Universidad Peruana Cayetano Heredia

Managing antibiotics wisely in a neonatal intensive care unit in a low resource setting

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dc.contributor.author Graus, J. M.
dc.contributor.author Herbozo, C.
dc.contributor.author Hernandez, R.
dc.contributor.author Pantoja, A. F.
dc.contributor.author Zegarra, J.
dc.date.accessioned 2022-06-25T20:36:43Z
dc.date.available 2022-06-25T20:36:43Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/11886
dc.description.abstract Background and objectives: Unnecessary early antibiotic exposure is deleterious, it may induce the selection of multi-drug-resistant organisms. The objective of this project was to decrease antibiotic exposure of newborns admitted to the neonatal intensive care unit at Hospital Cayetano Heredia, a level 3 unit in Lima, Peru. Methods: Quality improvement project in which we implemented an antibiotic stewardship program for early onset sepsis in the neonatal intensive care unit. Primary outcome measure was antibiotic usage rate, total number of days infants were exposed to antibacterial agents divided by 1000 patient-days. Results: Antibiotic usage rate declined from 291/1000 patient-days to 82/1000 patient-days during the last months of 2020, representing a total decrease of 65.1%. Conclusions: Antibiotic stewardship for early-onset sepsis implemented in a perinatal center like ours is effective, appears to be safe and results in a sustained and significant decrease in the use of antibiotics for early-onset sepsis. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartofseries Journal of Perinatology
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Bacterial infection en_US
dc.subject Paediatrics en_US
dc.title Managing antibiotics wisely in a neonatal intensive care unit in a low resource setting en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1038/s41372-022-01388-4
dc.relation.issn 1476-5543


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