scholarly journals Stress and stressors experienced by the high-risk neonates admitted in Neonatal Intensive Care Unit and their parents: Protocol for a systematic review of available evidence from India

2021 ◽  
Author(s):  
Siva N ◽  
Tenzin Phagdol ◽  
Baby S Nayak ◽  
Edlin Glane Mathias ◽  
Leslie Edward S Lewis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
High Risk ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Parental Behavior ◽  
Grey Literature ◽  
Cross Sectional

Abstract Background Hospitalization of a neonate is a significant stressor for the parents as well as family members especially when a high-risk neonate is admitted to the Neonatal Intensive Care Unit (NICU) requiring continued intensive care. This prolonged physical separation from parent can have a negative psychological effect on both the neonate and the parent. These adverse health effects may last beyond hospitalization, impacting parental behavior and causing long-term emotional complications and health alteration. The neonatal period is crucial for initiating interaction and bonding between mother and child. Undue stress during this period can compromise the establishment and maintenance of a healthy mother-child bonding, which may negatively impact their long-term relationship. Methods The systematic review will include hospital-based observational studies, cross-sectional surveys, descriptive studies, qualitative studies, and mixed-method studies from India. Studies will be retrieved from global databases like CINAHL via EBSCO host, MEDLINE via PubMed, EMBASE, SCOPUS, Ovid, Web of Science, ProQuest Medical Library, Microsoft academic, DOAJ, and Indian databases like Indian Citation Index, J-Gate, and Neonatal Database (JCDR) using database-specific keywords. Additionally, online hand searching will be done on Indian websites of relevant institutions, women and child welfare departments, NGOs, repositories, registries, search engines, pediatric journals, and grey literature. All the primary studies reference lists will be scrutinized for additional references. Two review authors will independently screen, extract data, and critically appraise included studies. In case of any disagreements, it will be resolved in consultation with a third reviewer. Results will be reported as per the PRISMA-P guidelines. Discussion This systematic review will identify and highlight the stress and stressors among high-risk neonates admitted to NICU and their parents, which will guide the health care team in planning and developing comprehensive family-centered programs or interventions to reduce stress and stressors among high-risk neonates and their parents. Registration of systematic review: Protocol is registered in PROSPERO (International prospective register of systematic reviews), Reg ID: CRD42021272323.

Systematic review of qualitative studies exploring parental experiences in the Neonatal Intensive Care Unit

2016 ◽  
Vol 25 (19-20) ◽  
pp. 2745-2756 ◽  
Author(s):  
Dua'a Fayiz Al Maghaireh ◽  
Khatijah Lim Abdullah ◽  
Chong Mei Chan ◽  
Chua Yan Piaw ◽  
Mariam Mofleh Al Kawafha
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Qualitative Studies ◽  
Parental Experiences

scholarly journals Level and Noise Sources in the Neonatal Intensive Care Unit of a Reference Hospital

2020 ◽  
Vol 38 (3) ◽  
Author(s):  
Alma Damaris Hernández-Salazar ◽  
Josefina Gallegos-Martínez ◽  
Jaime Reyes-Hernández
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Environmental Noise ◽  
Sound Level ◽  
Noise Sources ◽  
Cross Sectional ◽  
Reference Hospital ◽  
And Shifts

Objective. Determine the level of environmental and periauricular noise in preterm babies and identify the sources generating noise in the Neonatal Intensive Care Unit -NICU- of a reference hospital in San Luis Potosí, Mexico. Methods. Cross-sectional and analytic study of the measurement of the level of environmental noise in five critical areas of the NICU, according with the method of measurement of noise from fixed sources by the Mexican Official Norm and periauricular at 20 cm from the preterm patient’s pinna. The measurements were carried out during three representative days of a week,morning, evening and nocturnal shifts. A STEREN 400 sound level meter was used with 30 to 130 dB range of measurement and a rate of 0.5 s. Results. The average level of periauricular noise (64.5±1.91dB) was higher than the environmental noise (63.3±1.74 dB) during the days and shifts evaluated. The principal noise sources were activities carried out by the staff, like the nursing change of shift and conversations by the staff, which raised the level continuously or intermittently, operation of vital support equipment (alarms) and incidences (clashing of baby bottles and moving furnishings) producedsudden rises of noise. Conclusions. Environmental and periauricular noise in NICU exceeds by two and almost three times the 45 dB during the day and 35 dB at night from the norm in hospitals. It is necessary to implement permanent noise reduction programs to prevent sequelae in the preterm infant and professional burnout in the nursing staff.

scholarly journals Need for a structured policy for discharging high-risk preterm neonatal intensive care unit graduate in the coronavirus disease pandemic era

2021 ◽  
Vol 8 (2) ◽  
pp. 107-108
Author(s):  
Purbasha Mishra ◽  
Pankaj Kumar Mohanty ◽  
Tapas Kumar Som ◽  
Mohammad Zakiulla ◽  
Tanushree Sahoo
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
High Risk ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care

scholarly journals High-risk phenotypes of genetic disease in a Neonatal Intensive Care Unit population

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Tiantian Xiao ◽  
Qi Ni ◽  
Huiyao Chen ◽  
Huijun Wang ◽  
Lin Yang ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
High Risk ◽  
Neonatal Intensive Care Unit ◽  
Genetic Disease ◽  
Neonatal Intensive Care ◽  
Intensive Care Unit Population

scholarly journals Invasive candidiasis in a Brazilian neonatal intensive care unit

2021 ◽  
Vol 21 (2) ◽  
pp. 547-552
Author(s):  
Henrique Yuji Watanabe Silva ◽  
Felipe Teixeira de Mello Freitas
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Birth Weight ◽  
Neonatal Intensive Care Unit ◽  
Invasive Candidiasis ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Antibiotics Use ◽  
Elbw Neonates

Abstract Objectives: to describe the epidemiology of invasive candidiasis in a neonatal intensive care unit. Methods: cross-sectional study that included all neonates with invasive candidiasis confirmed by blood culture from April 2015 to June 2018. Demographic, clinical and microbiological data were analyzed, comparing neonates with extreme low birth weight (ELBW) with neonates ≥ 1000g birth weight, considering a p <0.05 as statistically significant. Results: there were 38 cases of invasive candidiasis, resulting in an overall incidence of 2.5%. Twelve (32%) were ELBW neonates and 26 (68%) neonates ≥ 1000g birth weight, an incidence of 4.4% and 2.0%, respectively. Abdominal surgery was more frequent among neonates with birth weight ≥ 1000g compared to ELBW neonates (85% vs. 17%; p <0.01), as well as the median in days of antibiotics use (18 vs. 10.5; p = 0.04). The median in days of mechanical ventilation was more frequent among ELBW neonates (10 vs. 5.5; p = 0.04). The majority of Candida species were non-albicans (64%). Fatality rate was 32%. Conclusions: the incidence of invasive candidiasis among neonates with birth weight ≥ 1000g was higher than that found in the literature. This group has a higher proportion of gastrointestinal malformations that require surgery. Thus, fluconazole prophylaxis may be necessary for a broader group of neonates.

scholarly journals Each Additional Day of Antibiotics Is Associated With Lower Gut Anaerobes in Neonatal Intensive Care Unit Patients

2019 ◽  
Vol 70 (12) ◽  
pp. 2553-2560
Author(s):  
Ashley M Rooney ◽  
Kathryn Timberlake ◽  
Kevin A Brown ◽  
Saumya Bansal ◽  
Christopher Tomlinson ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Taxonomic Composition ◽  
Term Infants ◽  
Cross Sectional ◽  
Adjusted Risk ◽  
Treatment Regimens

Abstract Background Discontinuation of inappropriate antimicrobial therapy is an important target for stewardship intervention. The drug and duration-dependent effects of antibiotics on the developing neonatal gut microbiota needs to be precisely quantified. Methods In this retrospective, cross-sectional study, we performed 16S rRNA sequencing on stool swab samples collected from neonatal intensive care unit patients within 7 days of discontinuation of therapy who received ampicillin and tobramycin (AT), ampicillin and cefotaxime (AC), or ampicillin, tobramycin, and metronidazole (ATM). We compared taxonomic composition within term and preterm infant groups between treatment regimens. We calculated adjusted effect estimates for antibiotic type and duration of therapy on the richness of obligate anaerobes and known butyrate-producers in all infants. Results A total of 72 infants were included in the study. Term infants received AT (20/28; 71%) or AC (8/28; 29%) with median durations of 3 and 3.5 days, respectively. Preterm infants received AT (32/44; 73%) or ATM (12/44; 27%) with median durations of 4 and 7 days, respectively. Compositional analyses of 67 stool swab samples demonstrated low diversity and dominance by potential pathogens. Within 1 week of discontinuation of therapy, each additional day of antibiotics was associated with lower richness of obligate anaerobes (adjusted risk ratio [aRR], 0.84; 95% confidence interval [CI], .73–.95) and butyrate-producers (aRR, 0.82; 95% CI, .67–.97). Conclusions Each additional day of antibiotics was associated with lower richness of anaerobes and butyrate-producers within 1 week after therapy. A longitudinally sampled cohort with preexposure sampling is needed to validate our results.

scholarly journals Universal screening of high-risk neonates, parents, and staff at a neonatal intensive care unit during the SARS-CoV-2 pandemic

2020 ◽  
Vol 179 (12) ◽  
pp. 1949-1955 ◽  
Author(s):  
Maria Elena Cavicchiolo ◽  
Daniele Trevisanuto ◽  
Elisabetta Lolli ◽  
Veronica Mardegan ◽  
Anna Maria Saieva ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
High Risk ◽  
Neonatal Intensive Care Unit ◽  
Universal Screening ◽  
Neonatal Intensive Care
Sign in / Sign up

Export Citation Format

Share Document