FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3204251506> ?p ?o ?g. }

• W3204251506 abstract "<h3>Background</h3> Neonatal sepsis is a systemic infection in newborns and a significant cause of morbidity and mortality. Early signs of sepsis are often non-specific; hence it’s essential to identify risk factors and commence treatment as soon as possible, to optimise outcomes. Following the results of a previous audit in Addenbrooke’s Hospital in 2018 and with the COVID-19 pandemic; from September 2020 there has been a change in the practice in our neonatal unit. Instead of transferring babies to NICU for cannulation and antibiotics administration, midwives have been trained to administer antibiotics on the postnatal wards. This minimises COVID exposure and aimed to reduce the time taken to administer antibiotics. <h3>Objectives</h3> Following the recent change in practice, the aim of our audit was to assess the time taken for antibiotics to be administered after the decision has been made to treat and explore the reasons behind any delay in antibiotic administration on postnatal wards. Our set standard was that 100% of babies with early onset neonatal sepsis should have antibiotics administered within one hour of decision made to treat, as per the NICE guidelines. <h3>Methods</h3> Retrospectively we identified neonates on the postnatal ward that were >35 weeks gestation, >1.8 Kg, born in September 2020 and November 2020 that underwent a partial septic screen. We obtained the following data: gender, mode of delivery, decision time to screen, time taken for antibiotics to be prescribed, duration for antibiotics to be administered and reasons for a delay in performing the septic screen or administering the antibiotics. We also sent an online questionnaire to doctors working at the hospital to help determine potential reasons behind antibiotic administration delay. <h3>Results</h3> Out of 100 babies analysed, 15% of the babies requiring treatment received antibiotics within the hour from decision time. There was no significant difference between results from September and November 2020. The questionnaire revealed that reasons for delay included; delay in communication of risk factors between midwifery to neonatal team, neonatal team being busy with emergencies/clinical duties, poor stocking of cannulation trolleys and assumption that medical team had administered the antibiotics. <h3>Conclusions</h3> We did not meet the NICE guideline standard in administering antibiotics for suspected neonatal sepsis. However, implementing this change helped to minimise separating babies from mothers and reduced the risk of COVID 19 exposure. We identified issues resulting in delay of antibiotic administration and presented this to the neonatal and midwifery team. We introduced a sepsis cannulation box and also a template on the electronic patient record system (EPIC smart phrase) which highlights babies requiring treatment to midwives, along with the subsequent steps to follow. We also recommended that doctors prescribe antibiotics prior to cannulation and most importantly we raised awareness of the NICE guidelines to the multidisciplinary team." @default.
• W3204251506 created "2021-10-11" @default.
• W3204251506 creator A5002100374 @default.
• W3204251506 creator A5080332969 @default.
• W3204251506 creator A5081234763 @default.
• W3204251506 creator A5091052805 @default.
• W3204251506 date "2021-09-30" @default.
• W3204251506 modified "2023-10-14" @default.
• W3204251506 title "1041 Audit assessing antibiotic administration for suspected early-onset neonatal sepsis on the postnatal wards in Addenbrooke’s Hospital, UK" @default.
• W3204251506 doi "https://doi.org/10.1136/archdischild-2021-rcpch.354" @default.
• W3204251506 hasPublicationYear "2021" @default.
• W3204251506 type Work @default.
• W3204251506 sameAs 3204251506 @default.
• W3204251506 citedByCount "0" @default.
• W3204251506 crossrefType "proceedings-article" @default.
• W3204251506 hasAuthorship W3204251506A5002100374 @default.
• W3204251506 hasAuthorship W3204251506A5080332969 @default.
• W3204251506 hasAuthorship W3204251506A5081234763 @default.
• W3204251506 hasAuthorship W3204251506A5091052805 @default.
• W3204251506 hasBestOaLocation W32042515061 @default.
• W3204251506 hasConcept C126322002 @default.
• W3204251506 hasConcept C162324750 @default.
• W3204251506 hasConcept C177713679 @default.
• W3204251506 hasConcept C187212893 @default.
• W3204251506 hasConcept C187736073 @default.
• W3204251506 hasConcept C194828623 @default.
• W3204251506 hasConcept C199360897 @default.
• W3204251506 hasConcept C199521495 @default.
• W3204251506 hasConcept C2775953899 @default.
• W3204251506 hasConcept C2777091541 @default.
• W3204251506 hasConcept C2778384902 @default.
• W3204251506 hasConcept C2779234561 @default.
• W3204251506 hasConcept C2779256446 @default.
• W3204251506 hasConcept C2781452722 @default.
• W3204251506 hasConcept C41008148 @default.
• W3204251506 hasConcept C46973012 @default.
• W3204251506 hasConcept C501593827 @default.
• W3204251506 hasConcept C54355233 @default.
• W3204251506 hasConcept C71924100 @default.
• W3204251506 hasConcept C86803240 @default.
• W3204251506 hasConcept C89423630 @default.
• W3204251506 hasConceptScore W3204251506C126322002 @default.
• W3204251506 hasConceptScore W3204251506C162324750 @default.
• W3204251506 hasConceptScore W3204251506C177713679 @default.
• W3204251506 hasConceptScore W3204251506C187212893 @default.
• W3204251506 hasConceptScore W3204251506C187736073 @default.
• W3204251506 hasConceptScore W3204251506C194828623 @default.
• W3204251506 hasConceptScore W3204251506C199360897 @default.
• W3204251506 hasConceptScore W3204251506C199521495 @default.
• W3204251506 hasConceptScore W3204251506C2775953899 @default.
• W3204251506 hasConceptScore W3204251506C2777091541 @default.
• W3204251506 hasConceptScore W3204251506C2778384902 @default.
• W3204251506 hasConceptScore W3204251506C2779234561 @default.
• W3204251506 hasConceptScore W3204251506C2779256446 @default.
• W3204251506 hasConceptScore W3204251506C2781452722 @default.
• W3204251506 hasConceptScore W3204251506C41008148 @default.
• W3204251506 hasConceptScore W3204251506C46973012 @default.
• W3204251506 hasConceptScore W3204251506C501593827 @default.
• W3204251506 hasConceptScore W3204251506C54355233 @default.
• W3204251506 hasConceptScore W3204251506C71924100 @default.
• W3204251506 hasConceptScore W3204251506C86803240 @default.
• W3204251506 hasConceptScore W3204251506C89423630 @default.
• W3204251506 hasLocation W32042515061 @default.
• W3204251506 hasOpenAccess W3204251506 @default.
• W3204251506 hasPrimaryLocation W32042515061 @default.
• W3204251506 hasRelatedWork W2018996998 @default.
• W3204251506 hasRelatedWork W2033170135 @default.
• W3204251506 hasRelatedWork W2132672970 @default.
• W3204251506 hasRelatedWork W3000263866 @default.
• W3204251506 hasRelatedWork W3009136276 @default.
• W3204251506 hasRelatedWork W3083973191 @default.
• W3204251506 hasRelatedWork W3125468740 @default.
• W3204251506 hasRelatedWork W4207054385 @default.
• W3204251506 hasRelatedWork W4239121897 @default.
• W3204251506 hasRelatedWork W4307179854 @default.
• W3204251506 isParatext "false" @default.
• W3204251506 isRetracted "false" @default.
• W3204251506 magId "3204251506" @default.
• W3204251506 workType "article" @default.