Ulyatt C M, Harding J E, Clapham V, Alsweiler J M, Lin L
Liggins Institute, University of Auckland, Auckland, New Zealand.
New Zealand College of Midwives, Te Kāreti o Ngā Kaiwhakawhānau Ki Aotearoa, Christchurch, New Zealand.
J Paediatr Child Health. 2025 Aug;61(8):1235-1240. doi: 10.1111/jpc.70097. Epub 2025 May 31.
Neonatal hypoglycaemia is the most common metabolic disturbance in newborns and can lead to brain injury. However, the feasibility of implementing a national recommendation to use accurate testing methods to avoid under- and over-diagnosis depends on current practise, preferences, and resources. We therefore sought to identify current testing practises for neonatal hypoglycaemia to inform recommendations for testing, including devices and timing.
An online survey was sent to relevant clinical unit leaders across the 19 health regions of New Zealand, and to members of the New Zealand College of Midwives who provide home birth services. These individuals were asked to complete the survey themselves or identify the appropriate practitioner in their unit to complete it.
From 28th August to 12th December 2023, we obtained 71 responses, which came from more than one profession from all but one health region. The most commonly used devices for measuring glucose concentrations in capillary blood samples were blood gas analysers (20/65, 31%) and i-STAT (12/65, 18%). Devices used did not differ among professions, but the use of blood gas analysers was not reported in primary units. i-STAT (22/80, 28%) and blood gas analyser (19/80, 24%) were also the most preferred testing devices. The timing of blood sampling was reported to be similar for > 70% of respondents.
Most healthcare professionals use and prefer accurate blood sampling devices, suggesting implementing a recommendation to use these is likely feasible. However, guidance on the timing of testing is needed.
新生儿低血糖是新生儿最常见的代谢紊乱，可导致脑损伤。然而，实施一项国家建议以采用准确检测方法来避免诊断不足和过度诊断的可行性，取决于当前的实践、偏好和资源。因此，我们试图确定当前新生儿低血糖的检测实践，为检测建议提供依据，包括检测设备和检测时间。
向新西兰19个健康地区的相关临床科室负责人以及提供家庭分娩服务的新西兰助产士学院成员发送了在线调查问卷。要求这些人自行完成调查，或者确定其所在科室的合适从业者来完成调查。
在2023年8月28日至12月12日期间，我们收到了71份回复，这些回复来自除一个健康地区外的所有地区的多个专业。用于测量毛细血管血样中葡萄糖浓度的最常用设备是血气分析仪（20/65，31%）和i-STAT（12/65，18%）。不同专业使用的设备没有差异，但基层单位未报告使用血气分析仪的情况。i-STAT（22/80，28%）和血气分析仪（19/80，24%）也是最受青睐的检测设备。超过70%的受访者报告采血时间相似。
大多数医疗保健专业人员使用并倾向于使用准确的采血设备，这表明实施使用这些设备的建议可能是可行的。然而，需要关于检测时间的指导。
