Implementation of electronic medical records system in a neonatal intensive care unit

Abstract EN

Background: Neonatal care is an extremely data- intensive activity.

The computerization of the medical records has resulted in the storage of a wealth of clinical data.

This abundance of data creates a great opportunity generating new knowledge by mining the data and using it to improve patient care Availability of quality data enhances identification of problems in treatment and finds solutions to prevent extra costs due to ineffective treatment, thus making care delivery less expensive Methodology: Implementation of the designed electronic medical records software on all cases in Om- El- Attebaa Pediatric Hospital neonatal intensive care unit for 12 months (June 2014 till May 2015) Results: One hundred ninety five cases were recorded from June 2014 till May 2015.

One hundred and twenty five male (64.1%) and 70 female (35.9%) are reported.

Preterms were 30.4% while term infants were 69.6% of the admitted cases with no post term.

Eighty five point 1 percent 85.1% of the admitted cases were improved, 11.3% died and 3.6% were referred to other hospital.

Unspecified bacterial sepsis of new born had the longest stay, mean 13.4+ 8.6 days.

Fifty sex cases had blood and/or tracheal aspirate culture.

In 86 cultures, organisms were isolated in 35 cultures (40.7%).

Klebsiella were isolated in 26 cultures (74.3%), p value0.044.

In culture positive cases there is significant correlation of prematurity and final status of the infant improved or died, p value0.004.

Conclusion: Neonatal sepsis is a major cause of morbidity and mortality.

The commonest encountered organisms in NICU were Klebsiella species.

Endotracheal intubation and assisted ventilation were identified risk factors for sepsis in NICU.