{"title":"极低出生体重儿坏死性小肠结肠炎预防策略的多中心调查。","authors":"Xiaoshan Hu, Miao Qian, Wenjuan Chen, Shushu Li, Xiaohui Chen, Shuping Han","doi":"10.2147/PHMT.S509863","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To compare the prevention practices of necrotizing enterocolitis (NEC) across 17 neonatal intensive care units (NICUs) in China.</p><p><strong>Methods: </strong>A web-based survey was sent to 17 level 3 NICUs in China on September 21, 2023, to evaluate the prevention strategies for NEC.</p><p><strong>Results: </strong>All 17 Neonatal Intensive Care Units (NICUs) responded to the survey. There was significant variation in the initial empirical use of antibiotics for early-onset sepsis, late-onset sepsis, and NEC among different NICUs. Out of the 17 NICUs, only 5 (29.4%) used donor human milk. Additionally, 15 (88.2%) NICUs performed routine echocardiography (Echo) in preterm infants after birth to evaluate cardiac function and/or Patent Ductus Arteriosus (PDA) status. Out of those 15 NICUs, 11 (73.3%) performed Echo within 24 to 72 hours after birth. Furthermore, 8 NICUs (47.1%) did not alter enteral nutrition management during drug treatment for PDA, while 12 NICUs (70.6%) stopped 1 or 2 feeds during red blood cell transfusion.</p><p><strong>Conclusion: </strong>The findings of this survey conducted through questionnaires revealed both differences and similarities in the strategies employed to prevent NEC in 17 NICUs in China.</p>","PeriodicalId":74410,"journal":{"name":"Pediatric health, medicine and therapeutics","volume":"16 ","pages":"121-127"},"PeriodicalIF":1.7000,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103866/pdf/","citationCount":"0","resultStr":"{\"title\":\"A Multi-Center Survey of Necrotizing Enterocolitis Prevention Strategies in Very Low Birth Weight Infants.\",\"authors\":\"Xiaoshan Hu, Miao Qian, Wenjuan Chen, Shushu Li, Xiaohui Chen, Shuping Han\",\"doi\":\"10.2147/PHMT.S509863\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To compare the prevention practices of necrotizing enterocolitis (NEC) across 17 neonatal intensive care units (NICUs) in China.</p><p><strong>Methods: </strong>A web-based survey was sent to 17 level 3 NICUs in China on September 21, 2023, to evaluate the prevention strategies for NEC.</p><p><strong>Results: </strong>All 17 Neonatal Intensive Care Units (NICUs) responded to the survey. There was significant variation in the initial empirical use of antibiotics for early-onset sepsis, late-onset sepsis, and NEC among different NICUs. Out of the 17 NICUs, only 5 (29.4%) used donor human milk. Additionally, 15 (88.2%) NICUs performed routine echocardiography (Echo) in preterm infants after birth to evaluate cardiac function and/or Patent Ductus Arteriosus (PDA) status. Out of those 15 NICUs, 11 (73.3%) performed Echo within 24 to 72 hours after birth. Furthermore, 8 NICUs (47.1%) did not alter enteral nutrition management during drug treatment for PDA, while 12 NICUs (70.6%) stopped 1 or 2 feeds during red blood cell transfusion.</p><p><strong>Conclusion: </strong>The findings of this survey conducted through questionnaires revealed both differences and similarities in the strategies employed to prevent NEC in 17 NICUs in China.</p>\",\"PeriodicalId\":74410,\"journal\":{\"name\":\"Pediatric health, medicine and therapeutics\",\"volume\":\"16 \",\"pages\":\"121-127\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-05-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103866/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pediatric health, medicine and therapeutics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2147/PHMT.S509863\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric health, medicine and therapeutics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/PHMT.S509863","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
A Multi-Center Survey of Necrotizing Enterocolitis Prevention Strategies in Very Low Birth Weight Infants.
Objective: To compare the prevention practices of necrotizing enterocolitis (NEC) across 17 neonatal intensive care units (NICUs) in China.
Methods: A web-based survey was sent to 17 level 3 NICUs in China on September 21, 2023, to evaluate the prevention strategies for NEC.
Results: All 17 Neonatal Intensive Care Units (NICUs) responded to the survey. There was significant variation in the initial empirical use of antibiotics for early-onset sepsis, late-onset sepsis, and NEC among different NICUs. Out of the 17 NICUs, only 5 (29.4%) used donor human milk. Additionally, 15 (88.2%) NICUs performed routine echocardiography (Echo) in preterm infants after birth to evaluate cardiac function and/or Patent Ductus Arteriosus (PDA) status. Out of those 15 NICUs, 11 (73.3%) performed Echo within 24 to 72 hours after birth. Furthermore, 8 NICUs (47.1%) did not alter enteral nutrition management during drug treatment for PDA, while 12 NICUs (70.6%) stopped 1 or 2 feeds during red blood cell transfusion.
Conclusion: The findings of this survey conducted through questionnaires revealed both differences and similarities in the strategies employed to prevent NEC in 17 NICUs in China.
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