Document Detail

Variability in the evaluation and management of opiate-exposed newborns in Maryland.
MedLine Citation:
PMID:  17522289     Owner:  NLM     Status:  MEDLINE    
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.
Michael T Crocetti; Diane D Amin; Lauren M Jansson
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Publication Detail:
Type:  Journal Article     Date:  2007-05-23
Journal Detail:
Title:  Clinical pediatrics     Volume:  46     ISSN:  0009-9228     ISO Abbreviation:  Clin Pediatr (Phila)     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-20     Completed Date:  2007-10-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372606     Medline TA:  Clin Pediatr (Phila)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  632-5     Citation Subset:  AIM; IM    
Department of Pediatrics, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA.
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MeSH Terms
Data Collection
Infant, Newborn
Neonatal Abstinence Syndrome / diagnosis*,  therapy*
Opioid-Related Disorders / diagnosis,  therapy
Practice Guidelines as Topic
Reg. No./Substance:

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