Journal of Perinatology最新文献_第10页

Blood volume collected for cultures in infants with suspected neonatal sepsis 为怀疑患有新生儿败血症的婴儿采集血液进行培养。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-09-28 DOI: 10.1038/s41372-024-02120-0

Maria S. Rueda, Lamia Soghier, Joseph Campos, Burak Bahar, James E. Bost, Jiaxiang Gai, Rana F. Hamdy

{"title":"Blood volume collected for cultures in infants with suspected neonatal sepsis","authors":"Maria S. Rueda, Lamia Soghier, Joseph Campos, Burak Bahar, James E. Bost, Jiaxiang Gai, Rana F. Hamdy","doi":"10.1038/s41372-024-02120-0","DOIUrl":"10.1038/s41372-024-02120-0","url":null,"abstract":"To evaluate blood culture sample volumes, identify factors linked to insufficient samples, and compare volumes among neonates treated for culture-negative-sepsis, sepsis-rule-outs, and bloodstream infections (BSI). Observational cohort of blood cultures collected during NICU stay. Association of age, weight, gender, source, and collection time with lower-than-recommended volumes was determined by logistic regression. Blood culture inocula of patients with culture-negative-sepsis, sepsis rule-out, and BSI were compared using ANOVA. 742 blood cultures were obtained from 292 neonates. Median inoculum was 1 mL (IQR:0.6–1.4), and 259 bottles (35%) had inocula <0.9 mL. Night shift sample collection was associated with lower-than-recommended volumes (p = 0.006). No difference in sample volumes was observed between culture-negative-sepsis, sepsis-rule-outs, and BSI (p = 0.5). Median NICU blood culture volumes align with recommendations. Night shift collections correlate with lower volumes. Sample volumes don’t differ in patients with culture-negative-sepsis, BSI, and sepsis-rule-out, and should not be a justification for longer duration of antibiotics.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":"44 12","pages":"1800-1804"},"PeriodicalIF":2.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Direct laryngoscopy versus indirect videolaryngoscopy for intubating newborn manikins: a randomised crossover study 直接喉镜与间接视频喉镜为新生儿人体模型插管：随机交叉研究。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-09-24 DOI: 10.1038/s41372-024-02110-2

Lucy E. Geraghty, Greta Gambacorta, Colm P. F. O’Donnell

引用次数: 0

Sclerothrapy of giant lymphatic malformation in neonates. 新生儿巨大淋巴畸形的硬化剂治疗。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-09-23 DOI: 10.1038/s41372-024-02113-z

Fan Hu, Fan Ma, Xiaoliang Liu, Jiayun Yu

引用次数: 0

Antiseptic efficacy and plasma chlorhexidine levels following two different methods of application of 1% aqueous chlorhexidine gluconate for skin disinfection in preterm newborns: a randomized controlled trial 早产新生儿使用 1%葡萄糖酸氯己定水溶液进行皮肤消毒的两种不同方法的杀菌效果和血浆洗必泰水平：随机对照试验。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-09-20 DOI: 10.1038/s41372-024-02122-y

Richie Dalai, Sarita Mohapatra, Thirumurthy Velpandian, Jeeva Sankar, Anu Thukral, Ankit Verma, Minu Bajpai, R. Dhinakaran, Mohammad Tousifullah, Ramesh Agarwal

{"title":"Antiseptic efficacy and plasma chlorhexidine levels following two different methods of application of 1% aqueous chlorhexidine gluconate for skin disinfection in preterm newborns: a randomized controlled trial","authors":"Richie Dalai, Sarita Mohapatra, Thirumurthy Velpandian, Jeeva Sankar, Anu Thukral, Ankit Verma, Minu Bajpai, R. Dhinakaran, Mohammad Tousifullah, Ramesh Agarwal","doi":"10.1038/s41372-024-02122-y","DOIUrl":"10.1038/s41372-024-02122-y","url":null,"abstract":"Many neonatal units have started using Chlorhexidine gluconate for neonatal skin antisepsis. However, there is in-vitro evidence of inhibition of neurite growth. The current study aimed to compare two methods of its local application, for the extent of systemic absorption and antiseptic efficacy. Parallel group, blinded, randomised trial, at a Level III, neonatal intensive care unit. Between December 2020 to July 2022, neonates from 28 to 34 weeks gestation, were randomized to local skin antisepsis by either- (a) 1% aqueous chlorhexidine (CHG aq) followed by cleansing off the residual agent with sterile water swab (Cleansing group) or (b)1% CHG aq followed by air drying (No cleansing group). The outcome measures were the proportion of post antisepsis skin swabs with no/insignificant growth, and the plasma chlorhexidine levels. Of the total of 457 enrollments (Cleansing: n = 230; No Cleansing: n = 227), 216 (93.91%) in “Cleansing” vs. 221 (97.36%) in “No cleansing” (risk difference -3.45%, 95% CI –7.2 to 0.28%; p = 0.072) had no/insignificant growth post-antisepsis. The lower bound of the confidence interval crossed the pre-specified non-inferiority limit of 5%. The median (IQR) plasma chlorhexidine levels were not significantly different between the two groups (7.9 (5.6, 17.9)) ng/mL in Cleansing vs. 6.5 (4.6, 17.7) in No cleansing groups (p = 0.437). Cleansing with sterile water after application of chlorhexidine in preterm neonates was not shown to be non-inferior compared to no cleansing, for skin antisepsis efficacy. Systemic absorption occurred to a similar extent despite cleansing off the residual agent. CTRI/2020/10/028719","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":"45 1","pages":"128-133"},"PeriodicalIF":2.4,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The "Other" race category on birth certificates and its impact on analyses of preterm birth inequity. 出生证明上的 "其他 "种族类别及其对早产不公平分析的影响。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-09-20 DOI: 10.1038/s41372-024-02123-x

Kayla R Holloway, Joshua Radack, Alejandra Barreto, Barbara H Chaiyachati, Diana Montoya-Williams, Angela M Ellison, Heather H Burris

{"title":"The \"Other\" race category on birth certificates and its impact on analyses of preterm birth inequity.","authors":"Kayla R Holloway, Joshua Radack, Alejandra Barreto, Barbara H Chaiyachati, Diana Montoya-Williams, Angela M Ellison, Heather H Burris","doi":"10.1038/s41372-024-02123-x","DOIUrl":"10.1038/s41372-024-02123-x","url":null,"abstract":"<p><strong>Objective: </strong>Not all individuals self-identify with race categories on birth certificates, selecting \"Other\" and writing in identities. Our hypothesis was that curating write-in responses in the \"Other\" race category would contribute to understanding preterm birth inequities.</p><p><strong>Methods: </strong>We analyzed Pennsylvania birth certificates (2006-2014). Two independent coders reviewed each write-in response among those who selected \"Other\" race. We compared preterm birth rates across subpopulations within \"Other\" race category using a Monte Carlo simulated Chi-square test.</p><p><strong>Results: </strong>Among 1,196,125 singleton births, 72,891 (6.1%) exclusively selected \"Other\" race; Hispanic more often than non-Hispanic individuals (54.5% vs 0.7%), p < 0.0001). Only 545 (0.8%) of Hispanic individuals wrote in responses aligned with preestablished race categories compared to 2,601 (33.2%) of non-Hispanic individuals. Preterm birth rates varied significantly across identities within the \"Other\" group (P < 0.001).</p><p><strong>Conclusion: </strong>Utilizing combinations of self-identified race, ethnicity, and continental origin may facilitate public health efforts focused on birth outcome equity.</p>","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Opioid equipotency conversions for hospitalized infants: a systematic review 住院婴儿的阿片类药物等效转换：系统综述。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-09-20 DOI: 10.1038/s41372-024-02121-z

Madeleine C. Ing, Olivia A. Keane, Ashwini Lakshmanan, Eugene Kim, Henry C. Lee, Lorraine I. Kelley-Quon

引用次数: 0

The conundrum of intestinal injury in preterm infants receiving mother's own milk. 接受母乳喂养的早产儿肠道损伤的难题。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-09-19 DOI: 10.1038/s41372-024-02125-9

Ariadne Malamitsi-Puchner, Despina D Briana, Josef Neu

引用次数: 0

Is fluid balance in the first 14 days of life associated with respiratory outcomes in extremely premature neonates? EBM Lesson: Covariate selection in an observation study 生命最初 14 天的体液平衡与极早产新生儿的呼吸系统预后有关吗？EBM 课程：观察研究中的协变量选择

IF 2.9 3区医学

Journal of Perinatology Pub Date : 2024-09-19 DOI: 10.1038/s41372-024-02119-7

Matthew R. Michienzi, Ashly Dunham, Andrew J. Groberg

引用次数: 0

Neurological outcomes and associated perinatal factors in infants born between 22 and 25 weeks with active care 接受积极护理的 22 至 25 周出生婴儿的神经系统预后和相关围产期因素

IF 2.9 3区医学

Journal of Perinatology Pub Date : 2024-09-18 DOI: 10.1038/s41372-024-02093-0

Yu Ariyoshi, Takayuki Iriyama, Takahiro Seyama, Seisuke Sayama, Eriko Yano, Kensuke Suzuki, Taiki Samejima, Mari Ichinose, Masatake Toshimitsu, Kenbun Sone, Atsushi Ito, Yoshihiko Shitara, Keiichi Kumasawa, Kohei Kashima, Satsuki Kakiuchi, Yasushi Hirota, Naoto Takahashi, Yutaka Osuga

{"title":"Neurological outcomes and associated perinatal factors in infants born between 22 and 25 weeks with active care","authors":"Yu Ariyoshi, Takayuki Iriyama, Takahiro Seyama, Seisuke Sayama, Eriko Yano, Kensuke Suzuki, Taiki Samejima, Mari Ichinose, Masatake Toshimitsu, Kenbun Sone, Atsushi Ito, Yoshihiko Shitara, Keiichi Kumasawa, Kohei Kashima, Satsuki Kakiuchi, Yasushi Hirota, Naoto Takahashi, Yutaka Osuga","doi":"10.1038/s41372-024-02093-0","DOIUrl":"https://doi.org/10.1038/s41372-024-02093-0","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>To elucidate the outcomes of periviable infants receiving active care (AC) and explore perinatal factors associated with neurodevelopmental outcomes.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>This is a single-center retrospective study on infants born at 22–25 weeks of gestation, all of whom received AC. A developmental quotient (DQ) ≥ 85 at corrected 18 months was judged as normal.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Fifty-seven infants were included in the study. The survival rates at discharge were 83%, 86%, 93%, and 93% at 22, 23, 24, and 25 gestational weeks, respectively. The overall percentage of normal DQ was 26/47 (55%). Acidemia in the arterial blood gas measured within 6 h after birth was identified as a factor significantly associated with subnormal DQ.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Not only high survival rates, but also favorable neurodevelopmental outcomes may be achieved by AC in periviable infants. Moreover, impaired neurodevelopmental outcomes may be associated with early postnatal acidemia following initial resuscitation.</p>","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":"50 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142268851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reporting nasal pressure injuries in neonates receiving non-invasive ventilation: a scoping review 接受无创通气的新生儿鼻压损伤报告：范围界定审查

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-09-17 DOI: 10.1038/s41372-024-02006-1

Alexander E. Graf, Simon Bellido, Chellapriya Vythinathan, Jigar Govind, Lawrence Fordjour, Sydney C. Butts, Ann Woodhouse Plum

{"title":"Reporting nasal pressure injuries in neonates receiving non-invasive ventilation: a scoping review","authors":"Alexander E. Graf, Simon Bellido, Chellapriya Vythinathan, Jigar Govind, Lawrence Fordjour, Sydney C. Butts, Ann Woodhouse Plum","doi":"10.1038/s41372-024-02006-1","DOIUrl":"10.1038/s41372-024-02006-1","url":null,"abstract":"Although neonates receiving Non-Invasive Ventilation (NIV) for respiratory support are at risk for nasal pressure injuries, efforts to standardize reporting are limited. A scoping review was conducted to identify the reporting systems used for describing these injuries. PubMed, Embase, and Web of Science were queried for papers reporting nasal injury with NIV usage in neonates. The primary outcome was reporting system usage. 705 titles and abstracts were screened. 40 papers met inclusion criteria. Most studies were Randomized Clinical Trials (37.5%) or cohort studies (37.5%). Most commonly, nasal injuries were reported using a unique, descriptive scale developed by the authors (10 studies, 25%). The Fischer et al 2010 scale, a three-stage reporting system, was used in 8 studies (20%). While 15 studies (38.0%) reported on specific anatomic subsite injury, only 2 studies (5.0%) employed endoscopy for assessment. Wide heterogeneity in pressure injury reporting secondary to NIV exists across specialties, institutions, and literature.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":"44 12","pages":"1-9"},"PeriodicalIF":2.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0