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https://www.readbyqxmd.com/read/29778493/retrograde-ureteral-catheterization-a-possible-new-treatment-for-renal-fungal-balls-in-very-low-birth-weight-infants
#1
Cheng-Wei Chen, Chyong-Hsin Hsu, Jin-Cherng Sheu, Hsin Chi, Jui-Hsing Chang, Chun-Chen Lin, Jeng-Daw Tsai
Invasive candidiasis is a serious pathogen of late-onset sepsis in very-low-birth- weight (VLBW) infants. Kidney is the most common organ involved and it causes morbidity and mortality, especially when fungal balls are formed. We report a 34-day-old female infant (28 weeks, 1152 gm) with systemic fungal infection complicated obstructive uropathy. On sonography, the fungal balls filled the entire pelvis without hydronephrosis. Percutaneous nephrostomy was not feasible. In addition to systemic antifungals, we successfully performed cystoscopy-assisted retrograde ureteral catheterization (RUC) to decompress the pelvis, which also provided a route for local amphotericin B irrigation to achieve therapeutic concentration without nephrotoxicity...
May 17, 2018: Urology
https://www.readbyqxmd.com/read/29763893/patterns-of-infancy-growth-and-metabolic-hormonal-profile-are-different-in-very-low-birth-weight-preterm-infants-born-small-for-gestational-age-compared-to-those-born-appropriate-for-gestational-age
#2
María Isabel Hernandez, Katherine Rossel, Veronica Peña, Mirna Garcia, Gabriel Cavada, Alejandra Avila, German Iñiguez, Verónica Mericq
BACKGROUND/AIMS: An increased preterm birth survival rate is associated with long-term neurological and metabolic risks; thus, our aim was to evaluate whether early patterns of infancy anthropometry and metabolic hormonal profile differ in preterm infants born small for gestational age (SGA) or appropriate for gestational age (AGA) from birth to 36 months of corrected age (CA). METHODS: We recruited 110 very-low-birth-weight (VLBW) preterm infants (AGA = 60 and SGA = 50) with a mean birth weight of -2...
May 15, 2018: Hormone Research in Pædiatrics
https://www.readbyqxmd.com/read/29753546/sildenafil-and-retinopathy-of-prematurity-in-preterm-infants-with-bronchopulmonary-dysplasia
#3
David Aboudi, Nithya Swaminathan, Heather Brumberg, Qiuhu Shi, Deborah Friedman, Boriana Parvez, Usha Krishnan
OBJECTIVE: To assess whether sildenafil is associated with worsening retinopathy of prematurity (ROP) in very low birth weight (VLBW) infants (≤1500 g) with bronchopulmonary dysplasia (BPD). STUDY DESIGN: This retrospective case-control study included VLBW infants admitted to the neonatal intensive care unit between January 1, 2006, and December 31, 2012. Each infant treated with sildenafil was assigned 3 unexposed controls matched for gestational age, birth weight, and BPD diagnosis...
May 9, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29752171/association-between-furosemide-exposure-and-patent-ductus-arteriosus-in-hospitalized-infants-of-very-low-birth-weight
#4
Elizabeth J Thompson, Rachel G Greenberg, Karan Kumar, Matthew Laughon, P Brian Smith, Reese H Clark, Andromeda Crowell, Layla Shaw, Louis Harrison, Gabrielle Scales, Nicole Bell, Christoph P Hornik
OBJECTIVE: To evaluate the association between furosemide exposure and patent ductus arteriosus (PDA) in a large, contemporary cohort of hospitalized infants with very low birth weight (VLBW). STUDY DESIGN: Using the Pediatrix Medical Group Clinical Data Warehouse, we identified all inborn infants of VLBW <37 weeks of gestation discharged from the neonatal intensive care unit after the first postnatal week from 2011 to 2015. We defined PDA as any medical (ibuprofen or indomethacin) or surgical PDA therapy...
May 8, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29719294/preterm-glycosuria-new-data-from-a-continuous-glucose-monitoring-system
#5
Mateusz Jagła, Izabela Szymońska, Katarzyna Starzec, Przemko Kwinta
BACKGROUND: Careful control of glucose homeostasis is essential for infants with very low birth weight (VLBW). In clinical practice, blood and urine glucose levels are monitored; however, their correlation has not been fully investigated in VLBW infants. OBJECTIVES: To evaluate the correlation between interstitial fluid glucose concentration (ISFG), glycosuria, and urine output among VLBW infants through continuous glucose monitoring (CGM). METHODS: A prospective, single-center, open cohort study enrolled 74 VLBW infants with a mean birth weight of 1,066 g...
May 2, 2018: Neonatology
https://www.readbyqxmd.com/read/29706015/children-with-a-very-low-birth-weight-showed-poorer-reading-skills-at-eight-years-of-age-but-caught-up-in-most-areas-by-the-age-of-10
#6
Ingemar Leijon, Fredrik Ingemansson, Nina Nelson, Stefan Samuelsson, Marie Wadsby
AIM: We evaluated the development of reading skills in very low birth weight (VLBW) children and controls at 8-10 years of age. METHODS: This study was part of a longitudinal study of VLBW infants born between January 1998 and December 1999 in Sweden. We recruited 49 VLBW children and 44 sex and age-matched full-term controls when they started school at the age of seven and tested them using identical methods for decoding, rapid naming ability, reading comprehension, spelling and cognitive skills at about eight and 10 years of age...
April 29, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/29703576/neonatal-intensive-care-unit-length-of-stay-reduction-by-heart-rate-characteristics-monitoring
#7
Jonathan R Swanson, William E King, Robert A Sinkin, Douglas E Lake, Waldemar A Carlo, Robert L Schelonka, Peter J Porcelli, Christina T Navarrete, Eduardo Bancalari, Judy L Aschner, Jose A Perez, T Michael O'Shea, M Whit Walker
OBJECTIVE: To examine the effect of heart rate characteristics (HRC) monitoring on length of stay among very low birth weight (VLBW; <1500 g birth weight) neonates in the HeRO randomized controlled trial (RCT). STUDY DESIGN: We performed a retrospective analysis of length of stay metrics among 3 subpopulations (all patients, all survivors, and survivors with positive blood or urine cultures) enrolled in a multicenter, RCT of HRC monitoring. RESULTS: Among all patients in the RCT, infants randomized to receive HRC monitoring were more likely than controls to be discharged alive and prior to day 120 (83...
April 24, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29687082/probiotics-and-the-development-of-very-low-birthweight-infants-follow-up-study-of-a-randomised-trial
#8
Satsuki Totsu, Masaki Terahara, Satoshi Kusuda
Abstract: <AbstractText Label="Objective" NlmCategory="UNASSIGNED">To investigate the effect of Bifidobacterium bifidum OLB6378 on the development of very low birthweight (VLBW) infants at 18 months of corrected age. Design: Long-term follow-up study of a cluster-randomised, placebo-controlled trial. Patients: VLBW infants (birth weight <1500 g) born between January 2010 and March 2011 and managed at 19 neonatal intensive care unit facilities assigned to two groups to account for the effect of probiotic cross-contamination within facilities...
2018: BMJ Paediatrics Open
https://www.readbyqxmd.com/read/29679899/postpartum-posttraumatic-and-acute-stress-in-mothers-and-fathers-of-infants-with-very-low-birth-weight-cross-sectional-results-from-a-controlled-multicenter-cohort-study
#9
Nadine Helle, Claus Barkmann, Stephan Ehrhardt, Carola Bindt
BACKGROUND: The birth of a preterm infant can be stressful and traumatic for parents and may cause posttraumatic stress symptoms and disorders. There is a dearth of data from controlled studies regarding level, prevalence, risk, and predictors of these symptoms in parents after preterm birth. METHODS: As part of the longitudinal HaFEn-study, data from parents of infants with very low birth weight (VLBW), and term infants were cross-sectionally analyzed. We recruited parents at the three largest perinatal care centers in Hamburg, Germany...
April 3, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29679047/a-quality-improvement-initiative-to-reduce-necrotizing-enterocolitis-across-hospital-systems
#10
Amy T Nathan, Laura Ward, Kurt Schibler, Laurel Moyer, Andrew South, Heather C Kaplan
OBJECTIVE: Necrotizing enterocolitis (NEC) is a devastating intestinal disease in premature infants. Local rates of NEC were unacceptably high. We hypothesized that utilizing quality improvement methodology to standardize care and apply evidence-based practices would reduce our rate of NEC. STUDY DESIGN: A multidisciplinary team used the model for improvement to prioritize interventions. Three neonatal intensive care units (NICUs) developed a standardized feeding protocol for very low birth weight (VLBW) infants, and employed strategies to increase the use of human milk, maximize intestinal perfusion, and promote a healthy microbiome...
April 20, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29662925/factors-associated-with-improvements-in-mortality-and-morbidity-rates-of-very-low-birth-weight-infants-a-cohort-study
#11
Giancarlo Mari, Zoran Bursac, Patricia Jean Goedecke, Ramasubbareddy Dhanireddy
Objective . The objective of this study was to determine factors contributing to improvements in infant mortality rates (IMR) and composite morbidity-mortality in very-low-birth-weight (VLBW) infants after initiating a new perinatal program in 2009 at Regional One Health (ROH). VLBW infants account for 67% of infant deaths. Design . This is a pre-/postintervention cohort study of prospectively gathered data. Population . VLBW infants delivered at ROH during the 2004 to 2015 study period. Setting . ROH is a Regional Perinatal Center affiliated with the University of Tennessee Health Science Center...
2018: Global Pediatric Health
https://www.readbyqxmd.com/read/29655786/quality-improvement-initiative-to-prevent-admission-hypothermia-in-very-low-birth-weight-newborns
#12
Milena Frazer, Amy Ciarlo, Jill Herr, Carrie-Ellen Briere
OBJECTIVE: To decrease rates of admission hypothermia (<36 °C) in very-low-birth-weight (VLBW) newborns (<1,500 g). DESIGN: Quality improvement initiative. SETTING/LOCAL PROBLEM: Urban, Level IV NICU with 32 patient beds. The number of VLBW newborns admitted with temperatures less than 36 °C was greater than in comparable NICUs in the Vermont Oxford Network. PARTICIPANTS: Neonates born in 2016 who weighed less than 1,500 g at birth...
April 12, 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29643883/comparison-of-volume-and-frequency-advancement-feeding-protocols-in-very-low-birth-weight-neonates
#13
Afaq Hussain, Abdur Rehman, Nazia Fatima
Objective: To determine the outcomes in very low birth weight (VLBW) neonates receiving volume advancement versus frequency advancement feeding protocols. Methods: This controlled clinical trial was conducted in Children Hospital Multan within duration of 6 months from February 2017 to August 2017. VLBW neonates having weight < 1500 g at the time of birth were included. The protocol for frequency advancement (FA) group was to give 1 ml/kg human or pre-formula milk after every 8 hours and in volume advancement (VA) group after every 3 hours initially...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29619488/long-term-cognitive-outcome-of-very-low-birth-weight-saudi-preterm-infants-at-the-corrected-age-of-24-36-months
#14
Badr H Sobaih
To assess infants' cognitive function at the corrected age of 24-36 months, and to identify factors associated with adverse outcome and examine the correlation between Bayley Infants Neurodevelopmental Screener (BINS) score and Gesell Schedule of Child Development (GSCD). Methods: This retrospective study was performed on Saudi very low birth-weight (VLBW)  infants born   in King Khalid University Hospital, Riyadh, Saudi Arabia between 1997 and 2014 by the use of BINS as screening test and GSCD as definitive test...
April 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29616897/singleton-low-birthweight-rates-by-race-and-hispanic-origin-united-states-2006-2016
#15
Lindsay S Womack, Lauren M Rossen, Joyce A Martin
Low birthweight (LBW) is among the leading causes of infant death in the United States (1). LBW infants are also more likely to have health problems (2). After reaching its highest level in four decades, the LBW rate among all births declined from 2006 to 2014 (3,4), but the trend reversed in 2015 and 2016 when the LBW rate increased (4), moving further away from the Healthy People 2020 goal of reducing LBW rates to 7.8% of live births (5). This report shows trends in LBW, moderately low birthweight (MLBW), and very low birthweight (VLBW) by race and Hispanic origin from 2006 to 2016 for singleton births only, as rates of multiple births can impact LBW rates (4,6)...
March 2018: NCHS Data Brief
https://www.readbyqxmd.com/read/29596216/reduction-of-inappropriate-antimicrobial-prescriptions-in-a-tertiary-neonatal-intensive-care-unit-following-antimicrobial-stewardship-care-bundle-implementation
#16
Joseph Y Ting, Vanessa Paquette, Karen Ng, Sarka Lisonkova, Valoria Hait, Sandesh Shivanada, Peter Tilley, Osiovich Horacio, Ashley Roberts
BACKGROUND: Our objective was to evaluate the appropriateness of antibiotic prescriptions in the neonatal intensive care unit (NICU) using standardised criteria and determine the effects of an antimicrobial stewardship programme (ASP) on patterns of antibiotic usage. METHODS: A retrospective audit of antibiotic use from July 2010-June 2013 was conducted, focusing on prescriptions of vancomycin, cefotaxime, meropenem and linezolid for >3 calendar days. We evaluated the appropriateness of each course of antibiotic treatment based on the Centers for Disease Control and Prevention (CDC) 12-Step Guidelines to Prevent Antimicrobial Resistance (Steps 4, 6 and 9)...
March 24, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29584924/an-open-label-randomized-controlled-trial-to-compare-weight-gain-of-very-low-birth-weight-babies-with-or-without-addition-of-coconut-oil-to-breast-milk
#17
Sumitha Arun, Manish Kumar, Thomas Paul, Nihal Thomas, Sarah Mathai, Grace Rebekah, Niranjan Thomas
Background: Nutritional guidelines involving the feeding of very low birth weight babies (VLBW) recommend addition of Human Milk Fortifiers to breast milk. Owing to financial constraints, it is a practice in low- and middle-income countries (LMIC) to add coconut oil to aid better weight gain. There are inadequate data on improvement of growth parameters with oral coconut oil supplementation of breast milk. Methods: In this randomized controlled trial, we measured growth parameters and body composition of 60 babies who received either breast milk with coconut oil or breast milk alone...
March 23, 2018: Journal of Tropical Pediatrics
https://www.readbyqxmd.com/read/29583035/a-long-term-follow-up-study-of-men-born-with-very-low-birth-weight-and-their-reproductive-hormone-profile
#18
Mats Hammar, Erika Larsson, Marie Bladh, Orvar Finnström, P O Gäddlin, Ingemar Leijon, Elvar Theodorsson, Gunilla Sydsjö
Environmental factors during the fetal period may adversely affect reproductive functions in men being born with very low birth weight (VLBW, <1500 g). The objective of this prospective, controlled cohort study was to investigate if VLBW men have an altered reproductive hormone profile compared with men born at term. The study group initially consisted of all VLBW boys live-born between 1 February 1987 and 30 April 1988 in the south-east region of Sweden (n = 47). A control child was chosen born at term, at the same hospital, with the same parity, without malformations, and next in order after each VLBW child who survived the first four weeks (n = 45)...
March 27, 2018: Systems Biology in Reproductive Medicine
https://www.readbyqxmd.com/read/29574049/pain-sensitivity-and-thermal-detection-thresholds-in-young-adults-born-preterm-with-very-low-birth-weight-or-small-for-gestational-age-at-term-compared-to-controls
#19
Johanne Marie Iversen, Martin Uglem, Marit Sæbø Indredavik, Pål Richard Romundstad, Kristian Bernhard Nilsen, Trond Sand, Marite Rygg
The objective of this prospective long-term follow-up study was to investigate whether somatosensory function is altered among young adults born preterm with very low birth weight (VLBW; ≤1500 grams) or small for gestational age (SGA; <10th percentile) at term. In a blinded quantitative sensory testing protocol, we determined thermal detection, thermal pain and pressure pain thresholds and the response to prolonged supra-threshold heat among 51 VLBW, 66 term SGA and 86 term-born controls (birth weight ≥10th percentile) at 28 years...
March 21, 2018: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29561518/late-onset-sepsis-in-very-low-birth-weight-infants-in-the-south-american-neocosur-network
#20
Maria Jose Escalante, Jose Maria Ceriani-Cernadas, Ivonne D'Apremont, Aldo Bancalari, Veronica Webb, Larisa Genes, Luis Villarroel, Elizabeth Munoz, Jose L Tapia
OBJECTIVE: The main aim is to determine the incidence and associated factors of late onset sepsis (LOS) in very low birth weight (VLBW) infants (500-1500 g), from the NEOCOSUR Network during years 2001-2013. Secondary objectives are to describe the microbiology of the first and second episode of LOS and to study the association between catheter dwell time and LOS. PATIENTS AND METHODS: Demographic information and outcome data are prospectively and routinely collected across the Network using predefined diagnostic criteria and online data entry...
March 14, 2018: Pediatric Infectious Disease Journal
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