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Paediatrics and International Child... Nov 2012
Review
Topics: Developed Countries; Developing Countries; History, 20th Century; History, 21st Century; Humans; Infant, Newborn; Neonatology; Tropical Medicine
PubMed: 23394757
DOI: 10.1179/2046904712Z.00000000077 -
NeoReviews Mar 2019Telemedicine is fast becoming integrated into health care as a way to increase access for patients, particularly across the urban/rural divide. Use of telemedicine in... (Review)
Review
Telemedicine is fast becoming integrated into health care as a way to increase access for patients, particularly across the urban/rural divide. Use of telemedicine in neonatology is a newer, yet rapidly expanding modality. This review outlines the history of telemedicine, the evolution of its current uses in neonatology, requirements for starting a telemedicine program, and potential future uses.
Topics: History, 20th Century; History, 21st Century; Humans; Infant, Newborn; Neonatology; Telemedicine
PubMed: 31261049
DOI: 10.1542/neo.20-3-e113 -
NeoReviews Aug 2020Suspected neonatal sepsis is one of the most common diagnoses made in newborns (NBs), but very few NBs actually have sepsis. There is no international consensus to...
Suspected neonatal sepsis is one of the most common diagnoses made in newborns (NBs), but very few NBs actually have sepsis. There is no international consensus to clearly define suspected neonatal sepsis, but each time that this suspected diagnosis is assumed, blood samples are taken, venous accesses are used to administer antibiotics, and the mother-child pair is separated, with prolonged hospital stays. X-rays, urine samples, and a lumbar puncture are sometimes taken. This is of concern, as generally <10% and no more than 25%-30% of the NBs in whom sepsis is suspected have proven neonatal sepsis. It seems easy to start antibiotics with suspicion of sepsis, but stopping them is difficult, although there is little or no support to maintain them. Unfortunately, the abuse of antibiotics in inpatient and outpatient NBs is foolish. Its negative impact on neonatal health and the economy is a public health problem of epidemiological and even epidemic proportions. This manuscript is a shortened version of the 10 Clinical Consensus of the Ibero-American Society of Neonatology (SIBEN) on suspected neonatal sepsis at the end of 2018, updated with publications from its completion to February 2020. This manuscript describes useful strategies for everyday neonatal practice when neonatal sepsis is suspected, along with important aspects about the indisputable value of clinical evaluation of the NB and about obtaining and interpreting blood cultures, urine cultures, and other cultures. Likewise, the low value of laboratory tests in suspected neonatal sepsis is demonstrated with evidence and clinical recommendations are made on the appropriate use of antibiotics.
Topics: Consensus; Humans; Infant, Newborn; Neonatal Sepsis; Neonatology; Practice Guidelines as Topic; Societies, Medical
PubMed: 32737171
DOI: 10.1542/neo.21-8-e505 -
Zeitschrift Fur Geburtshilfe Und... Dec 2023This narrative review discusses basic principles of the perioperative antibiotic prophylaxis (PAP) in premature and at term newborns and refers to some particularities... (Review)
Review
This narrative review discusses basic principles of the perioperative antibiotic prophylaxis (PAP) in premature and at term newborns and refers to some particularities concerning the indication and dosing issues. Although this is a vulnerable patient population, the spectrum of activity should not be unnecessarily broad and the regular PAP must not be prolonged beyond 24 hours.
Topics: Infant, Newborn; Humans; Antibiotic Prophylaxis; Neonatology; Anti-Bacterial Agents
PubMed: 37579789
DOI: 10.1055/a-2125-1233 -
JAMA Jun 1994Group B streptococcus continues to be the leading cause of serious perinatal infection in the United States. The recent discovery that vascular tone is influenced by...
Group B streptococcus continues to be the leading cause of serious perinatal infection in the United States. The recent discovery that vascular tone is influenced by nitric oxide has been applied to neonatology.
Topics: Humans; Infant, Newborn; Infant, Newborn, Diseases; Neonatology; United States
PubMed: 8182850
DOI: No ID Found -
Seminars in Fetal & Neonatal Medicine Oct 2011The practice of evidence-based medicine involves the judicious use of current best evidence in the care of individual patients. Decisions about diagnosis, prognosis and... (Review)
Review
The practice of evidence-based medicine involves the judicious use of current best evidence in the care of individual patients. Decisions about diagnosis, prognosis and treating patients require knowledge of the probability and value of outcomes. Decision analysis illustrates how probabilities and values help define one another, and each are important. Whereas initial probability estimates can be obtained by 'searching for the best evidence', values belong to individuals. Obtaining values from patients or parents is sometimes difficult and requires a respectful, thoughtful, systematic approach, but only after doing this is neonatal care evidence-based.
Topics: Decision Making; Evidence-Based Medicine; Humans; Neonatology
PubMed: 21636335
DOI: 10.1016/j.siny.2011.04.005 -
The Journal of Maternal-fetal &... Oct 2012The origins of the use of the Caesarean section date far back in human history. Traces of this procedure can be found in Greek mythology and in the history of Ancient... (Review)
Review
The origins of the use of the Caesarean section date far back in human history. Traces of this procedure can be found in Greek mythology and in the history of Ancient Rome. Many documents about the history of religion make reference to a delivery from the abdomen.
Topics: Cesarean Section; Elective Surgical Procedures; Female; Gestational Age; History, 21st Century; Humans; Infant, Newborn; Italy; Neonatology; Pregnancy
PubMed: 22958012
DOI: 10.3109/14767058.2012.725972 -
Indian Journal of Pediatrics Jan 2015
Topics: Developing Countries; Humans; Infant, Newborn; Infant, Newborn, Diseases; Neonatology
PubMed: 25532749
DOI: 10.1007/s12098-014-1666-2 -
Early Human Development Feb 2017
Topics: Biomarkers; Humans; Infant, Newborn; Infant, Newborn, Diseases; Neonatology; Practice Guidelines as Topic
PubMed: 28041646
DOI: 10.1016/j.earlhumdev.2016.12.001 -
JAMA May 1990
Topics: Humans; Infant, Newborn; Infant, Newborn, Diseases; Intensive Care Units, Neonatal; Neonatology
PubMed: 2329660
DOI: No ID Found