scholarly journals Prevalence and Associated Risk Factors of Sepsis among Neonates Admitted into Neonatal Intensive Care Units of Public Hospitals in Dhaka

Cureus ◽  
2020 ◽  
Author(s):  
Zannatun Nyma ◽  
Mahfuzur Rahman ◽  
S M Mehedi Hasan ◽  
Naym Uddin Roby ◽  
Farhana Khanam ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Public Hospitals ◽  
Neonatal Intensive Care Units ◽  
Associated Risk Factors

scholarly journals The treatment and risk factors of retinopathy of prematurity in neonatal intensive care units

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Yunxia Leng ◽  
Wenzhi Huang ◽  
Guoliang Ren ◽  
Cheng Cai ◽  
Qingbiao Tan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Retinopathy Of Prematurity ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units

scholarly journals Cause and Predictors of Neonatal Mortality among Neonates Admitted to the Neonatal Intensive Care Units of Public Hospitals in Eastern Ethiopia: Facilities Based Prospective Follow-up Study

2020 ◽  
Author(s):  
Assefa Desalew ◽  
Yitagesu Sintayehu ◽  
Nardos Teferi ◽  
Firehiwot Amare ◽  
Bifitu Geda ◽  
...  
Keyword(s):  
Intensive Care ◽  
Neonatal Mortality ◽  
Intensive Care Units ◽  
Neonatal Death ◽  
Neonatal Intensive Care ◽  
Causes Of Death ◽  
Public Hospitals ◽  
Neonatal Intensive Care Units ◽  
Eastern Ethiopia

Abstract Background The first month is the most crucial period for child survival. Neonatal mortality continues to remain high with little improvement over the years in Sub-Saharan Africa including Ethiopia. This region shows the least progress to reducing neonatal mortality and it continues to be a significant public health issue. The facilities-based causes and predictors of neonatal death in the neonatal intensive care unit are not well documented in this study setting. Hence, the aim of this study was to determine the causes and predictors of neonatal mortality among infants admitted to the neonatal intensive care units in Eastern Ethiopia. Methods Facilities-based prospective follow-up study was conducted among neonates admitted to the neonatal intensive care units of public hospitals in Eastern Ethiopia from November to December 2018. Data were collected using a pre-tested, structured questionnaire and a follow-up checklist. The main outcomes and causes of death were set by pediatricians and medical residents. Epi-Data 3.1 and Statistical Package for Social Sciences Version 25 software were used for data entry and analysis respectively. Multivariable logistic regression was used to find out the predictors of facilities-based neonatal mortality. Results The proportion of facilities-based neonatal mortality was 20%(95% CI: 16.7-23.8%) The causes of death were complications of preterm birth 28.58%, birth asphyxia 22.45%, infection 18.36%, meconium aspiration syndrome 9.18%, respiratory distress syndrome 7.14% and congenital malformation 4.08%. Low birth weight, preterm births, length of stay in NICU, low 5 minute Apgar score, hyperthermia and initiation of feeding were predictors of neonatal death among infants admitted to the neonatal intensive care units in public hospitals, Eastern Ethiopia. Conclusion The proportion of facilities-based neonatal deaths was unacceptably high. The main causes of death were preventable and treatable. Hence, improving timing and quality of ANC is essential for early detection, anticipating high-risk newborns and timely interventions. Furthermore, early initiation of feeding and a better referral linkage to tertiary facilities could lead to a reduction of neonatal death in this setting.

scholarly journals Incidence, risk factors and severity of retinopathy of prematurity in Turkey (TR-ROP study): a prospective, multicentre study in 69 neonatal intensive care units

2018 ◽  
Vol 102 (12) ◽  
pp. 1711-1716 ◽  
Author(s):  
Ahmet Yagmur Bas ◽  
Nihal Demirel ◽  
Esin Koc ◽  
Dilek Ulubas Isik ◽  
İbrahim Murat Hirfanoglu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Retinopathy Of Prematurity ◽  
Neonatal Intensive Care ◽  
Late Onset ◽  
Relative Weight ◽  
Neonatal Intensive Care Units ◽  
Screening Criteria ◽  
Prospective Multicentre Study

BackgroundTo evaluate the prevalence, risk factors and treatment of retinopathy of prematurity (ROP) in Turkey and to establish screening criteria for this condition.MethodsA prospective cohort study (TR-ROP) was performed between 1 April 2016 and 30 April 2017 in 69 neonatal intensive care units (NICUs). Infants with a birth weight (BW)≤1500 g or gestational age (GA)≤32 weeks and those with a BW>1500 g or GA>32 weeks with an unstable clinical course were included in the study. Predictors for the development of ROP were determined by logistic regression analyses.ResultsThe TR-ROP study included 6115 infants: 4964 (81%) with a GA≤32 weeks and 1151 (19%) with a GA>32 weeks. Overall, 27% had any stage of ROP and 6.7% had severe ROP. A lower BW, smaller GA, total days on oxygen, late-onset sepsis, frequency of red blood cell transfusions and relative weight gain were identified as independent risk factors for severe ROP in infants with a BW≤1500 g. Of all infants, 414 needed treatment and 395 (95.4%) of the treated infants had a BW≤1500 g. Sixty-six (16%) of the treated infants did not fulfil the Early Treatment for Retinopathy of Prematurity requirements for treatment.ConclusionsScreening of infants with a GA≤34 weeks or a BW<1700 g appears to be appropriate in Turkey. Monitoring standards of neonatal care and conducting quality improvement projects across the country are recommended to improve neonatal outcomes in Turkish NICUs.Trial registration numberNCT02814929, Results.

scholarly journals The Median Survival Recovery Time and Associated Factors Among Admitted Neonate in Intensive Care Units of Dire Dawa Public Hospitals, East Ethiopia, 2019.

2020 ◽  
Author(s):  
Tariku Derese ◽  
Yalelet Belay ◽  
Zerihun Tariku
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Median Survival ◽  
Recovery Time ◽  
Associated Factors ◽  
Neonatal Intensive Care ◽  
Public Hospitals ◽  
Neonatal Intensive Care Units ◽  
South Central ◽  
Dire Dawa

Abstract Background Neonate is any infants from the birth to 28 days. Most of the neonatal deaths occur in developing countries particularly in sub-Saharan African and south central Asian countries. The ability to predict Length of stay would be valuable to parents and families, clinicians and service providers. Timely Management and treatment of birth complication are important factors in reducing new born mortality. Objective The median Survival Recovery time and associated factors among admitted neonate in intensive care units of Dire Dawa Governmental Hospitals, East Ethiopia, 2019. Methods Facility based retrospective cohort study design was employed to assess recovery time and associated factors of neonate among a total of 499 selected 0–28 days of neonates from two public Hospitals and validated Checklist were used to assess data. Data were entered in to Epi-data version 3.1 and exported to SPSS window version 21.0. Descriptive data were presented by table and graph. To determine the associated factors, Cox regression model was computed with 95% CI and P-value < 0.05 level of significance. Ethical clearance was taken from Dire Dawa University research and technology interchange office and given for all concerned body. Result The overall median survival recovery time of neonates admitted in neonatal intensive care units of Dire Dawa public hospital was 7 Days with 95% CI (6.525–7.475). Among the neonates that admitted in neonatal intensive care units, neonates those who have weight < 2500 g had 1.648 times higher hazard risks to recovery compared to that neonates who have weight greater than or equal to 4000 g with [AHR 1.648 95% CI (1.246–2.179)]. Those neonates who were none intubated had 6.725 higher hazard risks compared to that of intubates neonates [AHR 6.725 95% CI (1.616–27.978)], and those neonates who were not supply oxygen continuously had 1.336 times low probability to for recovery [AHR 1.336 95% CI (1.030–1.733)]. But, the neonates admitted between 1–6 days after birth had 0.521 times higher probability for recovery compared to the neonate with those neonate admitted between 7–28 days of after birth [AHR 0.521 95% CI (0.355–0.763)]. Conclusion Overall median survival recovery time was 7 Days and Birth weight of neonates, Oxygen supply, and Intubation and admission time of neonate between 1–6 days of after birth were factors that significantly associated with recovery time of neonates. Compared to the other study the recovery time of neonates in this study were short and better.

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