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10.1055/s-0040-1718944 http://scihub22266oqcxt.onion/10.1055/s-0040-1718944 33075846!7869047!33075846     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=33075846&cmd=llinks): Failed to open stream: HTTP request failed! 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Longitudinal Survey of COVID-19 Burden and Related Policies in U S Neonatal Intensive Care Units |pdf=|usr=}}{{33075846}} gab.com Text Longitudinal Survey of COVID-19 Burden and Related Policies in U S Neonatal Intensive Care Units JO: Am J Perinatol http://www.kidney.de/pget.php?&tw=1&pmid=33075846 #FOAvip OBJECTIVE: This study aimed to determine the prevalence of confirmed novel coronavirus disease 2019 (COVID-19) disease or infants under investigation among a cohort of U.S. neonatal intensive care units (NICUs). Secondarily, to evaluate hospital policies regarding maternal COVID-19 screening and related to those infants born to mothers under investigation or confirmed to have COVID-19. STUDY DESIGN: Serial cross-sectional surveys of MEDNAX-affiliated NICUs from March 26 to April 3, April 8 to April 19, May 4 to May 22, and July 13 to August 2, 2020. The surveys included questions regarding COVID-19 patient burden and policies regarding infant separation, feeding practices, and universal maternal screening. RESULTS: Among 386 MEDNAX-affiliated NICUs, responses were received from 153 (42%), 160 (44%), 165 (45%), 148 (38%) across four rounds representing an active patient census of 3,465, 3,486, 3,452, and 3,442 NICU admitted patients on the day of survey completion. Confirmed COVID-19 disease in NICU admitted infants was rare, with the prevalence rising from 0.03 (1 patient) to 0.44% (15 patients) across the four survey rounds, while the prevalence of patients under investigation increased from 0.8 to 2.6%. Hospitals isolating infants from COVID-19-positive mothers fell from 46 to 20% between the second and fourth surveys, while centers permitting direct maternal breastfeeding increased 17 to 47% over the same period. Centers reporting universal severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) screening for all expectant mothers increased from 52 to 69%. CONCLUSION: Among a large cohort of NICU infants, the prevalence of infants under investigation or with confirmed neonatal COVID-19 disease was low. Policies regarding universal maternal screening for SARS-CoV-2, infant isolation from positive mothers, and direct maternal breastfeeding for infants born to positive mothers are rapidly evolving. As universal maternal screening for SARS-CoV-2 becomes more common, the impact of these policies requires further investigation. KEY POINTS: . In this cohort, neonatal COVID-19 is rare.. . Policies regarding isolation and breastfeeding for infants are rapidly evolving.. . Most hospitals are now providing universal screening for expectant mothers for SARS-CoV-2.. Twit Text FOAVip Longitudinal Survey of COVID-19 Burden and Related Policies in U S Neonatal Intensive Care Units ????Am J Perinatol http://www.kidney.de/pget.php?&tw=1&pmid=33075846 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33075846 #FOAvip English Wikipedia <ref>{{Cite pmid|33075846}}</ref> Longitudinal Survey of COVID-19 Burden and Related Policies in U S Neonatal Intensive Care Units #MMPMID33075846 Ahmad KA; Darcy-Mahoney A; Kelleher AS; Ellsbury DL; Tolia VN; Clark RH Am J Perinatol 2021[Jan]; 38 (1): 93-98 PMID33075846show ga OBJECTIVE: This study aimed to determine the prevalence of confirmed novel coronavirus disease 2019 (COVID-19) disease or infants under investigation among a cohort of U.S. neonatal intensive care units (NICUs). Secondarily, to evaluate hospital policies regarding maternal COVID-19 screening and related to those infants born to mothers under investigation or confirmed to have COVID-19. STUDY DESIGN: Serial cross-sectional surveys of MEDNAX-affiliated NICUs from March 26 to April 3, April 8 to April 19, May 4 to May 22, and July 13 to August 2, 2020. The surveys included questions regarding COVID-19 patient burden and policies regarding infant separation, feeding practices, and universal maternal screening. RESULTS: Among 386 MEDNAX-affiliated NICUs, responses were received from 153 (42%), 160 (44%), 165 (45%), 148 (38%) across four rounds representing an active patient census of 3,465, 3,486, 3,452, and 3,442 NICU admitted patients on the day of survey completion. Confirmed COVID-19 disease in NICU admitted infants was rare, with the prevalence rising from 0.03 (1 patient) to 0.44% (15 patients) across the four survey rounds, while the prevalence of patients under investigation increased from 0.8 to 2.6%. Hospitals isolating infants from COVID-19-positive mothers fell from 46 to 20% between the second and fourth surveys, while centers permitting direct maternal breastfeeding increased 17 to 47% over the same period. Centers reporting universal severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) screening for all expectant mothers increased from 52 to 69%. CONCLUSION: Among a large cohort of NICU infants, the prevalence of infants under investigation or with confirmed neonatal COVID-19 disease was low. Policies regarding universal maternal screening for SARS-CoV-2, infant isolation from positive mothers, and direct maternal breastfeeding for infants born to positive mothers are rapidly evolving. As universal maternal screening for SARS-CoV-2 becomes more common, the impact of these policies requires further investigation. KEY POINTS: . In this cohort, neonatal COVID-19 is rare.. . Policies regarding isolation and breastfeeding for infants are rapidly evolving.. . Most hospitals are now providing universal screening for expectant mothers for SARS-CoV-2.. |*COVID-19/diagnosis/epidemiology[MESH] |*Infant, Newborn, Diseases/diagnosis/epidemiology/virology[MESH] |*Infection Control/methods/organization & administration/standards[MESH] |*Infectious Disease Transmission, Vertical/prevention & control/statistics & numerical data[MESH] |*Mass Screening/methods/statistics & numerical data[MESH] |*Pregnancy Complications, Infectious/diagnosis/epidemiology[MESH] |Cross-Sectional Studies[MESH] |Female[MESH] |Humans[MESH] |Infant, Newborn[MESH] |Intensive Care Units, Neonatal/*statistics & numerical data[MESH] |Male[MESH] |Policy Making[MESH] |Pregnancy[MESH] |Prevalence[MESH] |SARS-CoV-2/*isolation & purification[MESH]Longitudinal Survey of COVID-19 Burden and Related Policies in U S Ne(epmc).pdf DeepDyve Pubget Overpricing