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Journal articles on the topic 'Neonatal intensive care units'

Author: Grafiati

Published: 4 June 2021

Last updated: 8 February 2025

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1

Azzizadeh Forouzi, Mansooreh, Marjan Banazadeh, Jila Soltan Ahmadi, and Farideh Razban. "Barriers of Palliative Care in Neonatal Intensive Care Units." American Journal of Hospice and Palliative Medicine® 34, no. 3 (July 11, 2016): 205–11. http://dx.doi.org/10.1177/1049909115616597.

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Objective: Neonatal nurses face numerous barriers in providing end-of-life (EOL) care for neonates and their families. Addressing neonatal nurses’ attitudes could provide insight into barriers that impede neonatal palliative care (NPC). This study thus conducted to examine neonatal nurses’ attitude toward barriers in providing NPC in Southeast Iran. Method: In this cross-sectional study, a translated modified version of Neonatal Palliative Care Attitude Scale was used to examine attitudes of 70 nurses toward barriers of palliative care in 3 neonatal intensive care units in Southeast Iran. Results: Findings indicated that overall 42.63% of nurses were strongly agreed or agreed with the proposed barriers in NPC. Among all categories, the highest and the lowest scores belonged to the categories of “insufficient resources” (3.42 ± 0.65) and “inappropriate personal and social attitudes” (2.33 ± 0.48), respectively. Neonatal nurses who had less education and study regarding NPC reported the presence of more barriers to NPC in the categories of “inappropriate organizational culture” and/or “inadequate nursing proficiency.” Also, younger nurses had more positive attitudes toward the category of inappropriate organizational culture as being a barrier to provision of NPC (4.62). Conclusion: The findings suggest that developing a context-based instrument is required to represent the barrier more precisely. Neonatal palliative care can be improved by establishing a special environment to focus on infants’ EOL care. This establishment requires standard palliative care guidelines and adequate NPC-trained nurses.

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Tufano, M., A.Verrico, M. Esposito, S. Maddaluno, S. Rinaldi, S. Minichiello, F. Cirillo, P. Vajro, and R. Iorio. "Neonatal cholestasis in neonatal intensive care units." Digestive and Liver Disease 40, no. 10 (October 2008): A71—A72. http://dx.doi.org/10.1016/j.dld.2008.07.226.

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3

Csoma, Zsanett Renáta, Péter Doró, Gyula Tálosi, Tamás Machay, and Miklós Szabó. "Neonatal skin care in tertiary Neonatal Intensive Care Units in Hungary." Orvosi Hetilap 155, no. 28 (July 2014): 1102–7. http://dx.doi.org/10.1556/oh.2014.29910.

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Introduction: Skin physiology of neonates and preterm infants and evidence-based skin care are not well explored for health care providers. Aim: The aim of our present study was to investigate the skin care methods of the tertiary Neonatal Intensive Care Units in Hungary. Method: A standardized questionnaire was distributed among the 22 tertiary Neonatal Intensive Care Units with questions regarding skin care methods, bathing, emollition, skin disinfection, umbilical cord care, treatment of diaper dermatitis, and use of adhesive tapes. Results: The skin care methods of the centres were similar in several aspects, but there were significant differences between the applied skin care and disinfectant products. Conclusions: The results of this survey facilitate the establishment of a standardized skin care protocol for tertiary Neonatal Intensive Care Units with the cooperation of dermatologists, neonatologists and pharmacists. Orv. Hetil., 2014, 155(28), 1102–1107.

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Castillo, María del Carmen López, Estela Pérez Ruiz, Pilar Caro Aguilera, Enrique Salguero García, and Javier Pérez Frías. "Bronchoscopies in neonatal intensive care units." Archivos de Bronconeumología (English Edition) 56, no. 2 (February 2020): 119–21. http://dx.doi.org/10.1016/j.arbr.2019.09.003.

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5

Rodriguez, Dolors, Benito Almirante, Benjamin J. Park, Manuel Cuenca-Estrella, Ana M. Planes, Ferran Sanchez, Amadeu Gene, et al. "Candidemia in Neonatal Intensive Care Units." Pediatric Infectious Disease Journal 25, no. 3 (March 2006): 224–29. http://dx.doi.org/10.1097/01.inf.0000202127.43695.06.

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6

Aranha, V. P., A. Chahal, and A. K. Bhardwaj. "Neonatal aquatic physiotherapy in neonatal intensive care units: A scoping review." Journal of Neonatal-Perinatal Medicine 15, no. 2 (April 12, 2022): 229–35. http://dx.doi.org/10.3233/npm-210858.

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BACKGROUND: Therapeutic benefits of neonates undergoing neonatal aquatic physiotherapy (NAPT) are evident from the available literature. However complied report on NAPT is not yet available. Hence, we have mapped the available interventions to treat neonates admitted in neonatal intensive care units (NICUs) using NAPT in a scoping review. METHOD: Six databases which includes, MEDLINE/PubMed, SCOPUS, PEDro, CINHAL, EBSCO and Cochrane were searched with predefined keywords specific to or related to NAPT interventions from 1983 to August, 2020 for the full-text English language articles. RESULTS: A total of 6163 relevant articles were identified from the search process. After duplicates were removed, 6146 articles were screened for inclusion, leaving 809 articles assessed for eligibility criteria. Six (n = 6) articles met all criteria and were included in the final qualitative synthesis. CONCLUSION: NAPT may be an effective intervention to normalize the muscle tone, to promote active movements, postural organization, improves sleep pattern and quality, promotes the thermal and cardiorespiratory adaptations, and moreover reduces neonatal pain among the neonates admitted in NICUs.

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Yadav, Dhirendra Prasad, Vivek Kumar, and Manoj Kumar Gupta. "Discharge Against Medical Advice Among Neonates Admitted to the Neonatal Intensive Care Unit of a Tertiary Care Hospital." Nepal Medical College Journal 26, no. 2 (July 1, 2024): 157–61. http://dx.doi.org/10.3126/nmcj.v26i2.67213.

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Discharge against medical advice is a condition where patient leaves the hospital against physician’s advice and is a serious public health issue, especially among neonates and a challenge faced commonly by physicians. It is a risk factor that can lead to adverse events like mortality and readmissions in neonatal units. To decrease neonatal mortality rate, it is necessary to investigate the causes leading to self-discharge. This study aimed to find out prevalence and reasons for discharge against medical advice among neonates admitted to neonatal intensive care units of a tertiary care hospital. A descriptive cross-sectional study was conducted among neonates admitted to the Neonatal Intensive Care Units who were discharge against medical advice (DAMA) from 15th March 2022 to 14th March 2023 after obtaining ethical approval from the Institutional Review Committee (Reference number: F-NMC/544/078-079). Neonatal demographic information and reason for self discharged were recorded. A convenience sampling method was used among neonates who met eligibility criteria. Data were presented as frequency with percentage. A point estimate with 95% confidence interval was calculated. Out of 910 neonates admitted to NICU, 86 (9.4%; 95% CI:7.62-11.53) were discharged against medical advice. Among these, 72 (83.7%) were outborn neonates and 51 (59.3%) male. The most common morbidity was sepsis 53 (61.6%). The common reasons for parents to take DAMA was poor financial condition 72 (83.7%). The prevalence of discharge against medical advice among neonates admitted in the neonatal intensive care units was similar to other studies done in similar settings.

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8

Chance, Graham W. "Regionalized Care Established by Neonatal Intensive Care Units." Pediatric Annals 24, no. 10 (October 1, 1995): 519–28. http://dx.doi.org/10.3928/0090-4481-19951001-07.

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9

Lake, Eileen T., Douglas Staiger, Erika Miles Edwards, Jessica G. Smith, and Jeannette A. Rogowski. "Nursing Care Disparities in Neonatal Intensive Care Units." Health Services Research 53 (September 14, 2017): 3007–26. http://dx.doi.org/10.1111/1475-6773.12762.

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10

Tume, Lyvonne N., Kerry Woolfall, Barbara Arch, Louise Roper, Elizabeth Deja, Ashley P. Jones, Lynne Latten, et al. "Routine gastric residual volume measurement to guide enteral feeding in mechanically ventilated infants and children: the GASTRIC feasibility study." Health Technology Assessment 24, no. 23 (May 2020): 1–120. http://dx.doi.org/10.3310/hta24230.

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Background The routine measurement of gastric residual volume to guide the initiation and delivery of enteral feeding is widespread in paediatric intensive care and neonatal units, but has little underlying evidence to support it. Objective To answer the question: is a trial of no gastric residual volume measurement feasible in UK paediatric intensive care units and neonatal units? Design A mixed-methods study involving five linked work packages in two parallel arms: neonatal units and paediatric intensive care units. Work package 1: a survey of units to establish current UK practice. Work package 2: qualitative interviews with health-care professionals and caregivers of children admitted to either setting. Work package 3: a modified two-round e-Delphi survey to investigate health-care professionals’ opinions on trial design issues and to obtain consensus on outcomes. Work package 4: examination of national databases to determine the potential eligible populations. Work package 5: two consensus meetings of health-care professionals and parents to review the data and agree consensus on outcomes that had not reached consensus in the e-Delphi study. Participants and setting Parents of children with experience of ventilation and tube feeding in both neonatal units and paediatric intensive care units, and health-care professionals working in neonatal units and paediatric intensive care units. Results Baseline surveys showed that the practice of gastric residual volume measurement was very common (96% in paediatric intensive care units and 65% in neonatal units). Ninety per cent of parents from both neonatal units and paediatric intensive care units supported a future trial, while highlighting concerns around possible delays in detecting complications. Health-care professionals also indicated that a trial was feasible, with 84% of staff willing to participate in a trial. Concerns expressed by junior nurses about the intervention arm of not measuring gastric residual volumes were addressed by developing a simple flow chart and education package. The trial design survey and e-Delphi study gained consensus on 12 paediatric intensive care unit and nine neonatal unit outcome measures, and identified acceptable inclusion and exclusion criteria. Given the differences in physiology, disease processes, environments, staffing and outcomes of interest, two different trials are required in the two settings. Database analyses subsequently showed that trials were feasible in both settings in terms of patient numbers. Of 16,222 children who met the inclusion criteria in paediatric intensive care units, 12,629 stayed for > 3 days. In neonatal units, 15,375 neonates < 32 weeks of age met the inclusion criteria. Finally, the two consensus meetings demonstrated ‘buy-in’ from the wider UK neonatal communities and paediatric intensive care units, and enabled us to discuss and vote on the outcomes that did not achieve consensus in the e-Delphi study. Conclusions and future work Two separate UK trials (one in neonatal units and one in paediatric intensive care units) are feasible to conduct, but they cannot be combined as a result of differences in outcome measures and treatment protocols, reflecting the distinctness of the two specialties. Trial registration Current Controlled Trials ISRCTN42110505. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 23. See the NIHR Journals Library website for further project information.

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11

Barfield, Wanda D., and Steven E. Krug. "Disaster Preparedness in Neonatal Intensive Care Units." Pediatrics 139, no. 5 (April 17, 2017): e20170507. http://dx.doi.org/10.1542/peds.2017-0507.

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12

Djurisic, Jasna, Ljiljana Markovic-Denic, Slobodanka Ilic, and Ruzdi Ramadani. "Hospital infections in neonatal intensive care units." Medical review 58, no. 9-10 (2005): 490–93. http://dx.doi.org/10.2298/mpns0510490d.

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Introduction Sick newborn babies in the neonatal intensive care units (NICU) are al increased risk for hospital-acquired infections (HI). The aim of our study was to determine the incidence and localization of neonatal hospital infections in NICU. Material and methods A prospective, six-month study was carried out in a NICU. All patients hospitalized in NICU longer then 48 hours were examined according to their basic descriptive-epidemiological characteristics and the incidence of all hospital-acquired infections (diagnosed using CDC criteria) were accounted for. Results The incidence of patients with HI was 46.1% while the incidence of HI was 57.2%. On the basis of patients' records in the NICU, the incidence of HI was 43.9 per WOO patient- hospital days. Patients with HI were hospitalized significantly longer in NICU than patients without HI (t=9.2 DF=267 p<0.001). In terms of localization of HI, a large number of patients had pneumonia - 74.7% (115/154), followed by sepsis (37/154), while two had meningitis. Conclusion This study suggests that it is necessary to maintain continuous surveillance of HI in NICU, as well as infection control measures, which are also very beneficial.

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13

Shahnaz, Navid. "Wideband Reflectance in Neonatal Intensive Care Units." Journal of the American Academy of Audiology 19, no. 05 (May 2008): 419–29. http://dx.doi.org/10.3766/jaaa.19.5.4.

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Background: Wideband reflectance (WBR) provides important information about middle ear function and can explain variations in how the middle ear receives, absorbs, and transmits sound energy across a wide range of frequencies. However, as of yet, few normative studies have been published to guide clinicians in the practical applications of WBR. WBR has been measured more extensively in well babies than in neonatal intensive care unit (NICU) babies, who have significantly higher incidence of otitis media with effusion (OME). Purpose: The goal of this study was to explore the characteristics of the middle ear while using energy reflectance (ER) and normalized admittance in NICU babies who passed automated auditory brainstem response (AABR) and evoked otoacoustic emission (EOAE) hearing screening criteria and to compare these characteristics to patterns in normal hearing adults. This study was done to identify ways to implement WBR so it could improve hearing assessment in newborns. Methods: Thirty-one neonatal intensive care unit (NICU) babies with an average gestational age (GA) of 37.8 weeks (range: 32–51 weeks) and 56 adults with normal hearing between the ages of 18 and 32 years served as subjects in this study. NICU babies and adults were tested using multifrequency tympanometry (MFT) and WBR. Results: WBR can be obtained on what appears to be a majority of NICU babies without other abnormal findings. Maximum absorption of the incident energy appears to occur at a narrower range of frequencies in normal NICU babies in comparison to normal hearing adults. This range becomes even narrower in NICU babies who fail EOAE screening. In most NICU babies who failed EOAE screening, ER values were closer to 1 (most incident energy is reflected) at a frequency below 3000 Hz. The measurements of normalized acoustic admittance may also be very useful and may supplement ER and tympanometric data in evaluating middle ear status.

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14

Floyd, Anne Marie Dazé. "Challenging Designs of Neonatal Intensive Care Units." Critical Care Nurse 25, no. 5 (October 1, 2005): 59–66. http://dx.doi.org/10.4037/ccn2005.25.5.59.

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15

STEPANOVA, OLGA А., and ASIA I. SAFINA. "ultrasound diaGnostics in neonatal intensiVe care units." Bulletin of Contemporary Clinical Medicine 7, no. 6 (2014): 92–97. http://dx.doi.org/10.20969/vskm.2014.7(6).92-97.

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16

Kim, Eun Sun. "Quality Improvement in Neonatal Intensive Care Units." Neonatal Medicine 25, no. 2 (May 31, 2018): 53–57. http://dx.doi.org/10.5385/nm.2018.25.2.53.

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17

Ponnusamy, Vennila, and Paul Clarke. "“Matching Michigan” in Neonatal Intensive Care Units." Pediatric Infectious Disease Journal 32, no. 8 (August 2013): 927–28. http://dx.doi.org/10.1097/inf.0b013e318292f57f.

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18

Woodroffe, Ian. "Multiple losses in Neonatal Intensive Care Units." Journal of Neonatal Nursing 12, no. 4 (August 2006): 144–47. http://dx.doi.org/10.1016/j.jnn.2006.03.004.

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19

MacKinnon, Ralph James, and Ngozi E. Edi-Osagie. "Risk perception in neonatal intensive care units." Clinical Risk 12, no. 4 (July 2006): 127–30. http://dx.doi.org/10.1258/135626206777657677.

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20

Knudsen, A., and F. Ebbesen. "Transcutaneous bilirubinometry in neonatal intensive care units." Archives of Disease in Childhood - Fetal and Neonatal Edition 75, no. 1 (July 1, 1996): F53—F56. http://dx.doi.org/10.1136/fn.75.1.f53.

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21

Quinn, John P., and Keith A. Rodvold. "Antibiotic policies in neonatal intensive-care units." Lancet 355, no. 9208 (March 2000): 946–47. http://dx.doi.org/10.1016/s0140-6736(00)90009-6.

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22

Donowitz, Leigh G. "Nesocomial infection in neonatal intensive care units." American Journal of Infection Control 17, no. 5 (October 1989): 250–57. http://dx.doi.org/10.1016/0196-6553(89)90171-5.

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Chudleigh, J., M. Fletcher, and D. Gould. "Infection control in neonatal intensive care units." Journal of Hospital Infection 61, no. 2 (October 2005): 123–29. http://dx.doi.org/10.1016/j.jhin.2005.02.017.

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Stronati, M., A. Borghesi, L. Decembrino, and L. Bollani. "Antibiotics in Neonatal Intensive Care Units (NICUs)." Journal of Chemotherapy 19, sup2 (October 2007): 52–55. http://dx.doi.org/10.1080/1120009x.2007.11782447.

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Damjanovic, V., H. K. F. van Saene, and C. A. Hart. "Surveillance cultures on neonatal intensive care units." Journal of Hospital Infection 31, no. 1 (September 1995): 73–74. http://dx.doi.org/10.1016/0195-6701(95)90086-1.

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Lee, P. Y. C., R. E. Holliman, and E. G. Davies. "Surveillance cultures on neonatal intensive care units." Journal of Hospital Infection 29, no. 3 (March 1995): 233–36. http://dx.doi.org/10.1016/0195-6701(95)90335-6.

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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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Shete, Vishal B., Dnyaneshwari P. Ghadage, Vrishali A. Muley, and Arvind V. Bhore. "Acinetobacter Septicemia in Neonates Admitted to Intensive Care Units." Journal of Laboratory Physicians 1, no. 02 (July 2009): 073–76. http://dx.doi.org/10.4103/0974-2727.59704.

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ABSTRACT Background: Acinetobacter species are gaining importance as potential pathogens in neonatal septicemia because of their frequent isolation and multidrug resistance. Aim and Objectives: The aim of the present study was to evaluate the role of Acinetobacter spp. as important pathogens in neonatal blood stream infection, to identify the associated risk factors, and to evaluate the drug sensitivity pattern. Materials and Methods: Blood samples of infected neonates were studied bacteriologically. Cases of Acinetobacter septicemia were identified. Speciation of Acinetobacter species was done. Various risk factors were identified. The drug-sensitivity test was done. Results: A total of 26 Acinetobacter septicemia cases were identified by blood culture. Acb complex strains predominated. Institutional birth and preterm birth were identified as the most frequent significant risk factors. 11.3% mortality rate was recorded. Acb complex strains exhibited a multi-drug resistant pattern. No carbapenem resistance was observed. Conclusion: Acinetobacter should be added to the list of organisms causing severe nosocomial infection in neonatal intensive care units. Continuous bacteriological surveillance, implementation of infection control policies, careful disinfection of intensive care equipment, and rational antibiotic use are required for control of such infections.

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Casalino, Maria, Thivia Jegathesan, Michael Sgro, Elizabeth Rea, Matthew Muller, and Douglas M. Campbell. "Tuberculosis Exposure from a Healthcare Worker to Patients in a Neonatal Intensive Care Unit (NICU)." Canadian Journal of Infectious Diseases and Medical Microbiology 2022 (June 29, 2022): 1–4. http://dx.doi.org/10.1155/2022/2659883.

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The nosocomial spread of Mycobacterium tuberculosis from a healthcare worker with infectious pulmonary tuberculosis disease to patients remains a risk in the healthcare environment, including neonatal intensive care units. In this paper, we outlined a protocol for neonates exposed to tuberculosis in a neonatal intensive care unit that includes skin testing, chest X-ray imaging, and prophylactic isoniazid. Neonatal patients were followed up with tuberculosis skin testing at both three months corrected age and two months postexposure. To our knowledge, this is the first Canadian study to illustrate a protocol following tuberculosis exposure in a neonatal intensive care unit for exposed neonates.

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Bitew, Zebenay Workneh, Ayinalem Alemu, Ermias Getaneh Ayele, Desalegn Abebaw Jember, Michael Tamene Haile, and Teshager Worku. "Incidence Density Rate of Neonatal Mortality and Predictors in Sub-Saharan Africa: A Systematic Review and Meta-Analysis." International Journal of Pediatrics 2020 (October 15, 2020): 1–14. http://dx.doi.org/10.1155/2020/3894026.

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Background. Neonatal mortality in Sub-Saharan countries is remarkably high. Though there are inconsistent studies about the incidence density rate of neonatal mortalities (IDR) and predictors in Sub-Saharan Africa, they are inconclusive to policymakers and program planners. In this study, the IDR of neonatal mortalities and predictors was determined. Methods. Electronic databases (Web of Science, PubMed, EMBASE (Elsevier), Scopus, CINAHL (EBSCOhost), World Cat, Google Scholar, and Google) were explored. 20 out of 818 studies were included in this study. The IDRs and predictors of neonatal mortality were computed from studies conducted in survival analysis. Fixed and random effect models were used to compute pooled estimates. Subgroup and sensitivity analyses were performed. Results. Neonates were followed for a total of 1,095,611 neonate-days; 67142 neonate-days for neonates treated in neonatal intensive care units and 1,028,469 neonate-days for community-based studies. The IDRs of neonatal mortalities in neonatal intensive care units and in the community were 24.53 and 1.21 per 1000 person-days, respectively. The IDRs of early and late neonatal mortalities neonatal intensive care units were 22.51 and 5.09 per 1000 neonate-days, respectively. Likewise, the IDRs of early and late neonatal mortalities in the community were 0.85 and 0.31, respectively. Not initiating breastfeeding within one hour, multiple births, rural residence, maternal illness, low Apgar score, being preterm, sepsis, asphyxia, and respiratory distress syndrome were independent predictors of time to neonatal mortality in neonatal intensive care units and male gender, perceived small size, multiple births, and ANC were predictors of neonatal mortality in the community. Conclusion. The incidence density rate of neonatal mortality in Sub-Saharan Africa is significantly high. Multiple factors (neonatal and maternal) were found to be independent predictors. Strategies must be designed to address these predictors, and prospective studies could reveal other possible factors of neonatal mortalities.

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Garegrat, Reema A., Nishant Banait, Prince Pareek, Rajat Gupta, and Pradeep Suryawanshi. "National Survey of Routine Bathing and Antisepsis Practices in Neonatal Intensive Care Units of India." Journal of Neonatology 35, no. 4 (October 19, 2021): 209–13. http://dx.doi.org/10.1177/09732179211051307.

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Neonatal skin is immature and fragile especially during the first few days of life. Premature and sick babies admitted to neonatal intensive care units are more prone to skin injuries and infections, warranting utmost care of their skin, and appropriate antisepsis measures. This comprehensive survey conducted at national level elucidates the variable practices in neonatal skin care and use of antiseptics in Indian neonatal intensive care units. The survey calls attention to the inconsistencies in these practices and highlights the need of evidence-based practice guidelines focusing on the skin care and use of antisepsis measures in Indian neonatal intensive care units.

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Mukhopadhyay, Sagori. "Antibiotic stewardship in neonates and in neonatal intensive care units." Seminars in Perinatology 44, no. 8 (December 2020): 151321. http://dx.doi.org/10.1016/j.semperi.2020.151321.

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Stiles, Alan D., Karen Metzguer, Ann O'Hale, and Robert C. Cefalo. "Characteristics of Neonatal Intensive Care Unit Patients in North Carolina: A Cross-Sectional Survey." Pediatrics 87, no. 6 (June 1, 1991): 904–8. http://dx.doi.org/10.1542/peds.87.6.904.

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A shortage of neonatal intensive care facilities has been encountered in some areas of the country including North Carolina. To examine possible solutions to this health care delivery problem, a cross-sectional survey of all the neonatal intensive care units in North Carolina was performed to examine characteristics of patients occupying the beds in these facilities. It was found that a substantial amount of chronic care is now occurring in neonatal intensive care beds, with 38% of occupants of neonatal intensive care beds being 31 days of age or older and 3% being mechanically ventilated at 91 days of age or older. In addition, according to criteria established for this study, a substantial number of "convalescent" patients (32%) were occupying beds in neonatal intensive care units. It is concluded that an increase in both intermediate/convalescent care beds and establishment of chronic care facilities in North Carolina, rather than an increase in intensive care beds in these units, would alleviate the shortage of neonatal intensive care facilities. Further, the characteristics of the population occupying neonatal intensive care unit beds should be considered by health planners in addition to occupancy rate, when new facilities are being established.

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Mesek, Inge, Georgi Nellis, Jana Lass, and Irja Lutsar. "MEDICATION USE IN NEONATAL INTENSIVE CARE UNITS ACROSS EUROPE." Archives of Disease in Childhood 101, no. 1 (December 14, 2015): e1.3-e1. http://dx.doi.org/10.1136/archdischild-2015-310148.11.

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ObjectivesThis is the first Europe-wide study aiming to describe the medication use in Neonatal Intensive Care Units and to analyse the factors that might influence the prescription pattern.MethodsA pan-European one day point-prevalence study was conducted in 2012 where all of the prescriptions for hospitalised neonates were recorded. A trade name, manufacturer, active pharmaceutical ingredients (API), strength, galenic form and route of administration were registered.ResultsAltogether 2173 prescriptions were administered to 726 neonates from 21 countries, of whom 66% (477/726) were preterm, 12% (84/726) extremely preterm. There was inverse correlation between gestational age (GA) and median number of prescriptions per neonate (group median 2/IQR 1–4, extremely preterm 4/3–6, very preterm 3/2–5, late preterm 2/1–3, full-term 2/1–3). Median number of prescriptions per neonate was highest in the eastern region, among extremely preterm neonates (median=6.5/IQR 6–8.5). Highest prescription rate was for alimentary medicines (93/per 100 admissions), systemic antiinfectives (79/100) and medicines for blood (71/100). Antiinfectives were most frequently prescribed in the southern region (103/100). Multivitamins were most frequently used medications in most regions (western 74, southern 31, northern 31/100), except in eastern region (5/100). Most commonly prescribed API-s were multivitamins (32/100), caffeine (19/100), gentamicin (18/100), amino acids (18/100) and colecalciferol (15/100). Most frequently prescribed medications among extremely preterm neonates were caffeine (60/100), among very preterms multivitamins and caffeine (45 and 43/100), among late preterms multivitamins (44/100) and among full-terms phytomenadione (26/100) and gentamicin (24/100).ConclusionsOur study revealed the most commonly used medications in neonates. Higher prescription rate among preterm neonates calls for further analysis of the suitability and safety of medications for infants with lower GA.

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Pinheiro, Maria Berenice Gomes Nascimento, Thaís Moura Gascón, Lourdes Conceição Martins, and Fernando Luiz Affonso Fonseca. "Patient safety in Neonatal Intensive Care Units: Neonatal patient safety." Research, Society and Development 10, no. 9 (July 23, 2021): e32410917044. http://dx.doi.org/10.33448/rsd-v10i9.17044.

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Introduction: Patient Safety in a Neonatal Intensive Care Unit is to reduce as little as possible the risk of causing harmful acts in the course of care. Objective: This study aimed to search together with the scientific literature which factors compromise patient safety in the neonatal care unit. Methods: For this an integrative review was performed on the Pubmed and Scielo platforms, using a combination of the descriptors “Patient Safety” or “Patient Safety” and “Neonatology” or “Neonatology” and “Hospital” and “Infection” or “Infection”. 27 articles that after the inclusion and exclusion criteria were analyzed and totaled in 7 manuscripts for the study. Results: The results showed that patient safety is compromised by factors related to multiprofessional work and the treatment received. Conclusion: Proposals include the elaboration of tools (protocols, checklists, among others) that could effectively help the establishment of a safety culture and promote the theme.

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Alanazi, Hamad Huran F., Ali Mohammed S. Alqarni, Abdullah Abdulqader H. Alamri, Salman Ghazi Al-Faridi, Yazeed Sulaiman S. Altawyan, Ziad Bin Badi Hamoud Al-Harbi, and Azzam Abdullah Rashed Al Nemer. "Palliative care nursing and pediatrics in Intensive Care Unit (ICU): Updated review." International journal of health sciences 1, S1 (January 15, 2017): 289–302. http://dx.doi.org/10.53730/ijhs.v1ns1.15380.

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Background: Palliative care in neonatal intensive care units (NICUs) aims to enhance quality of life for critically ill neonates and their families. Despite the American Academy of Pediatrics’ broad recommendations, variability exists in implementing palliative care across healthcare facilities. Common neonatal conditions like prematurity, respiratory distress syndrome (RDS), and neonatal sepsis pose challenges, emphasizing the need for integrative palliative care. Aim: To examine the history, current practices, and emerging trends in neonatal palliative care, emphasizing its implementation in NICUs. Methods: A comprehensive review of neonatal palliative care literature was conducted, highlighting advancements, barriers, and practical approaches to incorporating palliative care in NICU settings. The review included guidelines, clinical pathways, and policy frameworks. Results: Neonatal palliative care has evolved from rudimentary practices to specialized programs addressing complex medical, ethical, and emotional needs. However, significant barriers persist, including fragmented education, interprofessional communication gaps, and limited palliative care training for healthcare providers. Integrating primary palliative care into NICUs has shown potential for improving outcomes, though it requires widespread adoption of foundational skills among neonatal teams. Conclusion: The integration of palliative care into NICUs is crucial for addressing the nuanced needs of critically ill neonates and their families.

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Heidari, Haydeh, and Marjan Mardani-Hamooleh. "Nurses' Perception of Family-Centered Care in Neonatal Intensive Care Units." Journal of Pediatric Intensive Care 09, no. 01 (August 30, 2019): 016–20. http://dx.doi.org/10.1055/s-0039-1695060.

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AbstractFamily-centered care (FCC) is one of the important elements of care in neonatal intensive care units (NICUs). The aim of this study was to understand the nurses' perception of FCC in NICUs. This qualitative study was performed using conventional content analysis. Participants in this study included 18 nurses who were selected by a purposeful method. Semistructured, in-depth and face-to-face interviews were conducted with the participants. All interviews were written down, reviewed, and analyzed. Two categories were identified after the data analysis: (1) prerequisite for providing FCC and (2) parents' participation. Prerequisite for providing FCC consisted of two subcategories namely suitable facilities and adequate personnel. Parents' participation included subcategories of parents: neonate's attachment and parents' training. Nurses' perception of FCC in NICUs can facilitate an appropriate condition for the participation of family members in the care of neonates.

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Ruoss, J. Lauren, Catalina Bazacliu, Nicole Cacho, and Daniele De Luca. "Lung Ultrasound in the Neonatal Intensive Care Unit: Does It Impact Clinical Care?" Children 8, no. 12 (November 29, 2021): 1098. http://dx.doi.org/10.3390/children8121098.

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A neonatal point-of-care ultrasound has multiple applications, but its use has been limited in neonatal intensive care units in the Unites States. An increasing body of evidence suggests that lung ultrasound performed by the neonatologist, at the bedside, is reliable and accurate in differentiating neonatal respiratory conditions, predicting morbidity, and guiding invasive interventions. Recent research has shown that a lung ultrasound can assist the clinician in accurately identifying and managing conditions such as respiratory distress syndrome, transient tachypnea of the newborn, and bronchopulmonary dysplasia. In this review, we discuss basic lung ultrasound terminology, evidence for applications of neonatal lung ultrasound, and its use as a diagnostic and predictive tool for common neonatal respiratory pathologies.

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SEPKOWITZ, SAMUEL. "Antenatal Transfers and Bronchopulmonary Dysplasia Incidence." Pediatrics 83, no. 5 (May 1, 1989): 805. http://dx.doi.org/10.1542/peds.83.5.805.

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Hobar et al attempted to compare weight-specific neonatal mortality rates among 11 neonatal intensive care units. All patients were inborn. Finding a statistically significant variability of outcome among these neonatal intensive care units, after the effects of birth weight, gender, and race were considered and accounted for, the authors wondered whether other population variables might explain the differences in outcome. One source of variability that would alter population risk among the neonatal intensive care units is patient selection by antenatal transfers into a referral center for delivery.

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Orman, Aysen, Nilay Hakan, Atika Çağlar, and Mustafa Aydin. "Cerebral Function Monitoring In Neonatal Intensive Care Units." International Journal of Neurology Research 4, no. 1 (2018): 464–71. http://dx.doi.org/10.17554/j.issn.2313-5611.2018.04.78.

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Pharoah, P. O. D. "Outcome Prediction in Greek Neonatal Intensive Care Units." PEDIATRICS 101, no. 6 (June 1, 1998): 1070. http://dx.doi.org/10.1542/peds.101.6.1070.

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Cicchitti, Luca, Alessandra Di Lelio, Gina Barlafante, Vincenzo Cozzolino, Susanna Di Valerio, Paola Fusilli, Giuseppe Lucisano, Cinzia Renzetti, Marco Verzella, and Maria Chiara Rossi. "Osteopathic Manipulative Treatment in Neonatal Intensive Care Units." Medical Sciences 8, no. 2 (June 24, 2020): 24. http://dx.doi.org/10.3390/medsci8020024.

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The aim of this study was to assess the impact of osteopathic manipulative treatment (OMT) on newborn babies admitted at a neonatal intensive care unit (NICU). This was an observational, longitudinal, retrospective study. All consecutive admitted babies were analyzed by treatment (OMT vs. usual care). Treatment group was randomly assigned. Between-group differences in weekly weight change and length of stay (LOS) were evaluated in the overall and preterm populations. Among 1249 babies (48.9% preterm) recorded, 652 received usual care and 597 received OMT. Weight increase was more marked in the OMT group than in the control group (weekly change: +83 g vs. +35 g; p < 0.001). Similar trends were found in the subgroup of preterm babies. A shorter LOS was found in the OMT group vs. the usual care group both in overall population (average mean difference: −7.9 days, p = 0.15) and in preterm babies (−12.3 days; p = 0.04). In severe preterm babies, mean LOS was more than halved as compared to the control group. OMT was associated with a more marked weekly weight increase and, especially in preterm babies, to a relevant LOS reduction: OMT may represent an efficient support to usual care in newborn babies admitted at a NICU.

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Sicard, Mélanie, Kristina Bryant, Martha L. Muller, and Caroline Quach. "Rotavirus vaccination in the neonatal intensive care units." Current Opinion in Pediatrics 32, no. 1 (February 2020): 167–91. http://dx.doi.org/10.1097/mop.0000000000000869.

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Boykova, Marina, and Carole Kenner. "Legal Issues in Russian Neonatal Intensive Care Units." Newborn and Infant Nursing Reviews 10, no. 3 (September 2010): 122–23. http://dx.doi.org/10.1053/j.nainr.2010.06.005.

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Soeorg, Hiie, Kristi Huik, Ülle Parm, Mari-Liis Ilmoja, Tuuli Metsvaht, and Irja Lutsar. "Molecular epidemiology ofStaphylococcus epidermidisin neonatal intensive care units." APMIS 125, no. 1 (November 16, 2016): 63–73. http://dx.doi.org/10.1111/apm.12637.

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Schollin, J. "Pain management in French Neonatal intensive care units." Acta Paediatrica 91, no. 7 (January 2, 2007): 735–36. http://dx.doi.org/10.1111/j.1651-2227.2002.tb03320.x.

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Debillon, T., V. Bureau, C. Savagner, V. Zupan-Simunek, and R. Carbajal. "Pain management in French neonatal intensive care units." Acta Paediatrica 91, no. 7 (January 2, 2007): 822–26. http://dx.doi.org/10.1111/j.1651-2227.2002.tb03334.x.

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Logan, S., J. Barbara, and I. Kovar. "Cytomegalovirus screened blood for neonatal intensive care units." Archives of Disease in Childhood 63, no. 7 Spec No (July 1, 1988): 753–55. http://dx.doi.org/10.1136/adc.63.7_spec_no.753.

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Gaind, Rajni, Dimple Kasana, Harish Chellani, and RN Salhan. "Antibiotics in Neonatal Intensive Care Units: A Review." Journal of Neonatology 21, no. 1 (March 2007): 17–23. http://dx.doi.org/10.1177/0973217920070105.

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Smith, Judith A., Judy Hager, and Kathleen Bajo. "Making Neonatal Intensive Care Units More Visually Appealing." Newborn and Infant Nursing Reviews 10, no. 2 (June 2010): 78–82. http://dx.doi.org/10.1053/j.nainr.2010.03.010.

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