| dc.contributor | Universidade Estadual Paulista (Unesp) | |
| dc.contributor | Universidade Estadual de Londrina (UEL) | |
| dc.creator | Bentlin, Maria Regina [UNESP] | |
| dc.creator | Rugolo, Ligia M. S. S. [UNESP] | |
| dc.creator | Ferrari, Ligia S. L. | |
| dc.date | 2015-10-21T13:10:49Z | |
| dc.date | 2015-10-21T13:10:49Z | |
| dc.date | 2015-03-01 | |
| dc.date.accessioned | 2023-09-12T06:36:23Z | |
| dc.date.available | 2023-09-12T06:36:23Z | |
| dc.identifier | http://www.sciencedirect.com/science/article/pii/S0021755714001545 | |
| dc.identifier | Jornal de Pediatria, v. 91, n. 2, p. 168-174, 2015. | |
| dc.identifier | 0021-7557 | |
| dc.identifier | http://hdl.handle.net/11449/128543 | |
| dc.identifier | 10.1016/j.jped.2014.07.004 | |
| dc.identifier | S0021-75572015000200168 | |
| dc.identifier | WOS:000354071900010 | |
| dc.identifier | S0021-75572015000200168.pdf | |
| dc.identifier | 2559637400719543 | |
| dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/8777893 | |
| dc.description | Objective: To understand the practices related to late-onset sepsis (LOS) in the centers of the Brazilian Neonatal Research Network, and to propose strategies to reduce the incidence of LOS.Methods: This was a cross-sectional descriptive multicenter study approved by the Ethics Committee. Three questionnaires regarding hand hygiene, vascular catheters, and diagnosis/treatment of LOS were sent to the coordinator of each center. The center with the lowest incidence of LOS was compared with the others.Results: All 16 centers answered the questionnaires. Regarding hand hygiene, 87% use chlorhexidine or 70% alcohol; alcohol gel is used in 100%; 80% use bedside dispensers (50% had one dispenser for every two beds); practical training occurs in 100% and theoretical training in 70% of the centers, and 37% train once a year. Catheters: 94% have a protocol, and 75% have a line insertion team. Diagnosis/treatment: complete blood count and blood culture are used in 100%, PCR in 87%, hematological scores in 75%; oxacillin and aminoglycosides is the empirical therapy in 50% of centers. Characteristics of the center with lowest incidence of LOS: stricter hand hygiene; catheter insertion and maintenance groups; use of blood culture, PCR, and hematological score for diagnosis; empirical therapy with oxacillin and aminoglycoside.Conclusion: The knowledge of the practices of each center allowed for the identification of aspects to be improved as a strategy to reduce LOS, including: alcohol gel use, hand hygiene training, implementation of catheter teams, and wise use of antibiotic therapy. (C) 2013 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved. | |
| dc.description | Hospital Universitário de Londrina, Universidade Estadual de Londrina (UEL), Londrina, PR, Brazil | |
| dc.description | Hospital das Clínicas, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil | |
| dc.format | 168-174 | |
| dc.language | eng | |
| dc.publisher | Soc Brasil Pediatria | |
| dc.relation | Jornal de Pediatria | |
| dc.relation | 1.690 | |
| dc.relation | 0,704 | |
| dc.rights | Acesso aberto | |
| dc.source | Web of Science | |
| dc.subject | Sepsis | |
| dc.subject | Newborn | |
| dc.subject | Premature | |
| dc.subject | Hand hygiene | |
| dc.subject | Prevention and control | |
| dc.title | Practices related to late-onset sepsis in very low-birth weight preterm infants | |
| dc.type | Artigo | |
