2022
Sequential organ failure assessment scores to predict outcomes: from adults to neonates
Fleiss N, Polin R. Sequential organ failure assessment scores to predict outcomes: from adults to neonates. Current Opinion In Pediatrics 2022, 35: 218-222. PMID: 36449658, DOI: 10.1097/mop.0000000000001207.Peer-Reviewed Original ResearchConceptsSepsis-attributable mortalityNeonatal sepsisSOFA scoreAttributable mortalityPediatric populationSequential Organ Failure Assessment scoreOrgan Failure Assessment scoreLow birth weight infantsNeonatal disease statesBirth weight infantsRisk of mortalityPatient safety outcomesSepsis definitionsWeight infantsPreterm infantsOrgan dysfunctionPrognostic utilityRisk stratificationClinical progressionAdverse outcomesPatient cohortLaboratory criteriaSeverity scoreSafety outcomesSepsisWhat’s new in the management of neonatal early-onset sepsis?
Fleiss N, Schwabenbauer K, Randis TM, Polin RA. What’s new in the management of neonatal early-onset sepsis? Archives Of Disease In Childhood - Fetal And Neonatal Edition 2022, 108: 10-14. PMID: 35618407, DOI: 10.1136/archdischild-2021-323532.Peer-Reviewed Original Research
2021
Can we back off using antibiotics in the NICU?
Fleiss N, Hooven TA, Polin RA. Can we back off using antibiotics in the NICU? Seminars In Fetal And Neonatal Medicine 2021, 26: 101217. PMID: 33678550, DOI: 10.1016/j.siny.2021.101217.Peer-Reviewed Original ResearchMeSH KeywordsAnti-Bacterial AgentsAntimicrobial StewardshipHumansInfantInfant, NewbornIntensive Care Units, NeonatalNeonatal SepsisSepsisConceptsMulti-drug resistant organismsLong-term adverse effectsCulture-positive sepsisAntibiotic prescribing practicesDelaying antibioticsNeonatal sepsisPositive sepsisPrescribing practicesAntibiotic utilizationNeonatal ICUAntibiotic stewardshipAntibiotic useAntibiotic overuseResistant organismsAdverse effectsAntibioticsSepsisNICUInfantsLaboratory testingICUNeonatesSpecified intervalsNeonatologistsEvaluation of the Neonatal Sequential Organ Failure Assessment and Mortality Risk in Preterm Infants With Late-Onset Infection
Fleiss N, Coggins SA, Lewis AN, Zeigler A, Cooksey KE, Walker LA, Husain AN, de Jong BS, Wallman-Stokes A, Alrifai MW, Visser DH, Good M, Sullivan B, Polin RA, Martin CR, Wynn JL. Evaluation of the Neonatal Sequential Organ Failure Assessment and Mortality Risk in Preterm Infants With Late-Onset Infection. JAMA Network Open 2021, 4: e2036518. PMID: 33538825, PMCID: PMC7862993, DOI: 10.1001/jamanetworkopen.2020.36518.Peer-Reviewed Original ResearchMeSH KeywordsBacteremiaCatheter-Related InfectionsFemaleFungemiaGestational AgeGram-Negative Bacterial InfectionsGram-Positive Bacterial InfectionsHospital MortalityHumansInfant, Extremely Low Birth WeightInfant, Extremely PrematureInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightIntensive Care Units, NeonatalIntestinal PerforationMaleNeonatal SepsisOrgan Dysfunction ScoresPeritonitisPrognosisRisk AssessmentConceptsSequential Organ Failure AssessmentInfection-related mortalityLate-onset infectionOrgan Failure AssessmentPreterm infantsMortality riskConsensus definitionAcademic neonatal intensive care unitMulticenter retrospective cohort studyNeonatal intensive care unitMedian birth weightRetrospective cohort studyMedian gestational ageIntensive care unitCharacteristic curveFailure AssessmentTime of evaluationWeight infantsCohort studyOnset infectionPrimary outcomeTotal cohortCare unitGestational ageBirth weight