A review of clinical practice guidelines for preventing chlamydial and gonococcal ophthalmia neonatorum

Author:

Sun Ruiyang12,Zhu Xiu3,Zhang Ting4,Lu Hong3

Affiliation:

1. School of Nursing, Beijing University of Chinese Medicine, Beijing, China

2. Joanna Briggs Institute Centre of Excellence, Beijing University of Chinese Medicine, Beijing, China

3. School of Nursing, Peking University, Beijing, China

4. Beijing Institutes for Drug Control, Beijing, China

Abstract

Abstract Objective: The objective of this study is to evaluate and analyze clinical practice guidelines pertinent to the prevention of ophthalmia neonatorum in newborns after delivery. The aim is to offer guidance to medical and nursing staff regarding newborn eye care within the clinical context. Methods: WHO, Guidelines International Network, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, Queensland Clinical Guideline, Joanna Briggs Institute, Canada Registered Nurses’ Association of Ontario, New Zealand Guidelines Group, and Chinese Medlive, professional societies focusing on newborn care, and bibliographic databases, such as PubMed, Embase, Web of Science, CNKI, WanFang Database, VIP, and SinoMed, were systematically searched. The International Guidelines Evaluation Screening Tool and Appraising Guidelines Research and Evaluation II were utilized to assess the quality of the guidelines. Content analysis methodology was used for summarization, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was applied to determine the quality of evidence and the strength of recommendations. Results: A total of 8 guidelines pertaining to neonatal ophthalmia were included in the analysis. Among them, guidelines from the National Institute for Health and Clinical Excellence and WHO obtained higher scores (≥80%). Seven guidelines recommended universal topical ocular prophylaxis. In addition, 2 guidelines recommended prescreening and pretreatment of pregnant women at risk of exposure to chlamydia and gonococcus. In total, 17 recommendations were summarized. While the quality of specific evidence ranged from “very low” to “low,” the majority (12/17) of the recommendation strengths were classified as “strong.” Conclusions: In the clinical context, both universal topical ocular prophylaxis for neonates and screening and treatment of pregnant women and their partners for sexually transmitted diseases are recommended.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference27 articles.

1. Challenges in treating ophthalmia neonatorum;Ukachukwu;Expert Rev Ophthalmol,2021

2. Chlamydial and gonococcal infections in infants and children;Hammerschlag;Clin Infect Dis,2011

3. Preventing ophthalmia neonatorum;Moore;Can J Infect Dis Med Microbiol,2015

4. Ophthalmia neonatorum treatment and prophylaxis: IPOSC global study;Zloto;Graefes Arch Clin Exp Ophthalmol,2016

5. Epidemiology of ophthalmia neonatorum in Kenya;Laga;Lancet,1986

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3