Tag Archives: infection control

Keeping Central Lines clean, very clean.

Shepherd EG, et al. Significant Reduction of Central-Line Associated Bloodstream Infections in a Network of Diverse Neonatal Nurseries. The Journal of pediatrics. 2015. This is an observational study from a group which includes a large number of neonatal beds. They … Continue reading

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Sense about Sepsis

Recent guidelines regarding the evaluation and treatment of early onset sepsis, or the baby who has risk factors, have been widely criticized. Especially by me! And by me! The AAP for example recommends antibiotic treatment for all infants born after … Continue reading

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Let’s scrub those hubs!

‘Scrub the hub’ is a part of many catheter sepsis prevention bundles. The idea being that organisms can be introduced into the infusion solution from inadequate cleaning of connectors, so 15 seconds minimum of vigorous application of alcohol wipes should … Continue reading

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Effects of (not very) NICE guidelines

Call me prescient, OK, you won’t, but I will. Two recent observational studies suggest that the recent NICE guidelines have had adverse effects on infants evaluated for potential early neonatal sepsis. ‘NICE’ of course is not an adjective for how good … Continue reading

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Gastric acid is good for you

I might have used that title previously, but new data published in JAMAPediatrics supports the concept. In a prospective cohort study the authors cultured fluid from gastroscopies, and bronchoscopies in children, and compared the results between those who were on … Continue reading

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Should we all be wearing gloves? Every time we touch a baby?

Two new articles over the summer suggest that the answer to that question may well be yes. The first is the best quality of the studies, an RCT in a single center in the USA. Kaufman DA, Blackman A, Conaway MR, Sinkin … Continue reading

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Position statements and overtreatment

A few years ago when I was chair of the Canadian Paediatric Society Fetus and Newborn Committee, we produced a statement about what to do with full term babies with risk factors for sepsis. Our recommendation was, to put it … Continue reading

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