Table 1 Suggested changes to apply one health principles in the NICU.
From: Beyond the incubator: applying a “one health” approach in the NICU
Improving antimicrobial resistance in NICU and beyond | Improving carbon foot prints in NICU |
|---|---|
Ensure adequate inoculums in blood cultures | Appropriate waste triaging practices with biohazardous waste being correctly identified |
Stop antibiotics appropriately in culture negative infants | Appropriate support and encouragement of breastfeeding for parents who are able to do so |
Reserve broader spectrum antibiotic agents for infants with proven resistant organisms | Use of telemedicine where appropriate over face to face consultations for developmental follow-up |
Use of Early-Onset Sepsis risk stratification strategy to determine healthy neonates who require a septic work-up in HIC | |
Continue development of novel early “positive” biomarkers for neonatal sepsis |
