Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2003
Infant to staff ratios and risk of mortality in very low birthweight infants.
To assess the effect that infant to staff ratios, in the first three days of life, have on the survival to hospital discharge of very low birthweight infants (<1500 g), having adjusted for initial risk and unit workload. ⋯ Infants exposed to higher infant to staff ratios have an improved adjusted risk of survival to hospital discharge.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2003
Randomized Controlled Trial Clinical TrialPilot investigation of hypothermia in neonates receiving extracorporeal membrane oxygenation.
Infants requiring extracorporeal membrane oxygenation (ECMO) support represent a high risk group in terms of cerebral injury. Mild hypothermia both during and after cerebral hypoxic ischaemia appears to be a promising strategy for offering neuroprotection. ⋯ Mild hypothermia (34 degrees C) for the initial 12 hours of an ECMO run is feasible.
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The main methods of oxygen administration to infants are reviewed. Some methods are more economical and therefore more useful in developing countries. All the methods have potential complications and therefore need to be carefully supervised.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2003
Multicenter StudyA ten year, multicentre study of coagulase negative staphylococcal infections in Australasian neonatal units.
To study late onset systemic infections with coagulase negative staphylococci. ⋯ CoNS are currently responsible for most late onset neonatal infections. Most infected babies are < 30 weeks gestation at birth, and usually present between 7 and 14 days of age. CoNS infections may be associated with necrotising enterocolitis, although causality is unproven. Neonatal CoNS infections are relatively benign: meningitis is rare and mortality low compared with infection from other organisms. Over-vigorous attempts to reduce the incidence of CoNS infections using prophylactic antibiotics are not advisable.