Audit of sepsis in neonatal surgeries at tertiary-care level hospital in India

Bhatt, Shwetal; Agrawal, Payal; Patel, Ankita; Tamboli, Dhaval

doi:10.5455/ijmsph.2015.01052015354

Cited by 7 publications

(6 citation statements)

References 8 publications

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“…When compared to women at parity one, women at parity two were less likely to use LNB. This result is consistent with a previous study by Bhatt et al [ 35 ], which found that women who had more than one birth were less likely to use LNB. Alemu et al [ 36 ] found that parity level was substantially correlated with LNB practice, which corroborated the current conclusion.…”

Section: Discussionsupporting

confidence: 93%

Maternal and child factors associated with late neonatal bathing practices in Nigeria: evidence from a national survey

Appiah,

Adde,

Boakye

et al. 2023

Reprod Health

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Background Twohundred and seventy out of every thousand live births died in Nigeria in 2019. These deaths were attributable to infections, complications of preterm birth, and intrapartum-related conditions. The World Health Organization recommends withholding bathing of neonates until 24 h after birth or until their vital signs become stable to prevent hypothermia. Despite the link between neonatal bathing and thermal control, the subject is understudied in Nigeria. This study aimed at investigating the factors associated with late neonatal bathing practices in Nigeria. Methods The study adopted a cross-sectional design and extracted data from the women’s file of the 2018 Nigerian Demographic and Health Survey. The unit of analysis was limited to 12,972 women who had complete data for the study. We applied chi-square test of independence to ascertain the association between the outcome variable and explanatory variables. At 95% confidence interval, two logistic regression models were built with Model I consisting of only maternal factors whilst Model II contained both maternal and child factors, and results were presented in adjusted odds ratio. Results Descriptively, 12% (CI = 0.122–0.134) of the women bathed their neonates after 24 h of delivery. Inferentially, women with secondary/higher education [AOR = 1.30, CI = 1.05–1.61], the rich [AOR = 1.24, CI = 1.03–1.50], those with access to mass media [AOR = 131, CI = 1.15–1.50], women that professed other religions [AOR = 9.28, CI = 4.24–17.56], those who delivered in a health facility [AOR = 1.93, CI = 1.66–2.25], whose child was small in size at birth [AOR = 1.46, CI = 1.21–1.77] and delivered by caesarean section [AOR = 2.50, CI = 1.97–3.18] had higher odds of bathing their neonates 24 h after birth. Conclusions The proportion of women who practised late neonatal bathing was generally low. To improve the practice of late neonatal bathing, much-concerted effort should be directed to women’s education and approaches to increasing receptivity of late neonatal bathing among pregnant women through the media. The Nigerian Ministry of Health should incorporate routine counselling on the risks of bathing newborns prematurely into antenatal and postnatal care services.

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Section: Discussionsupporting

confidence: 93%

Maternal and child factors associated with late neonatal bathing practices in Nigeria: evidence from a national survey

Appiah,

Adde,

Boakye

et al. 2023

Reprod Health

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“…Similar to our study, other studies conducted found that out of 50 neonates were ventilated in the study, 6 similarly 6.83% of neonates required mechanical ventilation in another similar study. 7 In addition to this another study found 30.7% of neonates were ventilated, 8 and another study found 72 neonates required mechanical ventilation. 9 Our study has found that 52.32% of the mechanically ventilated newborn has underlying perinatal asphyxia however similar study found that RDS (58.9%) was the most common indication for mechanical ventilation.…”

Section: Discussionmentioning

confidence: 79%

Mean Duration of Mechanical Ventilation among Newborns Admitted to the Neonatal Intensive Care Unit in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Thakur¹,

Mishra

2023

J Nepal Med Assoc

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Introduction: Neonatal deaths account for the majority of deaths in the first year of life. Life-threatening apnoea or cardiovascular collapse needs cardiopulmonary resuscitation. Technological advancements, such as the administration of antepartum steroids, replacement of surfactants, nasal continuous positive airway pressure, and mechanical ventilation have led to improved neonatal survival, especially for premature neonates. The aim of this study was to find out the mean duration of mechanical ventilation among newborns admitted to the Neonatal Intensive Care Unit in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted from 15 November 2020 to 15 April 2021 in a tertiary care centre. Ethical approval was taken from Institutional Review Committee (Reference number: F-NMC|504|076|077). The neonates of gestational age between 27-37 weeks of gestation admitted to the Neonatal care unit were included in the study. Neonates with birth weight <500 g and those babies having major, surgically uncorrectable lethal anomalies were excluded from the study. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated. Results: Among 86 neonates, the mean duration of mechanical ventilation was 2.19±1.42 days. The mean weight of neonates was 2.63±0.81 kg. A total of 71 (82.56%) were male and 15 (17.44%) were female. Conclusions: The mean duration of mechanical ventilation among newborns admitted to the neonatal intensive care unit in a tertiary care centre was lower than in other studies conducted in similar settings.

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“…The most common diagnoses of the expired babies were Anorectal Malformation (ARM) and Gastroschisis; this might be due to the higher incidence of these anomalies in this region. Reports from other institutes of Bangladesh and India reflect this fact (7,8,15). The highest percentage of babies died with Gastroschisis and Esophageal atresia.…”

Section: Discussionmentioning

confidence: 93%

Neonatal Surgical Morbidity and Mortality at a Single Tertiary Center in a Low- and Middle-Income Country: A Retrospective Study of Clinical Outcomes

2022

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BackgroundThe most challenging and demanding issue in Pediatrics and Pediatric Surgery is to deal with neonatal surgery which almost always involves emergency neonatal surgical conditions. Emergency neonatal surgery most often involves congenital anomalies. More than 90% of these anomalies occur in low- and middle-income countries (LMICs) like Bangladesh. This considerable load of patients and inadequate resources in their management continue to be an unconquerable challenge for pediatric and neonatal surgeons in this region. We aim to review the challenges and constraints influencing the outcomes of emergency neonatal surgery which will guide to propose expectations from the global community.MethodWe reviewed hospital records of neonates admitted to a tertiary care pediatric hospital between January 2016 and December 2020. Demographic and clinical data were extracted using a questionnaire and analyzed using SPSS 25.ResultsA total of 3,447 neonates were admitted during the five-year study period. More than 80% of the patients had at least one prenatal ultrasonography (USG) scan, but less than 10% had a prenatal diagnosis. More than 70% of the anomalies of the patient involved the gastrointestinal tract and abdominal wall. Overall mortality was an alarming 14.6%. Gastroschisis (>90%) and esophageal atresia (>85%) mainly contributed to this high mortality. The challenges detected in this review were the absence of a prenatal diagnosis, limited access to intensive care facilities, unavailability of parenteral nutrition, inadequate monitoring, and hospital-acquired sepsis.ConclusionEmergency neonatal surgery contributes to a significant proportion of neonatal mortality. A holistic approach is essential to improve the situation, including the infrastructure and human resource development, identification of causes, and implementation of preventive measures to reduce the patient load. Global collaboration remains to be a vital factor to mitigate these multifactorial constraints.

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Audit of sepsis in neonatal surgeries at tertiary-care level hospital in India

Cited by 7 publications

References 8 publications

Maternal and child factors associated with late neonatal bathing practices in Nigeria: evidence from a national survey

Maternal and child factors associated with late neonatal bathing practices in Nigeria: evidence from a national survey

Mean Duration of Mechanical Ventilation among Newborns Admitted to the Neonatal Intensive Care Unit in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Neonatal Surgical Morbidity and Mortality at a Single Tertiary Center in a Low- and Middle-Income Country: A Retrospective Study of Clinical Outcomes

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