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Neonatal infection [QS75]

Measuring the use of this guidance

Statement: 1

Pregnant women whose babies are at risk of early‑onset neonatal infection are offered intrapartum antibiotic prophylaxis and given the first dose as soon as possible.

Quality standard measure: Rates of early‑onset neonatal infection.
What was measured: Proportion of all babies who had a positive blood culture result recorded with a pure growth of a pathogen.
Data collection end: December 2014
0.5%
Data collection end: December 2016
0.5%
Number that met the criteria: 455 / 99849
Area covered: England and Wales
Source: Royal College of Paediatrics and Child Health. National Neonatal Audit Programme.

Quality standard measure: Rates of early‑onset neonatal infection.
What was measured: Proportion of all babies who had a positive cerebrospinal fluid culture result recorded with a pure growth of a pathogen.
Data collection end: December 2014
0.01%
Data collection end: December 2015
0.01%
Area covered: England and Wales
Source: Royal College of Paediatrics and Child Health. National Neonatal Audit Programme.

Quality standard measure: Rates of early‑onset neonatal infection.
What was measured: Proportion of all babies who had a positive blood culture result recorded with a pure growth of a pathogen.
Data collection end: December 2015
0.5%
Data collection end: December 2017
0.95%
Number that met the criteria: 985 / 104183
Area covered: England and Wales
Source: Royal College of Paediatrics and Child Health. National Neonatal Audit Programme.

Quality standard measure: Rates of early‑onset neonatal infection.
What was measured: Proportion of all babies who had a positive CSF culture result recorded with a pure growth of a pathogen.
Data collection end: December 2016
0.01%
Number that met the criteria: 11 / 99849
Area covered: England and Wales
Source: Royal College of Paediatrics and Child Health. National Neonatal Audit Programme.

Quality standard measure: Rates of early‑onset neonatal infection.
What was measured: Proportion of all babies who had a positive CSF culture result recorded with a pure growth of a pathogen.
Data collection end: December 2017
0.01%
Number that met the criteria: 14 / 104183
Area covered: England and Wales
Source: Royal College of Paediatrics and Child Health. National Neonatal Audit Programme.


Statement: 4

Newborn babies who start antibiotic treatment for possible early‑onset neonatal infection have their need for it reassessed at 36 hours.

Quality standard measure: Proportion of newborn babies who start antibiotic treatment for possible early‑onset neonatal infection who have their need for it reassessed at 36 hours.
What was measured: The proportion of neonatal units where blood culture results with growth detected or not detected were available at 36 hours.
Data collection end: May 2017
47.5%
Number that met the criteria: 66 / 139
Area covered: UK
Source: Paul S P, Caplan E M, Morgan H A, and Turner P C. (2017). Barriers to implementing the NICE guidelines for early-onset neonatal infection: cross-sectional survey of neonatal blood culture reporting by laboratories in the UK. The Journal of hospital infection, , pp..



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