Your browser doesn't support javascript.
loading
Impact of Physician Characteristics on Late-Onset Sepsis (LOS) Evaluation in the NICU.
Patel, Harshkumar R; Traylor, Blaine; Ahamed, Mohamed Farooq; Darling, Ginger; Botchway, Albert; Batton, Beau J; Majjiga, Venkata Sasidhar.
Afiliação
  • Patel HR; Department of Pediatrics, SIU School of Medicine, Springfield, IL 62794, USA.
  • Traylor B; SIU School of Medicine, Springfield, IL 62794, USA.
  • Ahamed MF; Department of Pediatrics, SIU School of Medicine, Springfield, IL 62794, USA.
  • Darling G; Department of Pediatrics, SIU School of Medicine, Springfield, IL 62794, USA.
  • Botchway A; Center for Clinical Research, SIU School of Medicine, Springfield, IL 62702, USA.
  • Batton BJ; Department of Pediatrics, SIU School of Medicine, Springfield, IL 62794, USA.
  • Majjiga VS; Department of Pediatrics, SIU School of Medicine, Springfield, IL 62794, USA.
Healthcare (Basel) ; 12(8)2024 Apr 17.
Article em En | MEDLINE | ID: mdl-38667607
ABSTRACT
The threshold for a late-onset sepsis (LOS) evaluation varies considerably across NICUs. This unexplained variability is probably related in part to physician bias regarding when sepsis should be "ruled out". The aim of this study is to determine if physician characteristics (race, gender, immigration status, years of experience and academic rank) effect LOS evaluation in the NICU. This study includes a retrospective chart review of all Level III NICU infants who had a LOS evaluation over 54 months. Physician characteristics were compared between positive and negative blood culture groups and whether CBC and CRP were obtained at LOS evaluations. There were 341 LOS evaluations performed during the study period. Two patients were excluded due to a contaminant. Patients in this study had a birth weight of [median (Q1, Q3)]+ 992 (720, 1820) grams and birth gestation of [median (Q1, Q3)] 276/7 (252/7, 330/7) weeks. There are 10 neonatologists in the group, 5/10 being female and 6/10 being immigrant physicians. Experienced physicians were more likely to obtain a CBC at the time of LOS evaluation. Physician characteristics of race, gender and immigration status impacted whether to include a CRP as part of a LOS evaluation but otherwise did not influence LOS evaluation, including the likelihood of bacteremia.
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article