

Naylor, Lindsay, Abigail Clarke-Sather, and Michael Weber. "Troubling care in the neonatal intensive care unit." Geoforum 114 (August 2020): 107–16. http://dx.doi.org/10.1016/j.geoforum.2020.05.015.

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Rochin, Elizabeth. "Respectful Care in the Neonatal Intensive Care Unit." Neonatology Today 16, no. 2 (February 20, 2021): 25–27. http://dx.doi.org/10.51362/neonatology.today/202121622527.

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Hjelt, K., JT Lund, B. Scherling, S. Bendixen, K. Lundstram, S. Stovring, P. Voldsgaard, and K. Linnet. "Methaemoglobinaemia among neonates in a neonatal intensive care unit." Acta Paediatrica 84, no. 4 (April 1995): 365–70. http://dx.doi.org/10.1111/j.1651-2227.1995.tb13650.x.

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Joshi, Suchita, Puja Amatya, Bibek Poudel, and Saroj Adhikari Yadav. "Handwashing Practices in Neonatal Intensive Care Unit, Paediatric Intensive Care Unit and Neonatal Nurseries in Patan Hospital." Journal of Nepal Health Research Council 15, no. 1 (August 13, 2017): 56–60. http://dx.doi.org/10.3126/jnhrc.v15i1.18028.

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Background: Hand hygiene has been identified as the single most important factor in minimising hospital acquired infections. However, compliance of handwashing guidelines has remained low. The aim of this study was to study the handwashing practices in the Paediatric and Neonatal intensive care units and Neonatal nurseries in Patan Hospital, and secondly to re-evaluate the improvement on compliance of handwashing guidelines after intervention.Methods: Pre-intervention study was conducted by covertly observing the handwashing practices by the healthcare workers. The healthcare workers were then shown the video demonstrating correct methods of handwashing as recommended by World health organization. The cycle was completed by discretely re-observing the handwashing practices following intervention.Results: Sixty five samples were collected initially. Only 6 (9.2%) had completed all steps of handwashing correctly. Post- intervention, 51 samples were collected, out of which 35 (68.6%) had correctly completed all the steps. Following audio-visual demonstration, 100% correctly completed 8/10 steps of handwashing with soap and water. 8 (16%) failed to dry hands using a single use towel and 14 (28%) failed to turn off the tap using elbow. Postintervention, 100% correctly completed 4/7 steps of handwashing using chlorhexidine. Four (15%) still failed to rub backs of fingers to opposite palm, eight (30%) failed to palm to palm with fingers interlaced, and rub thumb to opposite palm.Conclusions: Compliance in hand hygiene is low despite the known fact that it reduces nosocomial infections. However, a simple intervention like video demonstration can improve the compliance among healthcare workers.
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Ebrahimzadeh, Javad, Zahra Merati, Mahsa Hedayati Zafarghandi, Ghasem Rajabi, Mohamad Ezati Asar, Zahra Sahranavard Veshareh, Sam Sotodeh Manesh, and Mansoor Delpasand. "Assessing equity in the distribution of hospital beds: evidence from northern Iran." Proceedings of Singapore Healthcare 28, no. 4 (October 3, 2019): 259–65. http://dx.doi.org/10.1177/2010105819877894.

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Objective: To assess equity in the distribution of hospital beds in northern Iran. Methods: In this cross-sectional study, we investigated the degree of equity by using 2016 census data from 16 cities in Guilan province. The hospital beds include burns, intensive care unit, coronary care unit and neonatal intensive care unit beds. We analysed the general status and explored its distribution equity by using the Theil index. Findings: We found that Rezvanshahr and Masal had no hospital beds. The utilisation gap was positive only in Rasht, as capital of the province. Neonatal intensive care unit beds were only found in Rasht and Lahijan. Rasht was shown to have a positive gap in using burns, intensive care unit and coronary care unit beds, with a negative gap of 14.68 in coronary care unit beds. The other 15 cities did not have such hospital beds. For intensive care unit, coronary care unit and neonatal intensive care unit beds, nearly 8%, 2% and 14% of cities were deprived of being equipped with these hospital beds, respectively. The highest positive gap and the lowest negative gap were attributed to coronary care unit beds. In the province, there were 0.057 burns beds, 0.137 intensive care unit beds, 0.381 coronary care unit beds and 0.72 neonatal intensive care unit beds per 10,000 population (neonatal intensive care unit beds, per 1000 neonates). In 11 out of 16 cities, the number of coronary care unit beds per 10,000 population was higher than the provincial average. The highest inequality in distribution was shown to be for burns beds (0.8), neonatal intensive care unit beds (0.75), intensive care unit beds (0.55) and coronary care unit beds (0.21), respectively. Conclusion: This study revealed high inequalities in the distribution of hospital beds in northern Iran. The local and national policy-makers should design and implement a comprehensive monitoring and evaluation system for tracking and allocating healthcare resources, both qualitatively and quantitatively, which appears to be very necessary to increase the equity in access to healthcare services.
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Popowicz, Hanna, Wioletta Mędrzycka-Dąbrowska, and Katarzyna Kwiecień-Jaguś. "Prevention and treatment of pain in the neonatal intensive care unit." BÓL 19, no. 2 (November 30, 2018): 21–32. http://dx.doi.org/10.5604/01.3001.0012.8297.

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Healing pain as well as preventing it is an indisputable right of every human being. Activities connected with/ related to medical care in the neonatal intensive care unit may be the source of pain. The aim of the study was to characterize the problem of pain in terms of patients of neonatal intensive care units. The work describes not only the perception of neonatal pain but also preventing and therapeutic actions, including pharmacological and non-pharmacological strategies. The last one can be used widely in the daily work of nursing/midwifery staff with neonatal intensive care unit (OITN) patients and their care providers. The study analyzed national and foreign literature on pain therapy in cases of patients of neonatal intensive care units. The available bibliographic databases include Medline, Scopus, PubMed and Google Scholar. The following keywords were used as search criteria: “pain”, “newborn baby”, “neonatal intensive care unit “‘nurse”, “midwives”.
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Tamma, Pranita D., Susan W. Aucott, and Aaron M. Milstone. "Chlorhexidine Use in the Neonatal Intensive Care Unit: Results from a National Survey." Infection Control & Hospital Epidemiology 31, no. 8 (August 2010): 846–49. http://dx.doi.org/10.1086/655017.

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Infection prevention guidelines do not endorse Chlorhexidine gluconate (CHG) use in neonates who are less than 2 months old. A survey of US neonatology program directors revealed that most neonatal intensive care units use CHG, often with some restrictions. Prospective studies are needed to further address concerns regarding the safety of CHG in patients in the neonatal intensive care unit.
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Assadian, Ojan, Angelika Berger, Christoph Aspöck, Stefan Mustafa, Christina Kohlhauser, and Alexander M. Hirschl. "Nosocomial Outbreak ofSerratia Marcescensin a Neonatal Intensive Care Unit." Infection Control & Hospital Epidemiology 23, no. 8 (August 2002): 457–61. http://dx.doi.org/10.1086/502085.

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Objectives:To investigate and describe an outbreak ofSerratia marcescensin a neonatal intensive care unit (NICU) and to report the interventions leading to cessation of the outbreak.Setting:A 2,168-bed, tertiary-care, university teaching hospital in Vienna, Austria, with an 8-bed NICU.Design:We conducted a case–control study to identify risk factors for colonization and infection withS. marcescens. A case-patient was defined as any neonate in the NICU with a positive culture forS. marcescensbetween October 1, 2000, and February 28, 2001. Polymerase chain reaction was applied to type isolates.Methods:During unannounced observations, the NICU was examined and existing policies were reviewed. Staff were reinstructed in hand antisepsis and gloving policies. Admissions were halted on December 27. During previously planned technical maintenance of the ward, the NICU was closed for 10 days and thorough aldehyde-based disinfection of the NICU was performed.Results:Ten neonates met the case definition: 6 with infections (among them 3 with cerebral abscesses) and 4 with asymptomatic colonization. Previous antibiotic treatment of the mothers with cefuroxime was the single significant risk factor for colonization or infection (P= .028; odds ratio, 17; 95% confidence interval, 1.3 to 489.5).Conclusions:S. marcescenscan cause rapidly spreading outbreaks associated with fatal infections in NICUs. With aggressive infection control measures, such outbreaks can be stopped at an early stage. Affected neonates themselves may well be the source of cross-infection to other patients on the ward. Antibiotic treatment of mothers should be reevaluated to avoid unnecessary exposure to antibiotics with the potential of overgrowth of resistant organisms.
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Silva, Henrique Yuji Watanabe, and Felipe Teixeira de Mello Freitas. "Invasive candidiasis in a Brazilian neonatal intensive care unit." Revista Brasileira de Saúde Materno Infantil 21, no. 2 (June 2021): 547–52. http://dx.doi.org/10.1590/1806-93042021000200011.

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Abstract Objectives: to describe the epidemiology of invasive candidiasis in a neonatal intensive care unit. Methods: cross-sectional study that included all neonates with invasive candidiasis confirmed by blood culture from April 2015 to June 2018. Demographic, clinical and microbiological data were analyzed, comparing neonates with extreme low birth weight (ELBW) with neonates ≥ 1000g birth weight, considering a p <0.05 as statistically significant. Results: there were 38 cases of invasive candidiasis, resulting in an overall incidence of 2.5%. Twelve (32%) were ELBW neonates and 26 (68%) neonates ≥ 1000g birth weight, an incidence of 4.4% and 2.0%, respectively. Abdominal surgery was more frequent among neonates with birth weight ≥ 1000g compared to ELBW neonates (85% vs. 17%; p <0.01), as well as the median in days of antibiotics use (18 vs. 10.5; p = 0.04). The median in days of mechanical ventilation was more frequent among ELBW neonates (10 vs. 5.5; p = 0.04). The majority of Candida species were non-albicans (64%). Fatality rate was 32%. Conclusions: the incidence of invasive candidiasis among neonates with birth weight ≥ 1000g was higher than that found in the literature. This group has a higher proportion of gastrointestinal malformations that require surgery. Thus, fluconazole prophylaxis may be necessary for a broader group of neonates.
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SURKOV, DENIS N., ALExANDRA D. SURKOVA, and DMITRIY O. IVANOV. "epidemioloGy of neonatal sepsis: neonatal intensiVe care unit experience." Bulletin of Contemporary Clinical Medicine 7, no. 6 (2014): 56–61. http://dx.doi.org/10.20969/vskm.2014.7(6).56-61.

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FREZZA, S., and C. ROMAGNOLI. "NEONATAL BACTERIAL SEPSIS IN A NEONATAL INTENSIVE CARE UNIT." Journal of Paediatrics and Child Health 33, no. 6 (December 1997): 545–46. http://dx.doi.org/10.1111/j.1440-1754.1997.tb01671.x.

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Rajani, Monika, and Yash Javeri. "Epidemiology of Blood Stream Infections in Neonatal Intensive Care Unit at a Tertiary Care Centre." Journal of Pure and Applied Microbiology 11, no. 4 (December 30, 2017): 1999–2005. http://dx.doi.org/10.22207/jpam.11.4.42.

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Shrivastava, Ajit Kumar, Prema Ram Choudhary, and Santosh Kumar Roy. "Bacteriological profile of neonatal and pediatrics sepsis in intensive care unit at a tertiary care hospital in western India." International Journal of Contemporary Pediatrics 8, no. 3 (February 23, 2021): 460. http://dx.doi.org/10.18203/2349-3291.ijcp20210521.

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Background: Neonatal and pediatrics sepsis are one of the main causes of mortality in neonatal and pediatric intensive care units of developing countries. This study was conducted to determine bacteriological profile of neonatal and pediatrics sepsis in the intensive care unit. Methods: A prospective cross-sectional study was conducted in the neonatal and pediatric intensive care unit, for the period of two years. All 400 neonates and pediatrics patients admitted with suspected clinical sepsis were included. Sepsis screens and cultures were sent under aseptic conditions. Isolation of microorganisms and their identification was done according to standard microbiological techniques bacteriological profile was analyzed with descriptive statistics.Results: Incidence of septicemia is 35.34% in neonates, 9.83% in post neonates and 22.95% in older children. Most common associated factor in neonates were preterm 41.46% in neonates, fever of unknown origin 50% and 78.57% in post neonates and children respectively. Out of 232 suspected cases on neonates in 36.07% cases bacterial pathogen were isolated, 62 suspected cases on post neonates in 9.83% cases bacterial were isolated and 106 suspected cases of older children in 22.95% cases bacterial pathogen were isolated. Common bacterial species isolated were Klebsiella sp. 39.02% in neonates, S. aureus 50% and 35.71% in post neonates and older children respectively.Conclusions: There is entail prevention of infection control measures and rational antibiotic strategy to decrease the economic burden of hospital and community.
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Khatri, Ravi Shankar. "KUMARAGARA AN ANCIENT NEONATAL INTENSIVE CARE UNIT." Journal of Biological & Scientific Opinion 1, no. 3 (October 21, 2013): 225–27. http://dx.doi.org/10.7897/2321-6328.01320.

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Barbosa, Vanessa Maziero. "Teamwork in the Neonatal Intensive Care Unit." Physical & Occupational Therapy In Pediatrics 33, no. 1 (January 11, 2013): 5–26. http://dx.doi.org/10.3109/01942638.2012.729556.

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Sullivan, Sandra E., and Darlene A. Calhoun. "EOSINOPHILIA IN THE NEONATAL INTENSIVE CARE UNIT." Clinics in Perinatology 27, no. 3 (September 2000): 603–22. http://dx.doi.org/10.1016/s0095-5108(05)70041-5.

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Said, Ariani, Irda Handayani, and Nurhayana Sennang. "JAMUR DI PERALATAN neonATAL InTenSIve CARe unIT." INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY 20, no. 3 (October 16, 2016): 216. http://dx.doi.org/10.24293/ijcpml.v20i3.468.

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Fungus is the one of the micro organisms that causes nosocomial infections. Fungal infections are becoming more frequent occurred from the irrational use of broad spectrum antibiotics, steroids, cytostatica drugs, and chronic disease, and malignancy, babies with low birth weight and patients with decreased immunity. Neonatal Intensive Care Unit (NICU) is a room with specialized treatment, care and equipment to treat infants with high risk. The purpose of this study was to know by identification of the fungus species on the instrument at the NICU of dr. Wahidin Sudirohusodo hospital, Makassar at June 2011. The study design was a cross sectional one. The samples are the incubators and the Continuous Positive Airway Pressure (CPAP) at the NICU of dr. Wahidin Sudirohusodo hospital. The sampling was done by rubbing swab on the incubator and CPAP. The identification of the fungus were carried out with lacto phenol cotton blue staining performed at the Central Public Health Laboratory, Makassar. The Streptomyces sp and Penicillium sp were identified at four incubators, Candida sp was identified at one incubator and so was the Aspergillus sp identified; The fungus that identified at the CPAP was only Penicillium sp. Based on this study it can be concluded that Penicillium sp, Streptomyces sp, Aspergillus sp, as well as Candida sp were found at all incubators and only Penicillium sp was found at CPAP.
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