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首页> 外文期刊>International Journal of Pediatrics and Adolescent Medicine >Improving clinical outcomes of very low birth weight infants: Implementation of standardized management guidelines in tertiary?care hospital in Haryana
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Improving clinical outcomes of very low birth weight infants: Implementation of standardized management guidelines in tertiary?care hospital in Haryana

机译：改善了非常低的出生体重婴儿的临床结果：在哈里亚纳纳纳的第三级护理医院的规范化管理指南实施

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BackgroundStandardized written guidelines and protocols in NICU are known to impact neonatal outcomes and improve survival.ObjectiveTo study and compare the morbidity and mortality outcomes of very low birth weight (VLBW) neonates before and after introduction of structured approach to standardized management guidelines on four interventions in a tertiary care hospital in North India.MethodologyStructured approach to standardized management guidelines on four interventions were implemented for VLBW infants in NICU. a) Humidified and Heated High Flow Nasal Cannula (HHHFNC) as the initial mode of ventilator support in preterm VLBW babies. b) Expressed breast milk for feeding preterm VLBW babies and absolutely no formula milk. c) Hand washing and following “Bundle Care Approach” for Central lines as the cardinal cornerstones for maintaining strict asepsis. d) Development and supportive care to be regularly followed. Data was collected prospectively from July 2015 to December 2016 (Intervention Group) and compared with retrospective matched controls from the previous year (July 2014–June 2015) (Control Group).ResultsThere was a significant decrease in culture positive sepsis in the intervention group compared to control group (3 (2.97%) CI:0.006–0.08 vs 11 (19.64%) CI:0.10–0.32;P?=?.0004). There was no significant difference in the mortality (5.35% vs3.96%P?=?.74) amongst the two groups.ConclusionImplementing structured approach to above mentioned interventions in the form of standardized management guidelines for preterm VLBW neonates was associated with significant reduction in culture proven sepsis and mechanical ventilation days without affecting mortality or other co-morbidities.
机译：背景技术众所周知，尼古尔的书面指南和协议会影响新生儿结果，改善生存。毒物生存，比较在四次干预的标准化管理指南的结构化方法之前和之后，比较非常低的出生体重（VLBW）新生儿的发病率和死亡率结果北印度的一家高级护理医院。在尼古尔的VLBW婴儿实施了四项干预措施标准化管理指南的方法。 a）加湿和加热的高流量鼻插管（Hhhfnc）作为早产VLBW婴儿的呼吸机支撑型初始模式。 b）表达母乳用于喂养早产VLBW婴儿，绝对没有配方牛奶。 c）手工洗涤和按照“捆绑护理方法”，作为中央线作为维持严格的ASESES的基角基石。 d）经常遵循的发展和支持性护理。从2015年7月至2016年12月（干预组）预期收集数据，并与上一年的回顾性匹配控制相比（2015年7月至2015年6月）（对照组）（对照组）。评论中的培养阳性脓毒症的显着降低了比较对照组（3（2.97％）CI：0.006-0.08 Vs 11（19.64％）CI：0.10-0.32; p？= 0004）。两组中死亡率没有显着差异（5.35％Vs3.96％p？=Δ.74）。将结构化方法置于上面提到的前提下提到的早产权管理指南的表格与预计的重大减少有关在文化中，经过验证的败血症和机械通​​气日，不会影响死亡率或其他共同生命性。

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