Barriers to implementing the NICE guidelines for early-onset neonatal infection: cross-sectional survey of neonatal blood culture reporting by laboratories in the UK

S. P. Paul; E. M. Caplan; H. A. Morgan; P. C. Turner

doi:10.1016/j.jhin.2017.12.015

Barriers to implementing the NICE guidelines for early-onset neonatal infection: cross-sectional survey of neonatal blood culture reporting by laboratories in the UK

S. P. Paul^*, E. M. Caplan, H. A. Morgan, P. C. Turner

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

8 Citations (Scopus)

Abstract

The National Institute for Health and Care Excellence published guidelines for managing early-onset neonatal infections in 2012. It recommended provision for reporting blood cultures (BCs) with growth detected or not detected at 36 h. To determine if this was followed, a telephone survey was conducted amongst lead biomedical scientists based at microbiology laboratories (N = 209) in the UK. Overall, 202/209 responded and 139/202 had on-site facilities for BCs. BC results with growth detected or not detected at 36 h were available out-of-hours in 36/139 (26.6%) and 66/139 (47.5%) neonatal units, respectively. Early discontinuation of antibiotics should lead to improved antibiotic stewardship.

Original language	English
Pages (from-to)	425-428
Number of pages	4
Journal	Journal of Hospital Infection
Volume	98
Issue number	4
Early online date	16 Dec 2017
DOIs	https://doi.org/10.1016/j.jhin.2017.12.015
Publication status	Published - 1 Apr 2018

Keywords

Antimicrobial stewardship
Gentamicin
Neonatal blood culture reporting
NICE guidelines
Premature infants

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title = "Barriers to implementing the NICE guidelines for early-onset neonatal infection: cross-sectional survey of neonatal blood culture reporting by laboratories in the UK",

abstract = "The National Institute for Health and Care Excellence published guidelines for managing early-onset neonatal infections in 2012. It recommended provision for reporting blood cultures (BCs) with growth detected or not detected at 36 h. To determine if this was followed, a telephone survey was conducted amongst lead biomedical scientists based at microbiology laboratories (N = 209) in the UK. Overall, 202/209 responded and 139/202 had on-site facilities for BCs. BC results with growth detected or not detected at 36 h were available out-of-hours in 36/139 (26.6%) and 66/139 (47.5%) neonatal units, respectively. Early discontinuation of antibiotics should lead to improved antibiotic stewardship.",

keywords = "Antimicrobial stewardship, Gentamicin, Neonatal blood culture reporting, NICE guidelines, Premature infants",

author = "Paul, {S. P.} and Caplan, {E. M.} and Morgan, {H. A.} and Turner, {P. C.}",

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Barriers to implementing the NICE guidelines for early-onset neonatal infection: cross-sectional survey of neonatal blood culture reporting by laboratories in the UK. / Paul, S. P.; Caplan, E. M.; Morgan, H. A. et al.
In: Journal of Hospital Infection, Vol. 98, No. 4, 01.04.2018, p. 425-428.

Research output: Contribution to journal › Article (Academic Journal) › peer-review

TY - JOUR

T1 - Barriers to implementing the NICE guidelines for early-onset neonatal infection

T2 - cross-sectional survey of neonatal blood culture reporting by laboratories in the UK

AU - Paul, S. P.

AU - Caplan, E. M.

AU - Morgan, H. A.

AU - Turner, P. C.

PY - 2018/4/1

Y1 - 2018/4/1

N2 - The National Institute for Health and Care Excellence published guidelines for managing early-onset neonatal infections in 2012. It recommended provision for reporting blood cultures (BCs) with growth detected or not detected at 36 h. To determine if this was followed, a telephone survey was conducted amongst lead biomedical scientists based at microbiology laboratories (N = 209) in the UK. Overall, 202/209 responded and 139/202 had on-site facilities for BCs. BC results with growth detected or not detected at 36 h were available out-of-hours in 36/139 (26.6%) and 66/139 (47.5%) neonatal units, respectively. Early discontinuation of antibiotics should lead to improved antibiotic stewardship.

AB - The National Institute for Health and Care Excellence published guidelines for managing early-onset neonatal infections in 2012. It recommended provision for reporting blood cultures (BCs) with growth detected or not detected at 36 h. To determine if this was followed, a telephone survey was conducted amongst lead biomedical scientists based at microbiology laboratories (N = 209) in the UK. Overall, 202/209 responded and 139/202 had on-site facilities for BCs. BC results with growth detected or not detected at 36 h were available out-of-hours in 36/139 (26.6%) and 66/139 (47.5%) neonatal units, respectively. Early discontinuation of antibiotics should lead to improved antibiotic stewardship.

KW - Antimicrobial stewardship

KW - Gentamicin

KW - Neonatal blood culture reporting

KW - NICE guidelines

KW - Premature infants

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DO - 10.1016/j.jhin.2017.12.015

M3 - Article (Academic Journal)

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AN - SCOPUS:85043976964

SN - 0195-6701

VL - 98

SP - 425

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JO - Journal of Hospital Infection

JF - Journal of Hospital Infection

IS - 4

ER -

Barriers to implementing the NICE guidelines for early-onset neonatal infection: cross-sectional survey of neonatal blood culture reporting by laboratories in the UK

Abstract

Keywords

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