Nosocomial Colonization of Premature Babies With Klebsiella oxytoca: Probable Role of Enteral Feeding Procedure in Transmission and Control of the Outbreak With the Use of Gloves

2001 ◽  
Vol 22 (03) ◽  
pp. 148-151 ◽  
Author(s):  
Philippe Berthelot ◽  
Florence Grattard ◽  
Hugues Patural ◽  
Alain Ros ◽  
Hénia Jelassi-Saoudin ◽  
...  
Keyword(s):  
Prospective Study ◽  
Retrospective Analysis ◽  
Digestive Tract ◽  
Enteral Feeding ◽  
Neonatal Intensive Care ◽  
Klebsiella Oxytoca ◽  
Premature Baby ◽  
University Hospital ◽  
Standard Precautions ◽  
Premature Babies

AbstractObjective:To investigate the persistence of colonization of premature babies byKlebsiella oxytoca, with special emphasis on the mode of transmission of the bacterium and evaluation of Standard Precautions to stop the epidemic.Design:Retrospective analysis of cases and prospective study of systematic bacteriological samples (stools and throat) from babies, healthcare workers (HCWs), and environment, with genotyping of strains by arbitrarily primed polymerase chain reaction.Setting:A premature baby unit (PBU) and a neonatal intensive care unit in the university hospital of Saint-Etienne, France.Results:An outbreak ofK oxytocawas suspected in two pediatric wards after the occurrence of a fatal bacteremia in a newborn hospitalized in the PBU and the colonization of other babies 2 months later. Retrospective analysis showed that 24 babies' digestive tract had been colonized. No environmental reservoir was recovered in the units nor in enteral feeding. NoK oxytocawas isolated from HCW samples. Genotyping confirmed the presence of epidemic strains, although independent clones were responsible for infections or colonizations in each of the two units. The chronology and the site of babies' colonization (isolation ofK oxytocain stools before throat) were determined during a prospective study and suggested that enteral feeding procedures could be the source of contamination. Therefore, use of gloves during this practice by HCWs was recommended and, after readjustment of Standard Precautions, stopped the outbreak.Conclusion:To prevent cross-contamination among high-risk babies, careful attention must be paid to Standard Precautions. Bacteriological surveillance of the digestive tract of neonates could help to check compliance with these guidelines.

scholarly journals Vaccinate Your Baby and Do Not Smoke: Integrated Approach of Lung Health for Premature Babies

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 128s-128s
Author(s):  
O. Turcanu ◽  
M. Guzun
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Neonatal Period ◽  
Premature Baby ◽  
Second Hand Smoke ◽  
Premature Babies ◽  
Lung Health

Background and context: Since 2008 Republic of Moldova registers and provides medical care to newborns from 500 g and 22 weeks of gestation. Thus, challenges related to lung health (respiratory distress in neonatal period, respiratory infections in childhood) are faced while taking care of premature babies. More 400 of them (from 2000 preterms in the country) are born in our institution. While in neonatal period we succeed to save them, the quality of their life depends on further protection from risk factors, as infections, environment polluants and second hand smoke. Aim: To rise awareness among parents about evidence based approaches for protecting a premature baby from infection (one of that being the immunization) and from second hand smoke harm (through smoking cessation among parents, but also among other family members). Strategy/Tactics: Early neonatal period is a very sensitive, but also a precious opportunity to speak with parents about risk factors for a healthy childhood. Smoking being one of factors for premature birth, but also for lung diseases in childhood, our neonatal team included “smoking” issue while speaking with parents about the severity of baby´s condition in neonatal intensive care unit. The discussion target the risk factors for respiratory diseases. This year we changed the approach - we include in the same discussion not only smoking issue, but also immunization, to see if it´s more effective than to aware about smoking only. Program/Policy process: When combining two topics (immunization and no-smoking) parents are less reticent to discussion, thus measured by: •How often they recall discussion, or come back with other questions. •Their reaction (body language, duration of discussion) to physicians´ explanation. Outcomes: 1. Targeting both topics help a smoking parent “not to fill so guilty”, “obtaining other leverages to ensure good quality of life for the baby”. Comparing to the period when we were targeted only smoking issue, parents (especially fathers) were more likely to recall discussion (72%, compared with 41% in the previous stage) and they were more willing/open for communication (77%, compared with 48%). 2. This strategy it´s an opportunity to catch parents´ attention for important things. Usually, when they come in neonatal intensive care unit to see their baby, they expect to be told only about the treatment the baby receives in the unit, and not about smoking (“this is not a drug?”) or vaccination (“something that they see long further”). What was learned: A holistic preventive approach for healthy lifestyle (vaccination + not to expose to tobacco smoke) as measures for premature baby respiratory health, seems to be better accepted by smoking parents, that related on smoking only.

Pastoral Care of the Premature Baby

1997 ◽  
Vol 51 (1) ◽  
pp. 49-56
Author(s):  
Terry A. Purvis-Smith
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pastoral Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Premature Baby ◽  
Premature Babies ◽  
Pastoral Communication

A chaplain shares his learning in his attempts to deliver meaningful pastoral care to premature babies in a Neonatal Intensive Care Unit of a hospital. Explicates some of the parallels between pastoral communication with adults and with babies, noting especially the necessity of recognizing the need for creative modification of adult modes of care.

scholarly journals Neonatal nurses’ response to a hypothetical premature birth situation: What if it was my baby?

2016 ◽  
Vol 25 (7) ◽  
pp. 880-896 ◽  
Author(s):  
Janet Green ◽  
Philip Darbyshire ◽  
Anne Adams ◽  
Debra Jackson
Keyword(s):  
Neonatal Intensive Care ◽  
Research Question ◽  
Premature Baby ◽  
Structured Interviews ◽  
Neonatal Nurses ◽  
Her Family ◽  
Premature Babies ◽  
South Wales ◽  
Personal Experiences

Background: Evolving technology and scientific advancement have increased the chances of survival of the extremely premature baby; however, such survival can be associated with some severe long-term morbidities. Research question: The research investigates the caregiving and ethical dilemmas faced by neonatal nurses when caring for extremely premature babies (defined as ≤24 weeks’ gestation). This article explores the issues arising for neonatal nurses when they considered the philosophical question of ‘what if it was me and my baby’, or what they believed they would do in the hypothetical situation of going into premature labour and delivering an extremely premature baby. Participants: Data were collected via a questionnaire to Australian neonatal nurses and semi-structured interviews with 24 neonatal nurses in New South Wales, Australia. Ethical considerations: Relevant ethical approvals have been obtained by the researchers. Findings: A qualitative approach was used to analyse the data. The theme ‘imagined futures’ was generated which comprised three sub-themes: ‘choice is important’, ‘not subjecting their own baby to treatment’ and ‘nurses and outcome predictions’. The results offer an important and unique understanding into the perceptions of nursing staff who care for extremely premature babies and their family, see them go home and witness their evolving outcomes. The results show that previous clinical and personal experiences led the nurses in the study to choose to have the belief that if in a similar situation, they would choose not to have their own baby resuscitated and subjected to the very treatment that they provide to other babies. Conclusion: The theme ‘imagined futures’ offers an overall understanding of how neonatal nurses imagine what the life of the extremely premature baby and his or her family will be like after discharge from neonatal intensive care. The nurses’ past experience has led them to believe that they would not want this life for themselves and their baby, if they were to deliver at 24 weeks’ gestation or less.

My pregnancy was a flash of lightning! - the impact of birth of premature babies on adolescent mothers in the southeast Brazil: A clinical-qualitative study

2011 ◽  
Vol 26 (S2) ◽  
pp. 888-888
Author(s):  
V.L.S. Chvatal ◽  
C.R.R. Varga ◽  
C.R.S.F. Rivoredo ◽  
E.R. Turato
Keyword(s):  
Adolescent Mothers ◽  
Neonatal Intensive Care ◽  
Premature Baby ◽  
Acting Out ◽  
Clinical Criteria ◽  
Socially Disadvantaged ◽  
Premature Babies ◽  
Late Discovery ◽  
Complex Phenomena ◽  
The Impact

IntroductionThe pregnancy and the motherhood of adolescents are complex phenomena that happen on the trajectory of life of the young persons under physical, psychological and social aspects.AimTo deepen knowledge of the emotional experiences of socially disadvantaged adolescent primiparous with premature babies.Methodqualitative-clinical. Criteria of inclusion: age group, to be primiparous with premature baby and acceptance in participating of the inquiry. The intentional sample was made up of five adolescents aged between 16 and 19. The study was carried between June/2008 to October/2009. Semi-directed interviews based on the trigger question “Tell me about your pregnancy and your baby's birth”. The data were submitted for thematic analysis and from this the following categories emerged: 1. Late discovery of pregnancy: “Mine was a lightning pregnancy”; 2. The symbolization of the child: “It was a present for me…” discussed within a theoretical framework of reference, with special emphasis on the psychodynamic approach.ResultsOn a psychological perspective, the adolescents had presented feelings of omnipotence, unfamiliarity, shock, surprise, anger, fear, anguish and happiness at the birth of their child. They appeared to use immature, narcissistic and neurotic defence mechanisms such as denial, dissociation, acting out and idealization as well as revealing the desire to be good mothers and to engage in maternity.ConclusionThese finds can subsidize the team of health responsible for the service in neonatal intensive care units, developing attitudes more effective of support and giving emotional presence aiming to reduce the fear and anguishes resulting from the situation.

The role of blood inflammatory markers in the diagnosis of appendicitis in children: a prospective study from a University Hospital in Greece

2020 ◽  
Vol 178 (11) ◽  
Author(s):  
George Sakellaris ◽  
Dimitra Dimopoulou ◽  
Maria Niniraki ◽  
Anastasia Dimopoulou ◽  
Athanasios Alegakis ◽  
...  
Keyword(s):  
Prospective Study ◽  
Inflammatory Markers ◽  
University Hospital ◽  
A Prospective Study

STUDI FENOMENOLOGI: DUKUNGAN PADA IBU DALAM PERAWATAN BAYI PREMATUR DI RUANG RAWAT INTENSIF NEONATUS

2019 ◽  
Vol 7 (3) ◽  
pp. 198-205
Author(s):  
Anafrin Yugistyowati
Keyword(s):  
Intensive Care ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Discharge Planning ◽  
Premature Baby ◽  
Field Note ◽  
Analyse Data ◽  
Using Data ◽  
Care Ward ◽  
Intensive Care Ward

Background: The premature birth of infants is a process that leads to physical unpreparedness, sources of stress, and traumatize effects for the parents. Mostly mothers showed unpleasant memories that interfered the parents’ ability to take care of their premature baby. Objective: This study aimed  to obtain in-depth understanding of mother’s support in neonatal  intensive care ward. Methods: This is a qualitative research using phenomenology approach involving eight participants. Data were collected through in-depth interview using data recording, interview protocol, and field note. Colaizzi method was used to analyse data. Results: Two research themes were gained from data analysis, the source and the type of support for mother with premature infants’ care. Conclusion: This study recommends for nurses to assist parents by discussing any problems and to facilitate bonding mother and baby through implementation continuum of discharge planning.   Keywords: Care for Premature Infants, Neonatal Intensive Care Ward, Supporting Mothers

Feelings of Guilt and Fantasies in Life Experiences of Brazilian Parents Due to Death of their Newborn: A Clinical-qualitative Study Conducted at a University Hospital

2017 ◽  
Vol 41 (S1) ◽  
pp. S616-S616
Author(s):  
L. Rodrigues ◽  
J.V. Freitas-de-Jesus ◽  
G. Lavorato-Neto ◽  
D.D. Lima ◽  
E.R. Turato ◽  
...  
Keyword(s):  
Neonatal Intensive Care ◽  
Life Experiences ◽  
Technological Development ◽  
Emotional Experience ◽  
University Hospital ◽  
Parents And Children ◽  
Cultural Pattern ◽  
Competing Interest ◽  
The Moment ◽  
The Relationship

IntroductionThe relationship between parents and children is a complex link. In the process of pregnancy-birth-puerperium, frequent feelings such as responsibility, love, fear, uncertainty, generate strong expectations at birth. The death of a newborn may not be perceived as natural by the parents, considering the local culture and the context of great technological development of neonatology.ObjectiveTo explore possible guilt and fantasies in life experiences of parents during mourning process due to death of their newborn.MethodClinical-qualitative design, a particularization of qualitative methods here applied in clinical assistance settings with highlight to psychological aspects. Data collection with the technique of semi-directed interview with open-ended questions, in-depth. Sample intentionally constructed, with closure by theoretical saturation of information. The participants were 7 parents, mourning by the death of their child at the neonatal intensive care unit, in a university hospital of Campinas, São Paulo State.ResultsFeelings of guilt - conscious or not - lead to an internal and particular movement so that mourning can be lived. The participants showed certain embarrassment, accompanied by natural suffering facing to the cultural pattern that permeates the emotional experience. It predicts types of psychological meanings that the experience will give to the person.ConclusionHealth professionals working with bereaved parents should consider more deeply the moment these one experienced, with emphasis on the details of the death scenery, beside the problems of illness and death properly so called.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Fungal rhinosinusitis: A prospective study in a University hospital of Uttar Pradesh

2013 ◽  
Vol 31 (3) ◽  
pp. 266 ◽  
Author(s):  
G Banerjee ◽  
P Gupta ◽  
M Singh ◽  
MM Goel ◽  
V Verma ◽  
...  
Keyword(s):  
Prospective Study ◽  
Uttar Pradesh ◽  
University Hospital ◽  
Fungal Rhinosinusitis ◽  
A Prospective Study

Comparison of Bone-Conducted Vibration for Eliciting Ocular Vestibular-Evoked Myogenic Potentials

2011 ◽  
Vol 146 (2) ◽  
pp. 289-294 ◽  
Author(s):  
Chia-Chen Tseng ◽  
Shou-Jen Wang ◽  
Yi-Ho Young
Keyword(s):  
Prospective Study ◽  
Study Design ◽  
Healthy Subjects ◽  
University Hospital ◽  
Vestibular Evoked Myogenic Potentials ◽  
Ménière’S Disease ◽  
Asymmetry Ratio ◽  
Significant Difference ◽  
The Asymmetry ◽  
The Right

Objective. This study compared bone-conducted vibration (BCV) stimuli at forehead (Fz) and mastoid sites for eliciting ocular vestibular-evoked myogenic potentials (oVEMPs). Study Design. Prospective study. Setting. University hospital. Methods. Twenty healthy subjects underwent oVEMP testing via BCV stimuli at Fz and mastoid sites. Another 50 patients with unilateral Meniere’s disease also underwent oVEMP testing. Results. All healthy subjects showed clear oVEMPs via BCV stimulation regardless of the tapping sites. The right oVEMPs stimulated by tapping at the right mastoid had earlier nI and pI latencies and a larger nI-pI amplitude compared with those stimulated by tapping at the Fz and left mastoid. Similar trends were also observed in left oVEMPs. However, the asymmetry ratio did not differ significantly between the ipsilateral mastoid and Fz sites. Clinically, tapping at the Fz revealed absent oVEMPs in 28% of Meniere’s ears, which decreased to 16% when tapping at the ipsilesional (hydropic) mastoid site, exhibiting a significant difference. Conclusion. Tapping at the ipsilateral mastoid site elicits earlier oVEMP latencies and larger oVEMP amplitudes when compared with tapping at the Fz site. Thus, tapping at the Fz site is suggested to screen for the otolithic function, whereas tapping at the ipsilesional mastoid site is suitable for evaluating residual otolithic function.

Sign in / Sign up

Export Citation Format

Share Document