| Variability in the evaluation and management of opiate-exposed newborns in Maryland. | |
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MedLine Citation:
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PMID: 17522289 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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During 2003 and 2004 an estimated 2000 pregnant women and 31 000 nonpregnant women aged 15 to 44 reported using heroin. The majority of those newborns exposed in utero to opioids will develop symptoms of neonatal abstinence syndrome (NAS). Standardized guidelines for the evaluation and management of opiate-exposed newborns are lacking. The objective of this study was to document variations in the evaluation and management of opiate-exposed newborns among Maryland hospitals using a 13-item phone survey. Twenty-seven (82%) of the hospitals completed the survey. Staff at every hospital reported that they delivered opiate-exposed infants, however only 52% reported using a standardized evaluation and treatment protocol for this population consisting of guidelines for maternal toxicology screening, length-of-stay criteria and a monitoring tool for drug-exposed infants, infant supportive care techniques, and pharmacologic treatment guidelines. Significant variability exists in the evaluation and management of opiate-exposed newborns in Maryland. Validated, evidence-based guidelines are needed to standardize the care of these vulnerable newborns across all hospital settings. |
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Authors:
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Michael T Crocetti; Diane D Amin; Lauren M Jansson |
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Publication Detail:
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Type: Journal Article Date: 2007-05-23 |
Journal Detail:
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Title: Clinical pediatrics Volume: 46 ISSN: 0009-9228 ISO Abbreviation: Clin Pediatr (Phila) Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-08-20 Completed Date: 2007-10-30 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372606 Medline TA: Clin Pediatr (Phila) Country: United States |
Other Details:
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Languages: eng Pagination: 632-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatrics, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA. crocetti@jhmi.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Data Collection Female Humans Infant, Newborn Maryland Methadone Neonatal Abstinence Syndrome / diagnosis*, therapy* Opioid-Related Disorders / diagnosis, therapy Practice Guidelines as Topic Pregnancy |
| Chemical | |
Reg. No./Substance:
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76-99-3/Methadone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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