Oral dextrose gel to treat neonatal hypoglycaemia: Clinician survey.

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dc.contributor.author Alsweiler, Jane en
dc.contributor.author Woodall, Sonja en
dc.contributor.author Crowther, Caroline en
dc.contributor.author Harding, Jane en
dc.date.accessioned 2019-11-25T20:24:13Z en
dc.date.issued 2019-07 en
dc.identifier.issn 1034-4810 en
dc.identifier.uri http://hdl.handle.net/2292/49188 en
dc.description.abstract AIMS:To determine the use of oral dextrose gel to treat neonatal hypoglycaemia in New Zealand (NZ), to identify barriers and enablers to the implementation of the guideline and to determine if there is variation in management between clinical disciplines caring for at-risk babies. METHODS:An online survey was distributed to clinicians (including doctors, midwives and nurses) caring for babies with neonatal hypoglycaemia via stakeholders and maternity hospitals. RESULTS:A total of 251 clinicians from all 20 District Health Boards (DHBs) completed the survey. Of the responding clinicians, 148 (59%) from 15 (75%) DHBs reported oral dextrose gel use in their hospital, and of these, 129 (87%) reported a local guideline. In 12 of 15 (80%) DHBs, oral dextrose gel could be prescribed by midwives. For a clinical scenario of a baby with neonatal hypoglycaemia, doctors were more likely to prescribe oral dextrose gel than midwives (odds ratio (95% confidence interval), 2.9 (2.2-3.8), P < 0.0001). Of 32 possible combinations of treatment options for this scenario, 31 were selected by one or more clinicians. A guideline was perceived to be the most useful enabler, and availability of oral dextrose gel was seen as the most important barrier. CONCLUSIONS:Oral dextrose gel is widely used to treat neonatal hypoglycaemia in NZ. Increasing availability of dextrose gel and the clinical practice guideline are likely to further increase the use of oral dextrose gel. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Journal of paediatrics and child health en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Oral dextrose gel to treat neonatal hypoglycaemia: Clinician survey. en
dc.type Journal Article en
dc.identifier.doi 10.1111/jpc.14306 en
pubs.issue 7 en
pubs.begin-page 844 en
pubs.volume 55 en
dc.rights.holder Copyright: The author en
pubs.end-page 850 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Journal Article en
pubs.elements-id 758838 en
dc.relation.isnodouble 35188 *
pubs.org-id Liggins Institute en
pubs.org-id LiFePATH en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Paediatrics Child & Youth Hlth en
pubs.org-id Science en
pubs.org-id Science Admin en
pubs.org-id Science Research Support en
dc.identifier.eissn 1440-1754 en
pubs.record-created-at-source-date 2018-12-20 en
pubs.dimensions-id 30565771 en

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