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Pediatrics Conference 2018
Journal of Pediatric Care
ISSN: 2471-805X
Page 51
March 26-27, 2018
Edinburgh, Scotland
2
nd
Edition of International Congress on
Pediatrics
Introduction:
NICE guidelines for the management of early onset
neonatal sepsis were published in 2012. Aneurin Bevan University
Health Board revised local guidelines to incorporate NICE
recommendations in February 2016. Our aims were to compare
our practice pre and post new guideline.
Method:
The audit was undertaken over three months during
2016 in Royal Gwent (RGH) and Nevill Hall (NHH) Hospitals. All
babies on the postnatal ward commenced on antibiotics during
the first 72 hours were included.
Results:
Eighty eight babies received antibiotics; 68 at RGH and
20 at NHH. In 59 cases (67%), the indication for antibiotics was
maternal sepsis. In RGH 37 babies (54%) had >1 CRP <5 and
were discharged day 2. In NHH 12 babies (60%) had >1 C-reactive
protein (CRP) <5 and 2 (10%) were discharged day 2. Eighteen
babies (20%) had at least 1 CRP >30 and had a locked plating of
which 14 (78%) were successful and none were positive. All blood
cultures were negative. In RGH the mean duration of hospital stay
was 3.4 days with a mode of 2.0 days and median of 2.0 days.
In NHH the same figures were 4.0, 3.0 and 3.0 days respectively.
22.7 babies per month received antibiotics; this pre NICE figure
was 10.4.
Conclusion:
We have shown an increase in babies receiving
antibiotics following implementation of NICE recommendations.
In NHH hospital stay is longer and a contributing factor is off site
blood culture processing.
Recommendation:
With the current NICE guideline the burden of
postnatal ward antibiotic babies remains high.
msayed79g@gmail.comNICE or not so NICE? an audit of early onset neonatal sepsis
Mohamed Sayed Ali
Royal Gwent Hospital, UK
J Pediatr Care, Volume 4
DOI: 10.21767/2471-805X-C1-006