Neonatal Nurse Clinicians - A Role With a Future

Bellig, Linda L.

doi:10.3928/0090-4481-19830101-05

Cited by 8 publications

(7 citation statements)

References 1 publication

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“…Neonatal sepsis diagnosis was established if the newborn have >2 category A or >3 category B. 6 The ANC is the neutrophil percentage multiplied by the number of leukocytes; in units per mm 3 , and considered as increase when ≥5.400/mm 3 and considered as decrease when <1.800/mm 3 . The number of leukocytes is the level of leukocyte as measured with a blood analyzer (Sysmex); in units per mm 3 .…”

Section: Methodsmentioning

confidence: 99%

Absolute Neutrophil Count as Predictor of Early Onset Sepsis

Harmansyah¹,

Alasiry²,

Daud³

2015

CMR

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Background: Infant mortality rate (IMR) was found to increase in the newborn. The most frequent causes of death are infection, prematurity, low birth weight (LBW), neonatal asphyxia and birth trauma, respectively. Absolute neutrophil count (ANC) can be used as a marker of infection because of its faster, easier, simpler and cheaper nature. Objective: The study aims to identify the influence of an increase and decline in ANC on newborns from mothers with risk factors for early onset sepsis. Methods: This study was conducted as a a prospective cohort study from December 2013 to July 2014. The population included 120 newborns whose mother has risk factors of early onset sepsis and admitted to Dr. Wahidin Sudirohusodo Hospital, and joined hospital. The subjects were divided into three groups, ANC <1800/mm3, ANC 1800-5399/mm3 and ANC >5400/mm3. Results: Newborn from mother with risk factor of infection with ANC >5400/mm3 and ANC 1800-5399/mm3 shows a significant difference with p = 0.000 (p<0.001); OR 8.143; IK 95% 2.440-27.173. Cut off point of 10.710-10890/mm3 was found from ROC analyses in ANC >5400/mm3 group with sensitivity and specificity 89.47% and 80.95% respectively; PPV (Positive predictive value) 80.95%; NPV (Negative predictive value) 89.47%; p=0.000; OR 36.125; IC 95% 5.820-224.224. Conclusions: Absolute neutrophil count >10.710/mm3 in a term newborn from mother with infection risk factors can be used as predictor for early onset sepsis 36 fold higher than the ANC <10.710/mm3.

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Section: Methodsmentioning

confidence: 99%

Absolute Neutrophil Count as Predictor of Early Onset Sepsis

Harmansyah¹,

Alasiry²,

Daud³

2015

CMR

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“…8 Jumlah total neutrofil lebih sensitif daripada jumlah total leukosit dalam mendiagnosis sepsis neonatal. 6 Derajat neutropenial untuk prediksi sepsis neonatal sesuai dengan umur, 2 yaitu jumlah total neutrofil kurang dari 1800/ul saat lahir, 8100/ul saat umur 12 jam, 7000/ul saat 24 jam dan kurang dari 1800/ul sesudah 72 jam. 2 Adanya neutropenial merupakan indikator sepsis neonatal yang lebih baik dibanding neutrofilia.…”

Section: Hematologiunclassified

“…16 Secara umum trombositopenia ditemukan satu minggu setelah diagnosis sepsis ditegakkan dan bertahan selama 3 minggu. 6,17 Trombositopenia hanya terjadi pada 10-60% kasus sepsis neonatal. Karena tidak spesifik dan lambatnya terjadi trombositopenia maka nilai ini tidak dipakai tersendiri apalagi untuk diagnosis onset dini.…”

Section: Hematologiunclassified

Diagnosis Sepsis Neonatal

Zulfikri¹

2016

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Sepsis adalah respon sistemik terhadap infeksi yang disebabkan oleh bakteri, virus, jamur,protozoa atau ricketsia. Insiden sepsis pada neonatus rendah yaitu 1-8 perseribu kelahiranhidup, namun angka kematian lebih dari 20-50 % kasus. Tidak ada satupun pemeriksaantunggal laboratorium yang dapat dipakai untuk diagnosis sepsis neonatal. Skor hematologiRodwell dan atau pemeriksaan imunologi sIL2R dapat dipakai sebagai alat diagnostiksepsis neonatal.

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“…The role of the NNP was developed to provide continuity and consistency of care that was felt to be crucial to VOLUME 8, NUMBER 4, APRIL, 1996 improvement of overall morbidity and mortality rates in neonatal intensive care units (Bellig, 1980). Originally, the role was implemented in nurseries, where there was a deficit in physician coverage and it was believed that nursing could provide the continuity of care necessary for improved patient outcomes (Bellig, 1983;Hall, Smith, Jackson, Perks, & Walton, 1992;Schultz, Liptak, & Ioravanti, 1994). Functioning within specific protocols under the direction of a neonatologist and in collaboration with the health care team, NNPs can perform many emergency as well as routine procedures in the NICIJ.…”

Section: The Nnp Role and The Scope Of Practicementioning

confidence: 99%

“…Functioning within specific protocols under the direction of a neonatologist and in collaboration with the health care team, NNPs can perform many emergency as well as routine procedures in the NICIJ. This includes making independent routine decisions and collaborating with neonatologists and other providers for making complex decisions regarding health care management (Bellig, 1983;Program Guidelines, 1994;Zukowsky & Coburn, 1990).…”

Section: The Nnp Role and The Scope Of Practicementioning

confidence: 99%