Implementation of bowel ultrasound practice for the diagnosis and management of necrotising enterocolitis
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Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · Mar 2021 · 1 min read
In brief
In brief
Framework for implementing bowel ultrasound programs to improve diagnosis and management of necrotising enterocolitis in premature infants. Addresses key barriers including training gaps, low case volumes, and clinical integration challenges that have slowed adoption despite growing evidence of benefit.
Written by the GCMD Library team from the article.
Necrotising enterocolitis (NEC) is a serious inflammatory bowel disease of prematurity with potentially devastating complications and remains a leading cause of morbidity and mortality among premature infants. In recent years, there has been accumulating data regarding benefits of using bowel ultrasound (BUS) in the diagnosis and management of NEC. Despite this, adoption of robust BUS programmes into clinical practice has been slow. As BUS is a relatively new technique, many barriers to implementation exist, namely lack of education and training for sonographers and radiologists, low case volume and unfamiliarity by clinicians regarding how to use the information provided. The aim of this manuscript is to provide a framework and a roadmap for units to implement BUS in day-to-day practice for NEC diagnosis and management.
DOI: 10.1136/archdischild-2019-318382