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1380 A Network Perspective of Necrotising Enterocolitis Requiring Surgery

Introduction Necrotising-enterocolitis is the commonest gastrointestinal emergency in very low birth weight (VLBW) infants. The incidence is around 7-per-100 births of VLBW infants. Confirmed cases require aggressive medical therapy, nil-by-mouth for 7–14 days and triple antibiotic therapy. Timely surgical intervention is necessary in those who perforate or are critically ill. Aim To give a network perspective on the diagnosis, management and outcome of infants affected by NEC focusing on those requiring surgery. Method Data was retrospectively collected from the Badger database over two years for babies within the South-West Midlands Newborn-Network with a diagnosis of NEC. Babies who were treated for at least 7 days were included, focusing on those requiring surgery. Results Abstract 1380 Table 1 Distinct admissions <1500g Diagnosis NEC NBM >7days Number 8750 1407 266 161 Abstract 1380 Table 2 Outcome Number Survived to discharge Died Mortality Surgical 56 48 8 14% Conservative 105 88 17 16% Overall 161 136 25 15% Discussion The standardised use of Badger information system across the network allowed us to audit the outcome of babies with NEC within our network. This is limited by the inter-user variation in quality and detail of information entered. The National Neonatal Collaborative Necrotizing Enterocolitis Study is currently underway. Our audit provides some insight into the limitations of using Badger alone as a source of information. We need to improve the quality of data entered into Badger.