PLD.56 Empirical treatment of early neonatal infection and the postnatal service

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Abstract

Background

Early onset neonatal infection is becoming an indication for neonatal stay of term babies in the postnatal ward. Interventions like intra-partum intravenous antibiotics (IV-Abs) in women with suspected chorioamnionitis and NICE guidelines on use of empirical neonatal antibiotic aim to reduce morbidity and mortality associated with early neonatal infection.1, 2

Background

An audit was undertaken to understand the characteristics of women whose babies required empirical antibiotics on the postnatal ward in a tertiary hospital and identify measures that will minimise morbidity of early neonatal infection.

Method

A prospective audit of newborns requiring prophylactic IV-Abs on the postnatal ward was coupled with a six-month retrospective prescription database review.

Results

Primips were more likely to have prolonged rupture of membranes – 50% (n = 16).

Conclusion

Majority of babies requiring antibiotics in the early neonatal period are born to first time mums – most of whom had labour induced. Presently, 16 babies per week require empirical antibiotics. This has resulted in an increase in the length of stay of mothers fit for discharge, with a knock-on effect on bed blockage and disruption of activity flows within the maternity service.

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