scholarly journals Monitoring technologies in the neonatal intensive care unit: implications for the detection of necrotizing enterocolitis

2010 ◽  
Vol 30 (11) ◽  
pp. 701-708 ◽  
Author(s):  
S Oh ◽  
C Young ◽  
N Gravenstein ◽  
S Islam ◽  
J Neu
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Necrotizing Enterocolitis ◽  
Neonatal Intensive Care ◽  
Monitoring Technologies

scholarly journals An Outbreak of Necrotizing Enterocolitis Associated with a NovelClostridiumSpecies in a Neonatal Intensive Care Unit

2002 ◽  
Vol 35 (s1) ◽  
pp. S101-S105 ◽  
Author(s):  
Michelle J. Alfa ◽  
Diane Robson ◽  
Maria Davi ◽  
Kathy Bernard ◽  
Paul Van Caeseele ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Necrotizing Enterocolitis ◽  
Neonatal Intensive Care

An Outbreak of Clostridium difficile Necrotizing Enterocolitis

PEDIATRICS ◽  
1984 ◽  
Vol 73 (2) ◽  
pp. 266-266
Author(s):  
GRAHAM W. CHANCE ◽  
VICTOR K. M. HAN
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clostridium Difficile ◽  
Neonatal Intensive Care Unit ◽  
Necrotizing Enterocolitis ◽  
Neonatal Intensive Care ◽  
Colonization Rate ◽  
Control Subjects

In Reply.— The observation made by Mathew et al on the lack of relationship between the isolation of Clostridium difficile and necrotizing enterocolitis (NEC) in their neonatal intensive care unit (NICU) is interesting, although the numbers are too small for relevant comment. Importantly, no mention was made on how the control subjects were selected.1 We agree that the colonization rate in NICUs may vary widely and may range up to 55% in certain units.2 In the subsequent four months following the outbreak that we reported, all infants admitted to our NICU had their stools tested weekly for C difficile.

scholarly journals Outbreak of Necrotizing Enterocolitis Caused by Norovirus in a Neonatal Intensive Care Unit

2008 ◽  
Vol 153 (3) ◽  
pp. 339-344 ◽  
Author(s):  
Reina M. Turcios-Ruiz ◽  
Peter Axelrod ◽  
Keith St. John ◽  
Esther Bullitt ◽  
Joan Donahue ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Necrotizing Enterocolitis ◽  
Neonatal Intensive Care

An Outbreak of Clostridium difficile Necrotizing Enterocolitis: A Case for Oral Vancomycin Therapy?

PEDIATRICS ◽  
1983 ◽  
Vol 71 (6) ◽  
pp. 935-941
Author(s):  
V. K.M. Han ◽  
H. Sayed ◽  
G. W. Chance ◽  
D. G. Brabyn ◽  
W. A. Shaheed
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clostridium Difficile ◽  
Neonatal Intensive Care Unit ◽  
Necrotizing Enterocolitis ◽  
Neonatal Intensive Care ◽  
Oral Vancomycin ◽  
Vancomycin Therapy ◽  
Etiologic Role

During a 2-month period, 13 infants in this neonatal intensive care unit developed necrotizing enterocolitis, increasing the prevalence in inborns from 5.2 to 20.5/1,000 live births. Fifty-seven perinatal and neonatal factors, many of which have previously been associated with necrotizing enterocolitis, were compared between the infants with necrotizing enterocolitis and 17 unaffected inborn control infants admitted concurrently. Clostridium difficile cytotoxin was detected in the stools of 12 affected infants (92.3%) in comparison with two control infants (11.8%) (P < .001), and the organism was isolated in eight affected neonates (61.5%) compared to none of the control infants (P < .001). The outbreak was terminated upon institution of oral vancomycin therapy in cases and infant contacts, and strict antiinfective measures in the neonatal intensive care unit. This indicates an etiologic role of C difficile in the outbreak. Oral vancomycin in the management of necrotizing enterocolitis was assessed by therapeutic response, drug levels, and occurrence of side effects. Oral vancomycin therapy is indicated in necrotizing enterocolitis outbreaks in units where C difficile is endemic.

Questions About Early Enteral Feeding Study

PEDIATRICS ◽  
1987 ◽  
Vol 79 (1) ◽  
pp. 168-169
Author(s):  
LEONARD RADECKI ◽  
JEAN R. KHAWAM ◽  
ED BEAUMONT ◽  
THOMAS SHAW ◽  
ALAN JONES ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Necrotizing Enterocolitis ◽  
Enteral Feeding ◽  
Neonatal Intensive Care ◽  
Feeding Practice ◽  
Feeding Study ◽  
Early Enteral Feeding

To the Editor.— We were amazed at the report on the incidence of necrotizing enterocolitis and feeding practice (Pediatrics 1986;77:275-280). The rate of necrotizing enterocolitis in both groups of patients is astronomical and yet acceptable to the authors. During a 2-year period in our neonatal intensive care unit, the incidence of necrotizing enterocolitis was 9/1,114 admissions (0.08%). The incidence in infants with birth weights less than 1,500 g was 8/159 (3.08%); for infants with birth weights less than 1,000 g it was 3/101 (2.9%).

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