Browsing by Author "Cross, James H."
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Item Blood culture versus antibiotic use for neonatal inpatients in 61 hospitals implementing with the NEST360 Alliance in Kenya, Malawi, Nigeria, and Tanzania: a cross-sectional study(Springer Nature, 2023) Murless-Collins, Sarah; Kawaza, Kondwani; Salim, Nahya; Molyneux, Elizabeth M.; Chiume, Msandeni; Aluvaala, Jalemba; Macharia, William M.; Ezeaka, Veronica Chinyere; Odedere, Opeyemi; Shamba, Donat; Tillya, Robert; Penzias, Rebecca E.; Ezenwa, Beatrice Nkolika; Ohuma, Eric O.; Cross, James H.; Lawn, Joy E.; Bokea, Helen; Bohne, Christine; Waiyego, Mary; Irimu, Grace; Ogueji, Ifeanyichukwu Anthony; Jenkins, Georgia; Tongo, Olukemi O.; Fajolu, Iretiola; Olutekunbi, Nike; Paul, Cate; Baraka, Jitihada; Kirby, Rebecca; Palamountain, Kara; the NEST360 Infection GroupThirty million small and sick newborns worldwide require inpatient care each year. Many receive antibiotics for clinically diagnosed infections without blood cultures, the current ‘gold standard’ for neonatal infection detection. Low neonatal blood culture use hampers appropriate antibiotic use, fuelling antimicrobial resistance (AMR) which threatens newborn survival. This study analysed the gap between blood culture use and antibiotic prescribing in hospitals implementing with Newborn Essential Solutions and Technologies (NEST360) in Kenya, Malawi, Nigeria, and Tanzania.Item Neonatal inpatient dataset for small and sick newborn care in low- and middle-income countries: systematic development and multi-country operationalisation with NEST360(Springer Nature, 2023) Cross, James H.; Bohne, Christine; Ngwala, Samuel K.; Shabani, Josephine; Wainaina, John; Dosunmu, Olabisi; Kassim, Irabi; Penzias, Rebecca E.; Tillya, Robert; Gathara, David; Zimba, Evelyn; Ezeaka, Veronica Chinyere; Odedere, Opeyemi; Chiume, Msandeni; Salim, Nahya; Kawaza, Kondwani; Lufesi, Norman; Irimu, Grace; Tongo, Olukemi O.; Malla, Lucas; Paton, Chris; Day, Louise T.; Oden, Maria; Richards-Kortum, Rebecca; Molyneux, Elizabeth M.; Ohuma, Eric O.; Lawn, Joy E.; Asibon, Aba; Adudans, Steve; Otiangala, Dickson; Mchoma, Christina; Yosefe, Simeon; Balogun, Adeleke; Omoke, Sylvia; Rashid, Ekran; Masanja, Honorati; English, Mike; Hagel, Christiane; with NEST360 Neonatal Inpatient Dataset Learning Group; Rice360 Institute for Global Health TechnologiesEvery Newborn Action Plan (ENAP) coverage target 4 necessitates national scale-up of Level-2 Small and Sick Newborn Care (SSNC) (with Continuous Positive Airway Pressure (CPAP)) in 80% of districts by 2025. Routine neonatal inpatient data is important for improving quality of care, targeting equity gaps, and enabling data-driven decision-making at individual, district, and national-levels. Existing neonatal inpatient datasets vary in purpose, size, definitions, and collection processes. We describe the co-design and operationalisation of a core inpatient dataset for use to track outcomes and improve quality of care for small and sick newborns in high-mortality settings.