Secondary prevention of early-onset sepsis: a less invasive Italian approach for managing neonates at risk

被引：5

作者：

Berardi, Alberto ^{[1
,6
]}

Tzialla, Chryssoula ^{[2
]}

Travan, Laura ^{[3
]}

Bua, Jenny ^{[3
]}

Santori, Daniele ^{[4
]}

Azzalli, Milena ^{[5
]}

Spada, Caterina ^{[6
]}

Lucaccioni, Laura ^{[1
]}

Memo, L. ^{[7
]}

Nicolini, G. ^{[7
]}

Ciccia, M. ^{[8
]}

Bastelli, A. ^{[8
]}

Sandri, F. ^{[8
]}

Ambretti, S. ^{[9
]}

Capretti, M. G. ^{[9
]}

Corvaglia, L. ^{[9
]}

Dondi, A. ^{[9
]}

Lanari, M. ^{[9
]}

Pasini, L. ^{[9
]}

Ragni, L. ^{[9
]}

Albarelli, A. ^{[10
]}

Fiorini, V. ^{[11
]}

Giugno, C. ^{[11
]}

Lanzoni, P. ^{[11
]}

Di Grande, E. ^{[12
]}

Polese, A. ^{[12
]}

China, M. C. ^{[13
]}

Rizzo, V. ^{[13
]}

Stella, M. ^{[13
]}

Zucchini, A. ^{[14
]}

Malaguti, L. ^{[15
]}

Garani, G. ^{[16
]}

Lama, C. ^{[16
]}

Nasi, S. ^{[17
]}

Bacchini, P. ^{[17
]}

Fragni, G. ^{[17
]}

Baldassarri, P. ^{[18
]}

Pulvirenti, R. M. ^{[18
]}

Valletta, E. ^{[18
]}

Venturoli, V. ^{[18
]}

Alessandrini, C. ^{[19
]}

Bidetti, M. L. ^{[19
]}

Incerti, S. Storchi ^{[19
]}

Di Carlo, C. ^{[20
]}

Lanzoni, A. ^{[20
]}

Serra, L. ^{[20
]}

Silvestrini, D. ^{[20
]}

Facchinetti, F. ^{[21
]}

Ferrari, F. ^{[21
]}

Lugli, L. ^{[21
]}

机构：

[1] Azienda Osped Univ Policlin, Dipartimento Integrato Materno Infantile, Unita Operat Terapia Intens Neonatale, Modena, Italy

[2] Fdn IRCCS Policlin San Matteo, Patol Neonatale & Terapia Intens Neonatale, Neonatol, Pavia, Italy

[3] IRCCS Burlo Garofolo, Unita Operat Terapia Intens Neonatale, Trieste, Italy

[4] Azienda Osped Santa Maria Angeli, Struttura Complessa Pediat & Neonatol, Pordenone, Italy

[5] Osped S Anna Ferrara, Unita Operat Terapia Intens Neonatale, Ferrara, Italy

[6] Univ Modena & Reggio Emilia, Azienda Osped Univ Policlin, Scuola Specializzaz Pediat, Via Pozzo 71, I-41124 Modena, MO, Italy

[7] Osped San Martino, Belluno, Italy

[8] Osped Maggiore Bologna, Bologna, Italy

[9] Policlin Sant Orsola, Bologna, Italy

[10] Osped Santa Maria, Borgo Taro, Italy

[11] Osped B Ramazzini, Carpi, Italy

[12] Osped Sant Anna, Castelnuovo Ne Monti, Italy

[13] Osped Gen Provinciale M Bufalini, Cesena, Italy

[14] Osped Civile, Faenza, Italy

[15] Osped Delta, Ferrara, Italy

[16] Osped Sant Anna, Ferrara, Italy

[17] Osped Vaio, Fidenza, Italy

[18] Osped Morgagni Pieratoni, Forli, Italy

[19] Osped Civile, Guastalla, Italy

[20] Osped Santa Maria Scaletta, Imola, Italy

[21] Azienda Osped Policlin, Modena, Italy

[22] Osped Baggiovara, Modena, Italy

[23] Osped Franchini, Montecchio Emilia, Italy

[24] Osped Policlin, Parma, Italy

[25] Osped Civile, Pavullo nel Frignano, Italy

[26] Osped G Saliceto, Piacenza, Italy

[27] Lab Area Vasta Emilia Romagna, Pievesestina, Italy

[28] Osped Santa Maria Croci, Ravenna, Italy

[29] Osped Santa Maria Nuova, Reggio Emilia, Italy

[30] Osped Infermi, Rimini, Italy

[31] Osped Civile, Sassuolo, Italy

[32] Osped C Magati, Scandiano, Italy

来源：

ITALIAN JOURNAL OF PEDIATRICS | 2018年 / 44卷

关键词：

Group B streptococcus; Neonatal sepsis; Intrapartum antibiotic prophylaxis; Newborn infant; Risk factors; Prevention; GROUP-B STREPTOCOCCUS; PHYSICAL-EXAMINATION; MANAGEMENT;

D O I：

10.1186/s13052-018-0515-8

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Strategies to prevent early-onset sepsis (EOS) have led to a substantial decline in many countries. However, one of the most controversial topics in neonatology is the management of asymptomatic full-term and late preterm neonates at risk for EOS, and guidelines lack substantial consensus regarding this issue. A strategy for managing neonates, entirely based on serial physical examinations, has been developed in two Italian regions. This strategy seems safe, while reducing laboratory tests and unnecessary antibiotics. In the current commentary we provide area-based data concerning the prevention of EOS in 2 northern Italian regions, and we detail the results of their strategy for managing healthy-appearing newborns at risk for EOS.

引用

页数：4

共 50 条

[11] A new approach to managing neonates born to mothers at risk for early-onset neonatal sepsis: is it cost-effective and can it reduce NICU admissions?
Sabry, Nagwa
Ibrahim, Mahmoud H.
JOURNAL OF PEDIATRIC AND NEONATAL INDIVIDUALIZED MEDICINE, 2021, 10 (01): : 1 - 9
[12] Strategies for preventing early-onset sepsis and for managing neonates at-risk: wide variability across six Western countries
Berardi, Alberto
Rossi, Cecilia
Spada, Caterina
Vellani, Giulia
Guidotti, Isotta
Lanzoni, Angela
Azzalli, Milena
Papa, Irene
Giugno, Chiara
Lucaccioni, Laura
Memo, L.
Nicolini, G.
Ciccia, M.
Bastelli, A.
Sandri, F.
Ambretti, S.
Capretti, M. G.
Corvaglia, L.
Dondi, A.
Lanari, M.
Pasini, L.
Ragni, L.
Albarelli, A.
Fiorini, V.
Giugno, C.
Lanzoni, P.
Di Grande, E.
Polese, A.
China, M. C.
Rizzo, V.
Stella, M.
Zucchini, A.
Malaguti, L.
Azzalli, M.
Garani, G.
Lama, C.
Nasi, S.
Bacchini, P.
Fragni, G.
Baldassarri, P.
Pulvirenti, R. M.
Valletta, E.
Venturoli, V.
Alessandrini, C.
Bidetti, M. L.
Incerti, S. Storchi
Di Carlo, C.
Lanzoni, A.
Serra, L.
Silvestrini, D.
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2019, 32 (18): : 3102 - 3108
[13] Is early-onset sepsis risk calculator safe for the management of neonates born to mothers with chorioamnionitis?
Zubair H. Aghai
Journal of Perinatology, 2018, 38 : 769 - 770
[14] Is early-onset sepsis risk calculator safe for the management of neonates born to mothers with chorioamnionitis?
Aghai, Zubair H.
JOURNAL OF PERINATOLOGY, 2018, 38 (06) : 769 - 770
[15] Safety of physical examination alone for managing well-appearing neonates ≥35 weeks' gestation at risk for early-onset sepsis
Berardi, Alberto
Fornaciari, Sara
Rossi, Cecilia
Patianna, Viviana
Reggiani, Maria Letizia Bacchi
Ferrari, Filippo
Neri, Isabella
Ferrari, Fabrizio
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2015, 28 (10): : 1123 - 1127
[16] Management of Neonates With Suspected or Proven Early-Onset Bacterial Sepsis
Polin, Richard A.
PEDIATRICS, 2012, 129 (05) : 1006 - 1015
[17] Reappraisal of Guidelines for Management of Neonates with Suspected Early-Onset Sepsis
Benitz, William E.
Wynn, James L.
Polin, Richard A.
JOURNAL OF PEDIATRICS, 2015, 166 (04): : 1070 - 1074
[18] Analyzing of sepsis in early-onset neonatal: (risk-based approach)
Osmani, F.
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES, 2020, 101 : 277 - 277
[19] Evaluating Newborns at Risk for Early-Onset Sepsis
Good, Pamela I.
Hooven, Thomas A.
PEDIATRIC CLINICS OF NORTH AMERICA, 2019, 66 (02) : 321 - +
[20] Reduced Antibiotic Exposure by Serial Physical Examinations in Term Neonates at Risk of Early-onset Sepsis
Vatne, Anlaug
Klingenberg, Claus
Oymar, Knut
Ronnestad, Arild E.
Manzoni, Paolo
Rettedal, Siren
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2020, 39 (05) : 438 - 443

← 1 2 3 4 5 →