Page 19 - Delaware Medical Journal - June 2017

SCIENTIFIC ARTICLE
since implementation of the guidelines (P=0.01) with a trend towards a decrease in incidence of sepsis from 10.2% to 6.1% (P=0.975). Our hope is that the trend in CVL days and incidence of sepsis will continue decrease as we work to improve our management of VLBW infants.
Despite compliance to the feeding protocol potentially being less than ideal, as the above studies suggest, there still may be some potential improved outcomes not
CONTRIBUTING AUTHORS
■ JULIA D. RYAN, MD is an attending Neonatologist at Christiana Care Health System in Newark, Del.
■ DEBORAH TUTTLE, MD is a Neonatologist at Christiana Care Health System in Newark, Del., and an Assistant Professor of Pediatrics at Sidney Kimmel Medical College at Thomas Jefferson University.
■ ROBERT LOCKE, DO, MPH is the Co-Director for the Center for Neonatal Evidence-Based Outcomes and Population Health at Christiana Care Health System in Newark, Del., and a Professor of Pediatrics at Sidney Kimmel Medical College at Thomas Jefferson University.
■ AMY MACKLEY, MSN, RNC is Neonatal Clinical Research Supervisor at Christiana Care Health System in Newark, Del.
■ DAVID A. PAUL, MD is a Neonatologist and Chair of Pediatrics at Christiana Care Health System in Newark, Del., and a Professor of Pediatrics at Sidney Kimmel Medical College at Thomas Jefferson University. He serves as Chair of the Delaware Healthy Mother and Infant Consortium Executive Committee.
measured in our study, such as reduced provider practice variation in a large academic NICU, consistent expectation of nurses, medical team, and nutrition services, and improved satisfaction of families.
CONCLUSION
Implementation of standardized feeding protocol in a large level 3 academic NICU improved growth velocity in our
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Del Med J
| June 2017
| Vol. 89
| No. 6
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