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Bauchinger, S; Sapetschnig, I; Danda, M; Sommer, C; Resch, B; Urlesberger, B; Raith, W.
[Methods in neonatal abstinence syndrome (NAS): results of a nationwide survey in Austria].
Z Geburtshilfe Neonatol. 2015; 219(4):185-189
Web of Science PubMed FullText FullText_MUG

 

Autor/innen der Med Uni Graz:
Bauchinger Sebastian
Raith Wolfgang
Resch Bernhard
Sommer Constanze
Urlesberger Berndt
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Abstract:
Neonatal abstinence syndrome (NAS) occurs in neonates whose mothers have taken addictive drugs or were under substitution therapy during pregnancy. Incidence numbers of NAS are on the rise globally, even in Austria NAS is not rare anymore. The aim of our survey was to reveal the status quo of dealing with NAS in Austria. A questionnaire was sent to 20 neonatology departments all over Austria, items included questions on scoring, therapy, breast-feeding and follow-up procedures. The response rate was 95%, of which 94.7% had written guidelines concerning NAS. The median number of children being treated per year for NAS was 4. Finnegan scoring system is used in 100% of the responding departments. Morphine is being used most often, in opiate abuse (100%) as well as in multiple substance abuse (44.4%). The most frequent forms of morphine preparation are morphine and diluted tincture of opium. Frequency as well as dosage of medication vary broadly. 61.1% of the departments supported breast-feeding, regulations concerned participation in a substitution programme and general contraindications (HIV, HCV, HBV). Our results revealed that there is a big west-east gradient in patients being treated per year. NAS is not a rare entity anymore in Austria (up to 50 cases per year in Vienna). Our survey showed that most neonatology departments in Austria treat their patients following written guidelines. Although all of them base these guidelines on international recommendations there is no national consensus. © Georg Thieme Verlag KG Stuttgart · New York.
Find related publications in this database (using NLM MeSH Indexing)
- epidemiology
Female -
Guideline Adherence - statistics & numerical data
Health Care Surveys -
Humans -
Incidence -
Intensive Care, Neonatal - methods
Intensive Care, Neonatal - standards
Intensive Care, Neonatal - statistics & numerical data
Male -
Neonatal Abstinence Syndrome - diagnosis
Neonatal Abstinence Syndrome - epidemiology
Neonatal Abstinence Syndrome - therapy
Opiate Substitution Treatment - standards
Opiate Substitution Treatment - statistics & numerical data
Practice Patterns, Physicians' - standards
Practice Patterns, Physicians' - statistics & numerical data
Risk Factors -

Find related publications in this database (Keywords)
neonatal abstinence syndrome
Finnegan score
neonatal drug withdrawal
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