The Centers for Disease Control and Prevention guidelines identified more neonates at risk of early onset sepsis than the Kaiser‐Permanente calculator

2021 ◽  
Author(s):  
Calanit Hershkovich–Shporen ◽  
Alex Guri ◽  
Tatiana Gluskina ◽  
Orna Flidel‐Rimon
Keyword(s):  
At Risk ◽  
Disease Control ◽  
Early Onset ◽  
Kaiser Permanente ◽  
Early Onset Sepsis ◽  
Control And Prevention ◽  
Prevention Guidelines ◽  
Centers For Disease Control

scholarly journals Ensuring a Locally Tailored Response to Early Onset Sepsis Screening Meets or Exceeds the Performance of Published Approaches

2020 ◽  
Vol 10 (10) ◽  
pp. 877-883
Author(s):  
Ashley Fischer ◽  
Michael Colin Mowrer ◽  
Shelly Shallat ◽  
Lucas Walker ◽  
Jaclyn Shallat
Keyword(s):  
Disease Control ◽  
Early Onset ◽  
Demographic Data ◽  
Laboratory Evaluation ◽  
Kaiser Permanente ◽  
Early Onset Sepsis ◽  
Control And Prevention ◽  
Centers For Disease Control ◽  
Empirical Antibiotics ◽  
Sepsis Screening

BACKGROUND: Evaluation of well-appearing neonates for early-onset sepsis (EOS) remains controversial. Multiple risk stratification approaches are currently used for the evaluation of EOS. Our aim was to quantify and compare frequency of laboratory evaluation and empirical antibiotics between published and local EOS approaches. METHODS: This retrospective cohort study included 8240 infants born ≥35 + 0/7 weeks’ gestation at an institution from October 1, 2014, to March 1, 2018. Excluded from analysis were 156 patients who exhibited either major congenital anomalies or required antibiotics for surgical issues. A total of 1680 patient charts with risk factors for EOS were reviewed for further demographic data, clinical presentation, laboratory results, and probable recommendations from 4 EOS risk assessment approaches. RESULTS: Laboratory evaluation recommendation was 7.1% for Centers for Disease Control and Prevention 2010 guidelines and local 2016 EOS algorithm, 6% for local 2019 EOS algorithm, and 5.9% for Kaiser Permanente neonatal EOS calculator (neonatal EOS calculator). Antibiotic recommendation was 6% for 2010 Centers for Disease Control and Prevention guidelines, 4.3% for neonatal EOS calculator, and 3.3% for local 2016 and 2019 EOS algorithms. CONCLUSIONS: Of the 4 approaches reviewed, the local 2019 EOS algorithm and the neonatal EOS calculator were similar in recommending the lowest frequency of laboratory evaluation and the local 2016 and 2019 EOS algorithms had the lowest recommended antibiotic usage in this population.

Correct Dosing of Vancomycin in Infants and Children

PEDIATRICS ◽  
1995 ◽  
Vol 96 (6) ◽  
pp. 1177-1177
Author(s):  
Beth A. Logsdon ◽  
Kelley R. Lee ◽  
Fred F. Barrett
Keyword(s):  
Disease Control ◽  
Infants And Children ◽  
Control And Prevention ◽  
Prevention Guidelines ◽  
Centers For Disease Control ◽  
In Infants And Children

In accordance with the recent Centers for Disease Control and Prevention guidelines for the use of vancomycin,1 we began uating the indications and dose of vancomycin IV used in our institution. We discovered a large amount of incorrect dosing of vancomycin in infants and children with 30 mg/kg/day (10 mg/kg q8h). This dose has been traced to The Harriet Lane Handbook, 13th edition.2 However, all the references listed in Harriet Lane on page 561 recommend the standard dosing of vancomycin, 40 mg/kg/day (10 mg/kg q6h).

scholarly journals Physician Adherence to Centers for Disease Control and Prevention Guidelines for Sexually Active Adolescents in the Pediatric Emergency Setting

2018 ◽  
Vol 34 (11) ◽  
pp. 767-773 ◽  
Author(s):  
Michelle L. Pickett ◽  
Marlene D. Melzer-Lange ◽  
Melissa K. Miller ◽  
Seema Menon ◽  
Alexis M. Vistocky ◽  
...  
Keyword(s):  
Disease Control ◽  
Pediatric Emergency ◽  
Emergency Setting ◽  
Sexually Active ◽  
Control And Prevention ◽  
Prevention Guidelines ◽  
Centers For Disease Control ◽  
Physician Adherence

The safety of reused endotracheal tubes sterilized according to Centers for Disease Control and Prevention guidelines

2007 ◽  
Vol 19 (5) ◽  
pp. 360-364 ◽  
Author(s):  
Seung Z. Yoon ◽  
Yun-Seok Jeon ◽  
Yong C. Kim ◽  
Young J. Lim ◽  
Jin W. Ha ◽  
...  
Keyword(s):  
Disease Control ◽  
Endotracheal Tubes ◽  
Control And Prevention ◽  
Prevention Guidelines ◽  
Centers For Disease Control
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