Journal of paediatrics and child health
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Neonatal hypoglycaemia remains a controversial issue. Uncertainty surrounds what constitutes the optimal safe blood glucose for newborn babies. ⋯ Since 1986 neonatal paediatricians have changed in their definition of neonatal hypoglycaemia. Ideally, screening of blood glucose in neonatal intensive care units should be done with an on-site glucose analyzer.
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J Paediatr Child Health · Aug 1996
Neonatal bacterial sepsis in a neonatal intensive care unit: a 5 year analysis.
To study the pattern of neonatal sepsis in a neonatal intensive care unit (NICU) during a 5 year period and assess the relationship between maternal risk factors and early onset sepsis (EOS). ⋯ GBS and CONS were the most common causes of EOS and LOS, respectively. The use of maternal intrapartum antibiotics interferes with neonatal blood culture results. Because blood cultures are not always positive in neonatal septicaemia, a combination of clinical, haematological and other microbiological evidence should be used when diagnosing neonatal septicaemia.
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J Paediatr Child Health · Apr 1996
Early post-traumatic seizures in children: clinical and radiological aspects of injury.
To determine the type and outcome of early post-traumatic seizures in children and the factors associated with it. ⋯ Anticonvulsant prophylaxis to minimize the adverse effects of early seizures in head injury should be considered for young children (less than 2 years old) with subdural haematoma and a prolonged duration of coma. Prompt and effective control of recurrent seizures is recommended.
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To examine regional variations in the incidence of late-onset neonatal infections in Australian and New Zealand neonatal units. ⋯ Coagulase-negative staphylococci are the commonest cause of late-onset sepsis of babies in neonatal units. There were no major regional differences in the incidence of, or the organisms causing, late sepsis.