Preventable Infectious Pathology Dominates Neonatal Readmissions: A Retrospective Analysis from a Pediatrics Department in Ploiești, Romania.
Background: Readmission of newborns within the first 28 days after initial discharge represents a significant healthcare concern, causing distress to families and financial burden on healthcare systems. Understanding readmission patterns and risk factors is essential for implementing preventive stra...
| Published in: | Children Vol. 13; no. 3; pp. 330 - 343 |
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| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
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MDPI
Mar2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192663893&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192663893 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22279067 LW6K jtl: Children issn: 22279067 maglogo: N pubinfo: dt: Mar2026 vid: 13 iid: 3 pid: 97109 pub: MDPI artinfo: ui: 192663893 192663893 192663893 10.3390/children13030330 192663893 ppf: 330 ppct: 13 formats: tig: atl: Preventable Infectious Pathology Dominates Neonatal Readmissions: A Retrospective Analysis from a Pediatrics Department in Ploiești, Romania. aug: au: Popescu, Daniela-Eugenia Rosca, Ioana Turenschi, Alina Miu, Anca Poenaru, Elena Constantin, Andreea Teodora Gorecki, Gabriel-Petre Nastase, Leonard affil: Department of Obstetrics-Gynecology and Neonatology, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timisoara, Romania sug: subj: Infection Prevention and Control Infection Pathology Readmission Evaluation Hospitals, Pediatric Romania Human Male Female Infant, Newborn Retrospective Design Nonexperimental Studies Prospective Studies Apgar Score Romania Infant, Hospitalized Hematologic Tests Culture Techniques Descriptive Statistics Infant, Newborn: birth-1 month Male Female ab: Background: Readmission of newborns within the first 28 days after initial discharge represents a significant healthcare concern, causing distress to families and financial burden on healthcare systems. Understanding readmission patterns and risk factors is essential for implementing preventive strategies. Objective: This retrospective observational study aimed to evaluate the prevalence and characteristics of neonatal readmissions to a pediatric center in Ploiești, Romania, during a 12-month period (1 January 2024–31 December 2024). Methods: We reviewed medical records of all newborns aged 0–28 days admitted to the pediatric hospital after initial discharge from maternity wards. Clinical characteristics, diagnoses, paraclinical findings, and demographic data were analyzed. Results: A total of 131 newborns were readmitted, representing a 1.9% readmission rate, and only the first readmission for each patient was included in the analysis. The majority (60.9%) presented with preventable infectious pathology, including bronchiolitis (18.3%), rhinoconjunctivitis (16%), pyoderma (11.4%), infectious gastroenteritis (8.4%), and COVID-19 infection (6.8%). Males comprised 61.3% of cases, and 74.8% were born via cesarean section. Exclusive breastfeeding rate was 45.8%. Concerningly, two cases (1.5%) presented with measles, reflecting declining vaccination coverage in Romania (the lowest in the European Union at 62%). Conclusions: The predominance of preventable infectious conditions among neonatal readmissions highlights critical gaps in post-discharge care and infection prevention education. The presence of vaccine-preventable diseases underscores the urgent need to address declining immunization rates in Romania. Enhanced parental education on hygiene practices, infection prevention, and improved post-discharge follow-up systems are essential to reduce neonatal morbidity and readmission rates. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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