지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 198 - 202 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: The prevalence of antibiotics resistant bacterial infection among preterm infants has been increased due to indeliberate use of prophylactic broad spectrum antibiotics. The objective of this study was to assess the effectiveness of restricted usage of prophylactic antibiotics by comparing the incidence of culture proven early onset sepsis (EOS).
Methods: This was a retrospective cohort study for extremely low birth weight infants who were born in Seoul National University Children’s Hospital during 2009-2014. The groups were divided into two periods, from 2009 to 2011 (period I) and from 2012 to 2014 (period II) based on the implementation on quality improvement activity since 2012. The indication of prophylactic antibiotics were; 1) umbilical vein catheter (UVC) insertion for resuscitation in delivery room, 2) prolonged preterm premature rupture of membrane >18 hours, 3) maternal fever during labor or sustained septic amniotic fluid. The incidence of EOS and the rate of empirical antibiotics usage were compared between two periods.
Results: A total of 245 infants were admitted to the neonatal intensive care unit during the study period. Baseline demographics and clinical characteristics were similar between two periods except UVC insertion rate. The rate of empirical antibio- tics usage significantly decreased in period II (71.1% for period I vs. 56.4% for period 2, P=0.022). Incidence of EOS was not different between two periods whether pro- phylactic antibiotics use or not.
Conclusion: Quality improvement for reducing prophylactic antibiotics use may be effective to reduce a use of antibiotics without increasing EOS.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Stoll BJ / 2002 / Late-onset sepsis in very low birth weight neonates:the experience of the NICHD Neonatal Research Network / Pediatrics 110:285~291
Stoll BJ / 2004 / Neurodevelopmental and growth impairment among extremely low-birth-weight infants with neonatal infection / JAMA 292:2357~2365
Heo JS / 2015 / Neonatal sepsis in a rapidly growing, tertiary neonatal intensive care unit: trends over 18 years / Pediatr Int 57:909~916
Stoll BJ / 1996 / Early-onset sepsis in very low birth weight neonates:a report from the National Institute of Child Health and Human Development Neonatal Research Network / J Pediatrics 129:72~80
Stoll BJ / 2002 / Changes in pathogens causing early-onset sepsis in very-low-birth-weight infants / N Engl J Med 347:240~247
Stoll BJ / 2004 / Neurodevelopmental and growth impairment among extremely low-birth-weight infants with neonatal infection / JAMA 292:2357~2365
Heo JS / 2015 / Neonatal sepsis in a rapidly growing, tertiary neonatal intensive care unit: trends over 18 years / Pediatr Int 57:909~916
Stoll BJ / 1996 / Early-onset sepsis in very low birth weight neonates:a report from the National Institute of Child Health and Human Development Neonatal Research Network / J Pediatrics 129:72~80
Stoll BJ / 2002 / Changes in pathogens causing early-onset sepsis in very-low-birth-weight infants / N Engl J Med 347:240~247
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Prophylactic Antibiotics - What"s New?
대한외과학회 학술대회 초록집
2017 .11
-
Prophylactic Antibiotics in Surgery
대한외과학회 학술대회 초록집
2019 .10
-
Restriction of Central Line Insertion and Prophylactic Antibiotics Usage in Moderate and Late Preterm Infants from a Quality Improvement Perspective
Perinatology
2019 .01
-
Prospective Control Study of Clinical Effectiveness of Prophylactic Antibiotics in Laparoscopic Cholecystectomy on Infection Rate
Yonsei Medical Journal
2021 .01
-
Trends in the use of antibiotics among Korean children
Korean journal of pediatrics
2019 .01
-
Are prophylactic antibiotics necessary in elective laparoscopic cholecystectomy, regardless of patient risk?
Annals of Surgical Treatment and Research
2017 .08
-
Antibiotic Sensitivity Patterns in Children with Urinary Tract Infection: Retrospective Study Over 8 Years in a Single Center
Childhood Kidney Diseases
2019 .01
-
Feasibility of No Prophylactic Antibiotics Use in Patients Undergoing Total Laparoscopic Distal Gastrectomy for Gastric Carcinoma: a Propensity Score-Matched Case-Control Study
Journal of Gastric Cancer
2019 .01
-
Prophylactic Antimicrobial Therapy and Antimicrobial Stewardship in Urologic Surgery
Urogenital Tract Infection
2023 .04
-
Antibiotic use in patients with abdominal injuries : guideline by the Korean Society of Acute Care Surgery
Annals of Surgical Treatment and Research
2019 .01
-
원내 폐렴 진료 지침 수립 후 경험 항생제 선택의 적절성 평가
병원약사회지
2018 .01
-
Appropriate Prophylactic Antibiotic Use in Clean Wound Surgery Under Local Anesthesia
Journal of Korean Medical Science
2019 .01
-
Empirical Antibiotics in Non-Ventilated Cases of Meconium Aspiration Syndrome
Neonatal medicine
2019 .01
-
The role of prophylactic antibiotics on surgical site infection in elective laparoscopic cholecystectomy
Annals of Hepato-Biliary-Pancreatic Surgery
2015 .11
-
The change of antibiotic susceptibility in febrile urinary tract infection in childhood and adolescence during the last decade
Investigative and Clinical Urology
2022 .01
-
병원 및 의원급 일일사용량 기준 항생제 사용량에영향을 미치는 요인
대한의사협회지
2018 .01
-
How Does Medical Policy on the Use of Prophylactic Antibiotics Affect Medical Costs, Length of Hospital Stay, and Antibiotic Use in Orthopedics?
Yonsei Medical Journal
2023 .03
-
Antibiotic-Induced Increase in Inflammatory Markers in Cured Infectious Spondylitis : Two Case Reports
대한신경외과학회지
2019 .01
-
Mechanisms of Antibiotics Resistance
대한외과학회 학술대회 초록집
2017 .11
-
Mechanisms of Antibiotics Resistance
대한외과학회 학술대회 초록집
2017 .11
이 논문의 저자 정보
최근 본 자료
댓글(0)
0