Treat infected newborn babies within an hour of diagnosis, demands healthcare watchdog



06:58 GMT, 22 August 2012

Some hospitals are causing 'unnecessary delays' in treating newborn babies suffering from infections, according to the health watchdog.

The National Institute for Health and Clinical Excellence (Nice) found delays in hospitals recognising
and treating sick babies, while many newborns were at risk of becoming
resistant to treatment after 'needlessly' receiving antibiotics.

Nice has published new guidance after finding variations in the treatment of babies with early-onset neonatal infection.

Newborn baby

New recommendations say medics must treat infected babies within an hour of their diagnosis to

Early-onset neonatal infection – which occurs within 72 hours of birth – causes the death of one in four babies who are diagnosed, even when they are given antibiotics.

Nice's recommendations have now urged medical staff to treat infected babies within an hour of diagnosis and use antibiotics appropriately to avoid the development of bacterial resistance to treatment.

Professor Mark Baker, Director of the Centre for Clinical Practice at Nice , said: 'Early-onset neonatal infection can be very serious and, at present, there is much variation in how it is managed, with sometimes unnecessary delays in recognising and treating sick babies.

'Many babies are receiving antibiotics needlessly, and consequently there is concern that the effectiveness of antibiotics is being reduced because of the development of resistance to them.

'I am sure this new guideline will be welcomed as a useful tool for all those healthcare professionals working in this area.'

Early-onset neonatal infections are usually caused by organisms from the mother's genital tract, such as group B Streptococcus (GBS), E.coli, Pseudomonas and Klebsiella.

Such infections may develop suddenly and rapidly, with mortality particularly high in premature babies and those with a low birth weight, Nice said.

The infections may also cause babies to develop cortical lesions in the brain, and subsequently cause neuro-developmental delay.

Nice's recommendations now include treating babies with suspected early-onset neonatal infection within one hour of the decision to treat; using antibiotics benzylpenicillin and gentamicin as the first-choice treatment for suspected early-onset neonatal infection; performing a blood culture before administering the first dose of antibiotics, and offering child birth antibiotic prophylaxis in a timely manner to women whose babies are at higher risk of infection.

Farrah Pradhan, parent member of the guideline development group said: 'As a parent of two children that were both born prematurely, I know first-hand what a difficult and trying time this can be, especially if a baby also has a bacterial infection.

'I welcome these guidelines, and I hope they will help healthcare professionals deliver excellent care to pregnant women and their newborn babies.'

Mark Turner, Senior Lecturer and Consultant in Neonatology at the University of Liverpool and Liverpool Women's NHS Foundation Trust, said: 'The NHS needs to prioritise treatment for sick babies as well as ensuring antibiotics are used sensibly.'