Résumé
PURPOSE: The aim of this study was to develop an appropriate nursing information guideline according to corrected age, after investigating parents' concerns about the growth, development, and diseases of their premature infants after discharge from the neonatal intensive care unit (NICU). METHODS: The parents of premature infants (birth weight, <2,500 g; gestational age, <37 weeks) who went to a neonatal follow-up clinic after NICU discharge at Seoul St. Mary's Hospital from January 2005 to December 2009, were asked with regard to their concerns about their infants through a questionnaire survey. The results of physical examinations, including body measurements and neurodevelopmental status at 4, 8, 12, and 18 months of corrected age, were retrospectively reviewed in 390 infants. RESULTS: The most common parental concerns were developmental delay, poor growth, and feeding and nutritional problems. Parental concerns about developmental delay, growth failure in improvement in body weight and length, and overweightness were high in specificity but very low in sensitivity. After NICU discharge, 30% of premature infants experienced infectious diseases before 18 months of corrected age, the most common of which was respiratory tract infection. CONCLUSION: For guiding of premature infants in outpatient day clinics after NICU discharge, it is necessary to identify the parents' highest concerns, to educate them about the possibilities of growth and neurodevelopmental disabilities in their infants and to provide them with handouts containing guidelines on the management of infectious diseases, especially respiratory infections.
Sujets)
Humains , Nourrisson , Nouveau-né , Poids , Maladies transmissibles , Études de suivi , Âge gestationnel , Prématuré , Unités de soins intensifs néonatals , Soins intensifs néonatals , Patients en consultation externe , Surpoids , Parents , Examen physique , Enquêtes et questionnaires , Appareil respiratoire , Infections de l'appareil respiratoire , Études rétrospectives , Sensibilité et spécificitéRésumé
Pseudomonas species have been a cause of important infection associated with significant morbidity and mortality in immunocompromised patients. Pseudomonas meningitis is very rare, although bacteremia with Pseudomonas is common amongst cancer patients. We encountered a case of Pseudomonas meningitis in a child with acute lymphoblastic leukemia during induction chemotherapy. Pseudomonas meningitis may spread from skin and mucosal infection during the leukopenic nadir period. Ancillary manifestations associated with main signs, such as fever, may prompt us to consider Pseudomonas infection in hospitalized immunocompromised patients due to increased bacterial colonization.
Sujets)
Enfant , Humains , Bactériémie , Côlon , Fièvre , Sujet immunodéprimé , Chimiothérapie d'induction , Méningite , Leucémie-lymphome lymphoblastique à précurseurs B et T , Pseudomonas , Pseudomonas aeruginosa , Infections à Pseudomonas , PeauRésumé
Pseudomonas species have been a cause of important infection associated with significant morbidity and mortality in immunocompromised patients. Pseudomonas meningitis is very rare, although bacteremia with Pseudomonas is common amongst cancer patients. We encountered a case of Pseudomonas meningitis in a child with acute lymphoblastic leukemia during induction chemotherapy. Pseudomonas meningitis may spread from skin and mucosal infection during the leukopenic nadir period. Ancillary manifestations associated with main signs, such as fever, may prompt us to consider Pseudomonas infection in hospitalized immunocompromised patients due to increased bacterial colonization.