Abstract
OBJECTIVE: We studied the association between the use of oxygen cannulas (OCs) and (1) nasal bleeding and (2) coagulase-negative staphylococcal sepsis (CNSS).
STUDY DESIGN: Review of care sheets, with χ2 or sign-test group comparisons.
RESULTS: Infants treated with OCs were suctioned more frequently (2.6 vs 1.3 times per day, p<0.001), and had more bloody nasal secretions (34.6% vs 4.6%, p<0.05) that increased with increasing OC days. By 10 days, 90% of infants had experienced bloody secretions.
CNSS occurred less often in infants treated with oxyhoods than those on OC or CPAP (1 of 13, 8%, vs 10 of 44, 23%), but the difference was not significant. Eight of the 10 CNSS episodes clustered within 3 and 7 days of starting CPAP or cannula treatments.
CONCLUSION: OC use in extremely low birthweight infants is associated with nasal mucosal injury and bleeding. Studies are needed to see if use of OCs is a risk factor for CNSS.
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References
D'Angio CTR, McGowan KL, Baumgart S, St Geme J, Harris MC . Surface colonization with coagulase-negative staphylococci in premature neonates. J Pediatr 1989;114(6):1029–1034.
Ahmuda CA, Goldsmith JP . Continuous distending pressure. In: Goldsmith JP, Karotkin EH, editors. Assisted Ventilation of the Neonate, 3rd ed. Philadelphia, PA: Saunders; 1996.
Sreenan C, Lemke RP, Hudson-Mason A . High-flow nasal cannula in the management of apnea of prematurity: A comparison with conventional positive airway pressure. Pediatrics 2001;107:1081–1083.
Vermont Oxford Network Second Annual Quality Congress for Neonatology, Washington, DC, December 9, 2001, poster # 23.
Carlo WA, Martin RJ, Bruce EN, Strohl KP, Fanaroff AA . Aloe nasi activation (nasal flaring) decreases nasal resistance in preterm infants. Pediatrics 1983;72(3):338–343.
Polgar G, Kong GP . The nasal resistance of newborn infants. J Pediatr 1965;67(4):557–567.
Brodie SB, Sands KE, Gray JE, et al. Occurrence of nosocomial bloodstream infections in six neonatal intensive care units. Pediatr Infect Dis J 2000;19(1):56–65.
Courtney SE, Pyon KH, Saslow JG . Lung recruitment and breathing pattern during variable versus continuous flow nasal continuous positive airway pressure in premature infants: An evaluation of three devices. Pediatrics 2001;107:304–308.
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Kopelman, A., Holbert, D. Use of Oxygen Cannulas in Extremely Low Birthweight Infants is Associated with Mucosal Trauma and Bleeding, and Possibly with Coagulase-negative Staphylococcal Sepsis. J Perinatol 23, 94–97 (2003). https://doi.org/10.1038/sj.jp.7210865
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DOI: https://doi.org/10.1038/sj.jp.7210865
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