A comparison of Triple I classification with neonatal early-onset sepsis calculator recommendations in neonates born to mothers with clinical chorioamnionitis
| Autor: | Margaret A. Lafferty, Zubair H. Aghai, Amy J. Sloane, Yury Cruz, Amanda Roman, David Carola, Cassandra Coleman, Kolawole Solarin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Clinical chorioamnionitis
Pediatrics medicine.medical_specialty Pregnancy business.industry MEDLINE Obstetrics and Gynecology Retrospective cohort study medicine.disease law.invention Sepsis 03 medical and health sciences 0302 clinical medicine Calculator law 030225 pediatrics Pediatrics Perinatology and Child Health medicine Neonatal Early-Onset Sepsis 030212 general & internal medicine Risk assessment business |
| Zdroj: | Journal of Perinatology. 40:1308-1314 |
| ISSN: | 1476-5543 0743-8346 |
| DOI: | 10.1038/s41372-020-0727-9 |
| Popis: | To compare the early-onset sepsis (EOS) calculator recommendations for infants born to mothers with clinical chorioamnionitis with those made by the Triple I classification. Retrospective analysis of chorioamnionitis-exposed neonates ≥35 weeks. EOS risk was calculated with baseline risks of 0.5/1000 and 4/1000. Mothers were retrospectively categorized using the Triple I classification. Calculator recommendations were compared with the Triple I classification recommendations. We included 687 chorioamnionitis-exposed neonates. With a baseline risk of 0.5/1000, the calculator recommended no evaluation in 68.4% of infants of mothers with confirmed Triple I. With a baseline risk of 4/1000, 62.3% of infants of mothers with confirmed Triple I and 57.1% of infants born to mothers who did not meet fever criteria would have received evaluation. The EOS calculator with either baseline risk does not recommend evaluation in a large number of infants born to mothers with confirmed Triple I. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink