Table 2 Diagnostic, therapeutic and administrative practices to manage neonatal infections in hospitals where participants were working at the time of the survey
From: Reducing neonatal infections in south and south central Vietnam: the views of healthcare providers
Question | Response | Percent |
|---|---|---|
1. In your opinion, which is the most appropriate method to detect neonatal infection in your department? (One or more): | History | 48 |
Clinical assessment | 78 | |
Biochemical examination (CRP) | 63 | |
Culture | 46 | |
Environmental evaluation | 24 | |
2. Do you routinely perform blood cultures for neonatal sepsis in your department? | Yes | 42 |
No | 58 | |
3 Where are blood cultures analyzed? | In my hospital | 100 |
In another public hospital | 0 | |
In a private laboratory | 0 | |
4. How long does it take to receive the C-reactive protein or white blood count analysis? | <3 hours | 85 |
3-6 hours | 12 | |
6-12 hours | 3 | |
>12 hours | 0 | |
5 How long does it take to receive the blood culture analysis? | 2 days | 14 |
3-4 days | 41 | |
5-6 days | 24 | |
>6 days | 21 | |
6. Is an antibiogram usually included with the blood culture results? | Always | 91 |
Sometimes | 9 | |
Never | 0 | |
7. Do admitted neonates routinely receive prophylactic antibiotics? | Always | 15 |
Only on positive history and signs | 75 | |
Never | 10 | |
8. For admitted neonates, what is your antibiotic strategy prior to receiving blood culture analysis? | Start with single antibiotic | 33 |
Start with two antibiotics | 49 | |
Start with three antibiotics | 18 | |
9. How do you choose the antibiotic(s) | Individual decision | 25 |
Department protocol | 37 | |
Collaborative team decision | 38 | |
10. Who pays for analysis of the blood culture? | Hospital | 8 |
Patient’s family | 9 | |
Patient’s insurance | 79 | |
Other | 4 | |
11. Are there routine meetings to discuss/monitor infection control procedures and trends? | Yes | 89 |
No | 9 | |
Not stated | 2 | |
12: If yes to Q11, how often are the meetings? | Weekly | 12 |
Monthly | 33 | |
Quarterly | 49 | |
Bi-annually | 0 | |
Annually | 4 | |
Not stated | 2 | |
13. If yes to Q11, who participates in these meetings? | Doctors only | 6 |
Nurses only | 4 | |
Doctors and nurses (‘clinicians’) | 27 | |
ID staff and/or administrators only | 12 | |
Clinicians + ID staff &/or administrators | 49 | |
Not stated | 2 |