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Your search keyword '"Diego Fontiveros-Escalona"' showing total 3 results
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3 results on '"Diego Fontiveros-Escalona"'

1. Antibiotic use in infants at risk of early-onset sepsis: results from a unicentric retrospective cohort study

Author

Catalina Morales-Betancourt, Diego Fontiveros-Escalona, Adriana Montealegre-Pomar, Tania Carbayo-Jiménez, María Palomares-Eraso, Concepción de Alba-Romero, Elena Bergón-Sendín, Maria Teresa Moral Pumarega, and Carmen Pallás-Alonso

Subjects
Antibiotic use, Early-onset sepsis, Newborn, Antibiotics stewardship, Term infants, Pediatrics, RJ1-570
Abstract

Abstract Background Antibiotic use for early-onset sepsis represents a high percentage of antibiotic consumption in the neonatal setting. Measures to assess infants at risk of early-onset sepsis are needed to optimize antibiotic use. Our primary objective was to assess the impact of a departmental guideline on antibiotic use among term infants with suspected EOS not confirmed, in our neonatal unit. Methods Retrospective cohort study, to compare antibiotic use in term infants during a baseline period of January to December 2018, and a postintervention period from October 2019, to September 2020, respectively. The primary outcome was antibiotic use measured by days of therapy, the antibiotic spectrum index, the antibiotic use rate, and the length of therapy. Results We included 71 infants in the baseline period and 66 infants in the postintervention period. Compared to those in the baseline period, there was a significant reduction in overall antibiotic measures in the postintervention period, (P

Published
2024
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2. Determining Time to Positivity of Blood Cultures in a Neonatal Unit

Author

Ana Arias-Felipe, Jesús Ramírez-Berrios, Raúl Recio-Martinez, Maria Angeles Orellana-Miguel, Diego Fontiveros-Escalona, Elena Bergón-Sendín, and Concepción de Alba-Romero

Subjects
Infectious Diseases, Blood Culture, Pediatrics, Perinatology and Child Health, Infant, Newborn, Humans, Bacteremia, General Medicine, Neonatal Sepsis, Anti-Bacterial Agents
Abstract

Blood cultures are the gold standard for detecting bacteremia. We have studied the time to positivity of blood cultures in our neonatal unit to reduce antibiotic doses in patients with a negative blood culture. Empirical antibiotic treatment of neonatal sepsis could be withdrawn 24 hours after obtaining blood cultures.

Published
2022

3. Percutaneous Inserted Venous Catheter via Femoral Vein in Extremely Low-Birth-Weight Infants: A Single-Center Experience

Author

María Dolores Méndez-Marín, Maria Teresa Moral-Pumarega, Elena Bergon-Sendin, Diego Fontiveros-Escalona, Mónica De Miguel-Moya, María Soriano-Ramos, Carmen Rosa Pallás-Alonso, and Mercedes Diezma-Godino

Subjects
Male, medicine.medical_specialty, Percutaneous, Time Factors, Birth weight, Femoral vein, 03 medical and health sciences, 0302 clinical medicine, Catheters, Indwelling, Intensive Care Units, Neonatal, Sepsis, Catheterization, Peripheral, Medicine, Humans, 030212 general & internal medicine, Device Removal, Retrospective Studies, Ultrasonography, business.industry, Infant, Newborn, Obstetrics and Gynecology, Gestational age, 030208 emergency & critical care medicine, Arterial catheter, Silastic, Femoral Vein, Surgery, Catheter, Low birth weight, Infant, Extremely Low Birth Weight, Spain, Pediatrics, Perinatology and Child Health, Equipment Failure, Female, medicine.symptom, business, Infant, Premature
Abstract

Objective This study aimed to assess the applicability of the insertion of small diameter catheters through the femoral vein in extremely low-birth-weight (ELBW) infants.Study Design All femoral small diameter catheters (Silastic or femoral arterial catheter [FAC]) inserted in ELBW infants in a tertiary level neonatal intensive care unit were retrospectively reviewed. Success rate, dwelling time, and percutaneously inserted central venous catheter–related complications were recorded.Results Thirteen small diameter catheters were inserted in seven ELBW infants. Mean gestational age at birth was 25+3 weeks (standard deviation [SD] ± 2.12) and mean birth weight was 686 g (SD ± 204.9). Mean weight at the first time of insertion was 1,044 g (SD ± 376.3). In two occasions, a FAC was used instead of a Silastic. In most cases (11/13, 84.6%), the patient was intubated prior to the procedure. The mean dwelling time was 16.7 days (SD ± 9.8). Most of the inserted small diameter catheters were removed electively (8/12, 66.7%), except for one episode of clinical sepsis from coagulase-negative Staphylococcus and three cases of accidental line extravasation. No other complications were reported. The success rate was 92.3%.Conclusion Femoral venous catheterization using small diameter catheters in ELBW infants may be promising when other routes have been exhausted. Our results support that it is a feasible technique that can be performed at the bedside with successful results when conducted by experienced personnel.

Published
2019

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