Practices related to late‐onset sepsis in very low‐birth weight preterm infants
Objective: To understand the practices related to late‐onset sepsis (LOS) in the centers of the Brazilian Neonatal Research Network, and to propose strategies to reduce the incidence of LOS. Methods: This was a cross‐sectional descriptive multicenter study approved by the Ethics Committee. Three que...
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| Format: | Article |
| Language: | Portuguese |
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Brazilian Society of Pediatrics
2015-03-01
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| Series: | Jornal de Pediatria (Versão em Português) |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2255553615000154 |
| _version_ | 1811255111460061184 |
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| author | Maria Regina Bentlin Ligia M.S.S. Rugolo Ligia S.L. Ferrari |
| author_facet | Maria Regina Bentlin Ligia M.S.S. Rugolo Ligia S.L. Ferrari |
| author_sort | Maria Regina Bentlin |
| collection | DOAJ |
| description | Objective: To understand the practices related to late‐onset sepsis (LOS) in the centers of the Brazilian Neonatal Research Network, and to propose strategies to reduce the incidence of LOS.
Methods: This was a cross‐sectional descriptive multicenter study approved by the Ethics Committee. Three questionnaires regarding hand hygiene, vascular catheters, and diagnosis/treatment of LOS were sent to the coordinator of each center. The center with the lowest incidence of LOS was compared with the others.
Results: All 16 centers answered the questionnaires. Regarding hand hygiene, 87% use chlorhexidine or 70% alcohol; alcohol gel is used in 100%; 80% use bedside dispensers (50% had one dispenser for every two beds); practical training occurs in 100% and theoretical training in 70% of the centers, and 37% train once a year. Catheters: 94% have a protocol, and 75% have a line insertion team. Diagnosis/treatment: complete blood count and blood culture are used in 100%, PCR in 87%, hematological scores in 75%; oxacillin and aminoglycosides is the empirical therapy in 50% of centers. Characteristics of the center with lowest incidence of LOS: stricter hand hygiene; catheter insertion and maintenance groups; use of blood culture, PCR, and hematological score for diagnosis; empirical therapy with oxacillin and aminoglycoside.
Conclusion: The knowledge of the practices of each center allowed for the identification of aspects to be improved as a strategy to reduce LOS, including: alcohol gel use, hand hygiene training, implementation of catheter teams, and wise use of antibiotic therapy. |
| first_indexed | 2024-04-12T17:18:58Z |
| format | Article |
| id | doaj.art-564520c0e6e7446ba3be0a73c9dbd0e6 |
| institution | Directory Open Access Journal |
| issn | 2255-5536 |
| language | Portuguese |
| last_indexed | 2024-04-12T17:18:58Z |
| publishDate | 2015-03-01 |
| publisher | Brazilian Society of Pediatrics |
| record_format | Article |
| series | Jornal de Pediatria (Versão em Português) |
| spelling | doaj.art-564520c0e6e7446ba3be0a73c9dbd0e62022-12-22T03:23:32ZporBrazilian Society of PediatricsJornal de Pediatria (Versão em Português)2255-55362015-03-0191216817410.1016/j.jpedp.2014.07.004Practices related to late‐onset sepsis in very low‐birth weight preterm infantsMaria Regina Bentlin0Ligia M.S.S. Rugolo1Ligia S.L. Ferrari2Hospital das Clínicas, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (Unesp), Botucatu, SP, BrasilHospital das Clínicas, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (Unesp), Botucatu, SP, BrasilHospital Universitário de Londrina, Universidade Estadual de Londrina (UEL), Londrina, PR, BrasilObjective: To understand the practices related to late‐onset sepsis (LOS) in the centers of the Brazilian Neonatal Research Network, and to propose strategies to reduce the incidence of LOS. Methods: This was a cross‐sectional descriptive multicenter study approved by the Ethics Committee. Three questionnaires regarding hand hygiene, vascular catheters, and diagnosis/treatment of LOS were sent to the coordinator of each center. The center with the lowest incidence of LOS was compared with the others. Results: All 16 centers answered the questionnaires. Regarding hand hygiene, 87% use chlorhexidine or 70% alcohol; alcohol gel is used in 100%; 80% use bedside dispensers (50% had one dispenser for every two beds); practical training occurs in 100% and theoretical training in 70% of the centers, and 37% train once a year. Catheters: 94% have a protocol, and 75% have a line insertion team. Diagnosis/treatment: complete blood count and blood culture are used in 100%, PCR in 87%, hematological scores in 75%; oxacillin and aminoglycosides is the empirical therapy in 50% of centers. Characteristics of the center with lowest incidence of LOS: stricter hand hygiene; catheter insertion and maintenance groups; use of blood culture, PCR, and hematological score for diagnosis; empirical therapy with oxacillin and aminoglycoside. Conclusion: The knowledge of the practices of each center allowed for the identification of aspects to be improved as a strategy to reduce LOS, including: alcohol gel use, hand hygiene training, implementation of catheter teams, and wise use of antibiotic therapy.http://www.sciencedirect.com/science/article/pii/S2255553615000154SepsisNewbornPrematureHand hygienePrevention and control |
| spellingShingle | Maria Regina Bentlin Ligia M.S.S. Rugolo Ligia S.L. Ferrari Practices related to late‐onset sepsis in very low‐birth weight preterm infants Jornal de Pediatria (Versão em Português) Sepsis Newborn Premature Hand hygiene Prevention and control |
| title | Practices related to late‐onset sepsis in very low‐birth weight preterm infants |
| title_full | Practices related to late‐onset sepsis in very low‐birth weight preterm infants |
| title_fullStr | Practices related to late‐onset sepsis in very low‐birth weight preterm infants |
| title_full_unstemmed | Practices related to late‐onset sepsis in very low‐birth weight preterm infants |
| title_short | Practices related to late‐onset sepsis in very low‐birth weight preterm infants |
| title_sort | practices related to late onset sepsis in very low birth weight preterm infants |
| topic | Sepsis Newborn Premature Hand hygiene Prevention and control |
| url | http://www.sciencedirect.com/science/article/pii/S2255553615000154 |
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