G97(P) A QI project to introduce point of care CRP testing for asymptomatic babies receiving antibiotics on the post natal ward

AimTo see if point-of-care (POC) rather than laboratory C-reactive protein (CRP) testing on the postnatal ward (PNW) leads to earlier discharge for asymptomatic babies >37 weeks gestation who have been screened and treated for sepsis based on risk factors alone.MethodBabies > 37 weeks gestatio...

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Bibliographic Details
Published in:Archives of disease in childhood 2020-10, Vol.105 (Suppl 1), p.A32-A32
Main Authors: Dyer, E, Styles, K, Bartrum, N, Radomska, M
Format: Article
Language:English
Subjects:
Antibiotics
Asymptomatic
Birth
Blood
Blood culture
C-reactive protein
Fever
Gestation
Laboratories
Midwifery
Obstetrics
Pregnancy
Risk factors
Rupture
Sepsis
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Summary:AimTo see if point-of-care (POC) rather than laboratory C-reactive protein (CRP) testing on the postnatal ward (PNW) leads to earlier discharge for asymptomatic babies >37 weeks gestation who have been screened and treated for sepsis based on risk factors alone.MethodBabies > 37 weeks gestation receiving antibiotics for sepsis risk factors on the PNW were prospectively identified from the daily medical handover list. The trust sepsis risk factors are maternal group B streptococcal infection, prolonged rupture of membranes > 18 hours and suspected maternal sepsis. Babies were excluded if clinically unwell. In our trust all babies meeting the threshold for screening and treating for infection have a full blood count, CRP and blood culture at birth with antibiotics administered afterwards. A second CRP should be performed at 18–24 hours of life. Babies who remain clinically well with the second CRP being
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2020-rcpch.78