Illness episodes in a cohort of preterm infants in their first year of life

Muller, SJ; Zar, Heather J.; Tooke, Lloyd

doi:10.7196/sajch.2021.v15i1.01782

Cited by 3 publications

(4 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When considering the fragility of their children, mothers are afraid of the appearance of diseases and further hospitalization. This corroborates with the concerns previously mentioned, such as the research that followed preterm infants in the first year of life and identified that 38% demanded further hospitalization (23).…”

Section: Discussionsupporting

confidence: 91%

Premature Newborns with the Potential to Develop Special Health Needs: An Approach by Triangulation of Methods

Silva,

Casacio,

Zilly

et al. 2024

Aquichan

View full text Add to dashboard Cite

Introduction: Maternal recognition of special health needs of premature babies is essential, given the importance of early stimuli after discharge to strengthen child development. Objective: To identify premature newborns with potential factors for the development of special health needs and describe maternal recognition of these factors. Materials and methods: Qualitative and quantitative study, performed using a triangulation method, with concomitant incorporation of data, included to analysis Chi-square test (p<0.05) for quantitative data and interpretation of meanings for qualitative. Variables: Birth weight, gestational age, Apgar score, complications, and length of hospital stay from 951 records of hospitalized premature infants; 18 mothers were interviewed during hospitalization, 15 days after discharge at home, 30 days after this at-home visit and at the age of 6 months of the child, by telephone, in Southern Brazil. Results: Identified as potential factors: Extreme prematurity and/or very premature, low birth weight, complications, and prolonged hospitalization. With the incorporation of the data, the relevance of these factors for children at risk of changes in development and behavior was verified. Mothers described their children as having healthy development but recognized prematurity is a factor that predisposes to new hospitalizations, and perinatal factors and those related to hospitalization contribute to the development of special health needs. Conclusion: The importance of early identification of factors that enhance the development of special health needs is understood to initiate the necessary stimuli to strengthen child development.

show abstract

Section: Discussionsupporting

confidence: 91%

Premature Newborns with the Potential to Develop Special Health Needs: An Approach by Triangulation of Methods

Silva,

Casacio,

Zilly

et al. 2024

Aquichan

View full text Add to dashboard Cite

show abstract

“…In addition, 10 studies were carried out prospectively, while 2 were carried out retrospectively. Of the 12 studies, 2 each were from Brazil, 15,16 Turkey, 17,18 Argentina, 19,20 and one each from Nepal, 21 Peru, 22 South Africa, 23 Bosnia and Herzegovina, 24 Iran, 25 and Mexico. 26 The majority of studies were conducted in the last decade except for one study conducted in 2002.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies 16,17,19,20,23,25,26 provided descriptive data for children born preterm on respiratory infections requiring in-hospital or emergency care. The risk varied widely from 0.5% to 27.7%.…”

Section: Respiratory Infections (Any) Requiring Hospitalization or Em...mentioning

confidence: 99%

Respiratory infections in children born preterm in low and middle‐income countries: A systematic review

Diggikar

Paul

Razak

et al. 2022

Pediatric Pulmonology

View full text Add to dashboard Cite

Context Studies from high‐income countries indicates that infants born preterm are at increased risk of respiratory infections; however in the low and middle‐income countries (LMICs) data are limited. Our aim was to systematically review the studies evaluating the risk of respiratory infections in preterm children born in LMICs. Methods We searched Medline, PubMed, Cumulative Index of Nursing and Allied Health Literature, Embase, and Psych‐INFO databases for studies reporting respiratory outcomes in children born preterm in LMICs. Two authors extracted the data and evaluated the risk of bias with appropriate assessment methods independently. Results Twelve observational studies evaluating 5969 children were included in the review. The risk of lower respiratory tract infection varied from 5% to 73.9%. Similarly, respiratory syncytial virus (RSV) infection risk ranged from 4.4% to 22.7%. The unadjusted relative risk for any respiratory tract infection or lower respiratory tract infection was significantly higher in the children born preterm than in children born at term (1.52 [95% confidence interval 1.25–1.85]). We also noted wide‐ranging risk of respiratory infections requiring in‐hospital or emergency care (range: 0.5%–27.7%) and hospital stay in children born preterm (range: 6–14.3 days). Conclusions Preterm‐born children in LMICs are at risk of increased respiratory infections compared to term‐born children; however, the baseline risk is variable, although substantial; This highlights the need for preventive strategies, including RSV immunoprophylaxis.

show abstract

“…It was estimated that infants during their first year of life may be subjected to five to 11 episodes of infections. 19 Pneumonia was the most frequent diagnosis in the pre-intervention phase whereas gastroenteritis was the most frequent one in the post-intervention phase (Table 1). This may be related to the time period during which the data was collected (winter months in the preintervention phase versus summer months during the post-intervention phase) where the risk of these kinds of infections increases.…”

Section: Discussionmentioning

confidence: 99%

The impact of pharmacist behavioral intervention on antibiotics prescribing in pediatric wards

Abbas

Al-Metwali

2023

F1000Res

View full text Add to dashboard Cite

Background: Antibiotics may be prescribed irrationally, which can lead to significant consequences including the emergence of antimicrobial resistance. Pharmacists can play a key role in enhancing the rational antibiotic prescribing. This study aimed to evaluate the current clinical practice of prescribing antimicrobial agents in pediatric wards and to assess the clinical and economic impact of pharmacist interventions on antibiotic prescribing. Methodology: This study was conducted at the pediatric wards of a general hospital, Babel, Iraq. The study population included all pediatric inpatients aged ≤ 12 years and receiving antibiotic. The study consisted of three phases. The first was a pre-intervention phase where data about antibiotic prescription was collected retrospectively. The second phase involved pharmacist intervention where the researcher had provided an oral presentation to the healthcare workers. The third phase involved prospective data collection which was compared with the pre-intervention data. Independent T-test was used to compare the differences in the parameters between the pre-and post-intervention phases. Results: The study included 250 children in each of the pre- and post-intervention phases who received antibiotic treatment. The medical records were reviewed retrospectively. Four antibiotics (amoxicillin, cefotaxime, vancomycin and meropenem) were significantly less frequently used in the post-intervention phase. Single antibiotic treatment was significantly higher in the post-intervention phase (p-value<0.05). Length and days of therapy, and the total cost of the antibiotics used were significantly lower in the post-intervention phase. Culture and sensitivity tests were performed only in 28% of patients in the post-intervention phase where the isolated bacteria were found to be highly resistant to penicillin and cephalosporin. Conclusions: This study demonstrated that pharmacist intervention in general pediatric wards has resulted in favorable clinical and economic outcomes. This emphasizes the essential role pharmacists can play in rational antibiotic use, not only in the pediatric population but also in the adults.

show abstract

Illness episodes in a cohort of preterm infants in their first year of life

Cited by 3 publications

References 18 publications

Premature Newborns with the Potential to Develop Special Health Needs: An Approach by Triangulation of Methods

Premature Newborns with the Potential to Develop Special Health Needs: An Approach by Triangulation of Methods

Respiratory infections in children born preterm in low and middle‐income countries: A systematic review

The impact of pharmacist behavioral intervention on antibiotics prescribing in pediatric wards

Contact Info

Product

Resources

About