A new strategy of management for newborns in a neonatal care unit: A succesful experience from Morocco

M. A. Radouani, Service de Médecine et Réanimation Néonatales, Centre National de Néonatologie et Nutrition, Hôpital d'Enfants, Centre Hospitalier Ibn Sina, bd Ibn Rochd, Souissi 10100, Rabat, Morocco, N. Chahid, Y. Taboz, H. Benkirane, H. Aguenaou, A. Barkat, Equipe de Recherche en Santé et Nutrition du Couple Mère Enfant, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V, Morocco, Service de Médecine et Réanimation Néonatales, Centre National de Néonatologie et Nutrition, Hôpital d'Enfants, Centre Hospitalier Ibn Sina, bd Ibn Rochd, Souissi 10100, Rabat, Morocco, Equipe de Recherche en Santé et Nutrition du Couple Mère Enfant, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V, Morocco, Unité Mixte de Recherche en Nutrition et Alimentation URAC 39, Université Ibn tofail-CNESTEN, RDC-Nutrition AFRA/AIEA, Kénitra, Morocco, Unité Mixte de Recherche en Nutrition et Alimentation URAC 39, Université Ibn tofail-CNESTEN, RDC-Nutrition AFRA/AIEA, Kénitra, Morocco (+3 others)
2016 The Journal of Medical Research  
Aim of the study: To evaluate if the readmission rates of newborns treated in our unit has been affected by the introduction of new protocols. Materials and Methods: two groups were compared: Group A: newborns readmitted during the period from January 2010 to May 2011, Group B: newborns readmitted during the period from June 2011 until December 2012. Epidemiological data and settings of rehospitalization were collected on a standardized form, the reasons for rehospitalization, and evolution.
more » ... ults: 105 were readmitted during the first four months of life , the rate of readmission was 1.8%. The difference is not significant between the two periods. The main reasons for readmission are nosocomial infection in 77% and 65% of premature groups A and B respectively, feeding difficulties with dehydration and weight loss, and viral infections in 31% and 21% of premature groups A and B respectively. The death rate was reduced in premature infants in group B (5.8%) compared to preterms of group A (23%). Conclusion: In our study the introduction of a new protocol support has a considerable gain in the number of patients treated, and the mortality reduction without affecting the rates of rehospitalisation.
doi:10.31254/jmr.2016.2504 fatcat:4mz57cofyvgzzpf6wpzhrzkqw4