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21. Infant Sleep Hazards and the Risk of Sudden Unexpected Death in Infancy

Author

MacFarlane, Melanie Estelle, primary, Thompson, John M.D., additional, Wilson, Jessica, additional, Lawton, Beverley, additional, Taylor, Barry, additional, Elder, Dawn E., additional, Baker, Nick, additional, McDonald, Gabrielle K., additional, Zuccollo, Jane, additional, Schlaud, Martin, additional, Fleming, Peter, additional, and Mitchell, Edwin A., additional

Published
2022
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26. Time to first dose of antibiotics in febrile neonates.

Author

Rawcliffe, Nicholas, Elder, Dawn, and Dobinson, Hazel

Subjects
*NEONATAL sepsis, *NEWBORN infants, *BACTERIAL diseases, *SYMPTOMS, *ANTIBIOTICS, *COMMUNITIES
Abstract

Aim: To assess whether febrile neonates from the community received their first dose of intravenous antibiotics within 1 h from time of arrival, as per the regional paediatric sepsis pathway, at a tertiary combined adult/child emergency department in New Zealand. Method: Retrospective data were collected from January 2018 to December 2019 with 28 patients included. Results: Mean time to first antibiotic dose for all neonates and those with serious bacterial infection was 3 h 20 min and 2 h 53 min respectively. No case used the paediatric sepsis pathway. A pathogen was identified in 19/28 (67%) neonates and 16/28 (57%) had clinical signs of shock. Conclusion: This study adds to Australasian data on community neonatal sepsis. Antibiotic administration was delayed for neonates with serious bacterial infection, clinical signs of shock and raised lactate. The reasons for delay are examined, with a number of potential areas for improvement identified. [ABSTRACT FROM AUTHOR]

Published
2023
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27. Where does the time go when children don't sleep? A randomized crossover study.

Author

Morrison, Silke, Haszard, Jillian J., Galland, Barbara C., Jackson, Rosie, Meredith‐Jones, Kim A., Elder, Dawn E., and Taylor, Rachael W.

Subjects
SEDENTARY behavior, SLEEP, SLEEP deprivation, CHILDHOOD obesity, PHYSICAL activity
Abstract

Objective: This study aimed to describe how mild sleep deprivation in children changes time spent physically active and sedentary. Methods: In 2018 through 2020, children (n = 105) with normal sleep were randomized to go to bed 1 hour earlier (extension) or 1 hour later (restriction) than their usual bedtime for 1 week, each separated by a 1‐week washout. Twenty‐four‐hour movement behaviors were measured with waist‐worn actigraphy and expressed in minutes and proportions (percentages). Mixed‐effects regression models determined mean differences in time use (95% CI) between conditions. Time gained from sleep lost that was reallocated to other movement behaviors in the 24‐hour day was modeled using regression. Results: Children (n = 96) gained ~49 minutes of awake time when sleep was restricted compared with extended. This time was mostly reallocated to sedentary behavior (28 minutes; 95% CI: 19‐37), followed by physical activity (22 minutes; 95% CI: 14‐30). When time was expressed as a percentage, the overall composition of movement behavior remained similar across both sleep conditions. Conclusions: Children were not less physically active when mildly sleep deprived. Time gained from sleeping less was proportionally, rather than preferentially, reallocated to sedentary time and physical activity. These findings suggest that decreased physical activity seems unlikely to explain the association between short sleep and obesity in children. [ABSTRACT FROM AUTHOR]

Published
2023
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