We have studied all newborns admitted to our neonatal intensive care unit during 1993 and treated with intravenous antibiotics. Patient-files were examined for all available data at admission, focusing on factors predisposing for infection, symptoms, additional diagnoses, laboratory tests, bacteriology and antibacterial treatment. Antibiotics were given to 126 (28%) patients, of whom 90 were suspected of having an infection on admission. 57 of these were discharged with an infection-related diagnosis. 33 patients received prophylactic antibiotics, of whom three later developed infection. Retrospectively, 53 patients had proven or very probable infection. Fourteen patients tested blood culture positive. In our material the incidence of septicaemia was 0.45% of all newborn. Both the frequency of treatment and the incidence of septicaemia are consistent with the findings in earlier reports. We find that our material contains an unacceptably high frequency of false negative blood cultures. Recently published data show that the incidence of positive blood cultures is proportional to the amount of blood extracted.
BACKGROUND: The focus in this paper is on the prevalence, risk factors and treatment of developmental dysplasia of the hip (DDH), before and after introduction of sonographic examination in 1993. MATERIAL AND METHODS: 1,469 (8.2%) infants were followed up because of clinical findings or risk factors (542 with X-ray and 927 with sonographic examination). RESULTS: The overall prevalence of DDH was 1.14%; 0.92% in neonates and 0.22% as late DDH. The prevalence of late DDH ranged from 0.07% to 0.52% (p
With the use of today's screening programme children with congenital hearing losses (prevalence about 1/1,000) get their diagnosis unacceptably late (median age 28 months). Newer screening methods as oto-acoustic emissions and auditory brain stem responses have been in use, separately or as combined tests. The methods are used both as universal screening and as screening of selected children with increased risk of congenital hearing impairment. On the basis of ten risk factors for congenital hearing loss, we present our results from screening in the neonatal period. 283 out of 8,980 children (3.2%) born in Ostfold county over a period of three years have been examined with the use of oto-acoustic emissions. 16 children had pathological emission tests bilaterally on repeated testing and underwent further examination in the ear-nose-and-throat department. One of these children has turned out to have hearing loss.
Comment In: Tidsskr Nor Laegeforen. 1998 Nov 30;118(29):45619889646