Practices related to late-onset sepsis in very low-birth weight preterm infants

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dc.contributor.authorBentlin, Maria Regina [UNESP]
dc.contributor.authorRugolo, Ligia M. S. S. [UNESP]
dc.contributor.authorFerrari, Ligia S. L.
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade Estadual de Londrina (UEL)
dc.date.accessioned2015-10-21T13:10:49Z
dc.date.available2015-10-21T13:10:49Z
dc.date.issued2015-03-01
dc.description.abstractObjective: 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. (C) 2013 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.en
dc.description.affiliationHospital Universitário de Londrina, Universidade Estadual de Londrina (UEL), Londrina, PR, Brazil
dc.description.affiliationUnespHospital das Clínicas, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil
dc.format.extent168-174
dc.identifierhttp://www.sciencedirect.com/science/article/pii/S0021755714001545
dc.identifier.citationJornal de Pediatria, v. 91, n. 2, p. 168-174, 2015.
dc.identifier.doi10.1016/j.jped.2014.07.004
dc.identifier.fileS0021-75572015000200168.pdf
dc.identifier.issn0021-7557
dc.identifier.lattes2559637400719543
dc.identifier.scieloS0021-75572015000200168
dc.identifier.urihttp://hdl.handle.net/11449/128543
dc.identifier.wosWOS:000354071900010
dc.language.isoeng
dc.publisherSoc Brasil Pediatria
dc.relation.ispartofJornal de Pediatria
dc.relation.ispartofjcr1.690
dc.relation.ispartofsjr0,704
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectSepsisen
dc.subjectNewbornen
dc.subjectPrematureen
dc.subjectHand hygieneen
dc.subjectPrevention and controlen
dc.titlePractices related to late-onset sepsis in very low-birth weight preterm infantsen
dc.typeArtigo
dcterms.rightsHolderSoc Brasil Pediatria
unesp.advisor.lattes2559637400719543

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