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Strengthening Fiji’s HIV response through shared expertise and regional collaboration

Amid one of the fastest-growing HIV outbreaks in the world, Fiji is mobilising rapidly to expand testing, treatment and prevention to safeguard its communities. The Doherty Institute is working in close partnership with the Fiji Ministry of Health and M...

media.tenor.com

a woman in a white dress is sitting in a hospital bed with a yellow curtain .

ALT: a woman in a white dress is sitting in a hospital bed with a yellow curtain .

jamanetwork.com

Hospital Admissions After Early-Onset Neonatal Bacterial Infection Management Guidelines in France

Importance  The national impact of replacing systematic microbiological sampling with clinical surveillance of asymptomatic newborns at risk of early-onset neonatal bacterial infection (EONI) has not been assessed in France. Specifically, it is not known whether the new guidelines could lead to delayed or missed diagnoses, potentially increasing rates of severe or late-onset infections.Objective  To assess changes in hospitalization rates for neonatal bacterial infections (NBIs) and their associated costs following the introduction of the 2017 EONI management guidelines in France.Design, Setting, and Participants  This nationwide, retrospective cohort study was conducted from January 1, 2014, to December 31, 2023. The analysis was based on the French National Hospital Discharge Database, which covers the activity of all public and private health care facilities in France. Participants were newborns of at least 34 weeks’ gestational age (GA) hospitalized for an NBI in the first 28 days of life in metropolitan France.Exposure  The 2017 French EONI management guidelines.Main Outcomes and Measures  The primary outcomes were monthly incidence rates of NBI hospitalizations per 1000 live births of at least 34 weeks’ GA between 2014 and 2023. Changes in NBI hospitalization rates following the 2017 management guidelines for EONI were assessed using monthly time series of incidence rates and segmented regression models with autocorrelated errors.Results  A total of 68 107 EONI hospitalizations were recorded (37 316 male newborns [54.59%]; 61 264 newborns [89.95%] of ≥37 weeks’ GA). The expected incidence rate for nonsevere EONI in March 2018 (start of the postrecommendation period) was 9.13 hospitalizations per 1000 live births (95% CI, 8.27 to 9.98 hospitalizations per 1000 live births), which was significantly higher than the observed incidence rate of 6.17 hospitalizations per 1000 live births (95% CI, 5.74 to 6.61 hospitalizations per 1000 live births) at the same time, corresponding to a relative difference of −32.36% (95% CI, −41.54% to −22.18%). A similar trend was observed for EONI without neonatal intensive care unit admission; the expected incidence rate was 9.46 hospitalizations per 1000 live births (95% CI, 8.56 to 10.36 hospitalizations per 1000 live births), which was significantly higher than the observed incidence rate of 6.68 hospitalizations per 1000 live births (95% CI, 6.22 to 7.13 hospitalizations per 1000 live births), resulting in a relative difference of −29.42% (95% CI, −40.16% to −18.69%). No significant differences were found for severe EONI or EONI requiring neonatal intensive care unit admission. The incidence of late-onset NBI remained stable throughout the study period. Between 2014 and 2023, the total cost for all EONI hospitalizations decreased by half, from €45 975 289 to €23 459 606.Conclusions and Relevance  In this nationwide cohort study, implementation of the 2017 French EONI guidelines was likely associated with improvements in the management of NBI, contributing to a reduction in nonsevere hospitalizations with no change in the rates of severe cases or late-onset infections.

jamanetwork.com

Time to Full Enteral Feeds and Late-Onset Sepsis in Extremely Preterm Infants

This cohort study of extremely preterm infants evaluates whether there is an association between full enteral feeding and late-onset sepsis, necrotizing enterocolitis, and growth faltering.

journals.sagepub.com

Proceedings from Group B Strep in Pregnancy & Babies Conference, Wednesday, May 14th 2025, virtual meeting, 2025

electronicintifada.net

Pregnant women in Gaza face catastrophic scenarios

Israel's 200,000 tonnes of explosives will continue to harm Gaza's next generation.

www.newtral.es

El PSOE propone que actualizar el cribado neonatal del sistema de salud sea obligatorio

animeaura.store

Prevalence of selected curable sexually transmitted infections and predetermining factors among pregnant women attending antenatal care at Gebretsadik Shawo General Hospital, Bonga, Southwest Ethiopia: a cross-sectional study

Objectives Curable sexually transmitted infections (STIs) heavily rely on laboratory testing methods. Unfortunately, these diagnostic tools are infrequently used in certain regions of the country, which often results in suboptimal… The post Prevalence of selected curable sexually transmitted infections and predetermining factors among pregnant women attending antenatal care at Gebretsadik Shawo General Hospital, Bonga, Southwest Ethiopia: a cross-sectional study appeared first on Healthcare Newsdesk.