Evidence · Research paper
Improving clinical outcomes of very low birth weight infants: Implementation of standardized management guidelines in tertiary care hospital in Haryana.
- Breast milk and breastfeeding
- CPAP and high flow
- Developmental care and positioning
- Families and professional practice
- Infection
- Infection prevention
- Late-onset sepsis
- Line and device care
- Medical
- Nursing
- Nutrition and gastrointestinal
- Quality improvement
- Respiratory
This paper is from 2020, more than five years ago. Newer evidence may have been published since.
Summary
Single-centre before-and-after study from a tertiary hospital in Haryana, India, evaluating standardised management guidelines for very low birth weight infants in the NICU. Four interventions were bundled: heated humidified high-flow nasal cannula as initial respiratory support, exclusive expressed breast milk feeding, hand hygiene with central line care bundles, and developmental supportive care. Prospective intervention-period outcomes were compared with retrospective matched controls. Implementation was associated with reduced culture-proven sepsis and fewer mechanical ventilation days, without a change in mortality.
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- Open (Creative Commons)
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