scholarly journals Examining the climate for Aboriginal mothers in neonatal intensive care units (NICUs): an exploratory qualitative study about views of health care professionals

2017 ◽  
Author(s):  
Minette Marcotte
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Qualitative Study ◽  
Intensive Care Units ◽  
Health Care Professionals ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units

scholarly journals Emerging Chryseobacterium indologenes Infection in Indian Neonatal Intensive Care Units: A Case Report

Antibiotics ◽  
2018 ◽  
Vol 7 (4) ◽  
pp. 109 ◽  
Author(s):  
Rishika Mehta ◽  
Ashish Pathak
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Multidrug Resistant ◽  
Neonatal Intensive Care Units ◽  
Indwelling Catheters ◽  
Chryseobacterium Indologenes ◽  
Life Threatening ◽  
Health Care Associated Infections

Antibiotic-resistant pathogens and nosocomial infections constitute common and serious problems for neonates admitted to neonatal intensive care units worldwide. Chryseobacterium indologenes is a non-lactose-fermenting, gram-negative, health care-associated pathogen (HCAP). It is ubiquitous and intrinsically resistant to several antibiotics. Despite its low virulence, C. indologenes has been widely reported to cause life-threatening infections. Patients on chronic immunosuppressant drugs, harboring invasive devices and indwelling catheters become the nidus for C. indologenes. Typically, C. indologenes causes major health care-associated infections such as pneumonia, empyema, pyelonephritis, cystitis, peritonitis, meningitis, and bacteremia in patients harboring central venous catheters. Management of C. indologenes infection in neonates is not adequately documented owing to underreporting, particularly in India. Because of its multidrug resistance and the scant availability of data from the literature, the effective empirical treatment of C. indologenes is challenging. We present an uncommon case of bacteremia caused by C. indologenes in a preterm newborn baby with moderate respiratory distress syndrome who was successfully treated. We also provide a review of infections in the neonatal age group. Henceforth, in neonates receiving treatments involving invasive equipment use and long-term antibiotic therapy, multidrug resistant C. indologenes should be considered an HCAP.

scholarly journals Parents’ views on care of their very premature babies in neonatal intensive care units: a qualitative study

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Gillian Russell ◽  
Alexandra Sawyer ◽  
Heike Rabe ◽  
Jane Abbott ◽  
Gillian Gyte ◽  
...  
Keyword(s):  
Intensive Care ◽  
Qualitative Study ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Premature Babies

Covering the Costs of Care in Neonatal Intensive Care Units

PEDIATRICS ◽  
1992 ◽  
Vol 89 (1) ◽  
pp. 56-61
Author(s):  
Allen W. Imershein ◽  
Carolyn Turner ◽  
Janice G. Wells ◽  
Allen Pearman
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Cost Containment ◽  
Neonatal Intensive Care ◽  
Health Care Cost ◽  
Care Center ◽  
Government Support ◽  
Neonatal Intensive Care Units ◽  
Cost Shifting

The continued rise of health care costs, despite private and governmental control efforts, has sustained cost containment as a central issue for health care researchers and policy makers. In keeping with these concerns, the Florida Health Care Cost Containment Board conducted a study of neonatal intensive care units (NICUs) in Florida to ascertain the costs, charges, and net revenues associated with NICU services in individual hospitals, to document cost shifting and cross-subsidization as a means of financing NICU care for indigent populations, and to assess the fiscal impact of NICUs in state-sponsored vs non-state-sponsored Regional Perinatal Intensive Care Center hospitals providing NICU care. Hospitals in the state-sponsored program reported a loss of approximately $16.5 million in contrast to the non-state-sponsored hospitals, which reported a gain of $1 million. Payment being generated by privatepay patients amounted to almost 60% of total revenues but constituted less than one third of the costs in statesponsored hospitals, indicating a high level of cost shifting. Government support of state-sponsored NICUs, while substantial, has been insufficient; increasing constraints on this funding source would likely worsen the deficit and increase the necessity of cost shifting.

Keeping the Wisdom at Work

2007 ◽  
Vol 26 (4) ◽  
pp. 267-269
Author(s):  
Sherri Lee Simons
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Health Care Organizations ◽  
Health Resources ◽  
Specialty Care ◽  
Neonatal Intensive Care Units ◽  
Vacancy Rate ◽  
The Way

THE CURRENT SHORTAGE OF nurses is no secret to those who work in or manage neonatal intensive care units. The Health Resources and Service Administration projected that the vacancy rate among nursing positions will increase to 20 percent by 2015.1 Specialty care nurses are even harder to find.2,3 In one survey, 57 percent of hospitals reported that specialty unit positions are the hardest to fill and tend to have the highest vacancy rate.3 A dangerous worker shortage, more severe than many expect, is compounded by deep systems problems in the way most health care organizations operate today.4

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