Barriers to implementing the NICE guidelines for early-onset neonatal infection: cross-sectional survey of neonatal blood culture reporting by laboratories in the UK. Issue 4 (April 2018)

• Record Type: Journal Article
• Authors: Paul, S.P.; Caplan, E.M.; Morgan, H.A.; Turner, P.C.
• Is Part Of: Journal of hospital infection. Volume 98:Issue 4(2018)
• Page Start: 425
• Page End: 428
• Publication Date: 2018-04
• Subjects: Antimicrobial stewardship -- Neonatal blood culture reporting -- Gentamicin -- NICE guidelines -- Premature infants; Cross infection -- Periodicals; Cross infection -- Prevention -- Periodicals; Nosocomial infections -- Periodicals; Nosocomial infections -- Prevention -- Periodicals; Cross Infection -- Periodicals; Cross Infection -- prevention & control -- Periodicals; Infection Control -- Periodicals; Electronic journals; 614.44
• DOI: 10.1016/j.jhin.2017.12.015
• Languages: English
• ISSNs: 0195-6701

Abstract

Summary: 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.