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

Autor: Chryssoula Tzialla, Arianna Dondi, Edoardo Carretto, Travan Laura, Giacomo Biasucci, Federico Marchetti, Giampaolo Garani, ICILIO DODI, Mauro Stronati, Licia Lugli, VITTORIO SAMBRI, Alberto Berardi, Jenny Bua
Přispěvatelé: Alberto Berardi, Chryssoula Tzialla, Laura Travan, Jenny Bua, Daniele Santori, Milena Azzalli, Caterina Spada, Laura Lucaccioni, on behalf of the GBS Prevention Working Group of Emilia-Romagna [.., Marcello Lanari, Vittorio Sambri, ]
Rok vydání: 2018
Předmět:
Male
Intrapartum antibiotic prophylaxis
Neonate
0302 clinical medicine
Pregnancy
Surveys and Questionnaires
Secondary Prevention
Prevalence
Late preterm
Mass Screening
030212 general & internal medicine
Intrapartum antibiotic prophylaxi
Pregnancy Complications
Infectious
Survey
Secondary prevention
Group B streptococcu
Neonatal sepsis
lcsh:RJ1-570
Prenatal Care
Anti-Bacterial Agents
Primary Prevention
Italy
Female
Neonatal sepsi
Infection
Adult
medicine.medical_specialty
Group B streptococcus
Less invasive
GBS
Risk Assessment
Streptococcus agalactiae
Sepsis
03 medical and health sciences
Neonatal Screening
Early onset sepsis
Streptococcal Infections
030225 pediatrics
medicine
Humans
Newborn infant
Neonatology
Intensive care medicine
business.industry
Maternal and child health
Research
Prevention
Infant
Newborn
lcsh:Pediatrics
Antibiotic Prophylaxis
medicine.disease
Health Surveys
Risk factors
Pediatrics
Perinatology and Child Health
Commentary
Risk factor
business
Zdroj: Italian Journal of Pediatrics
Italian Journal of Pediatrics, Vol 44, Iss 1, Pp 1-4 (2018)
ISSN: 1824-7288
DOI: 10.1186/s13052-018-0515-8
Popis: Background There are no Italian data regarding the strategies for preventing neonatal group B streptococcal (GBS) infection. We conducted a national survey in order to explore obstetrical, neonatal and microbiological practices for the GBS prevention. Methods Three distinct questionnaires were sent to obstetricians, neonatologists and microbiologists. Questionnaires included data on prenatal GBS screening, maternal risk factors, intrapartum antibiotic prophylaxis, microbiological information concerning specimen processing and GBS antimicrobial susceptibility. Results All respondent obstetrical units used the culture-based screening approach to identify women who should receive intrapartum antibiotic prophylaxis, and more than half of the microbiological laboratories (58%) reported using specimen processing consistent with CDC guidelines. Most neonatal units (89 out of 107, 82%) reported using protocols for preventing GBS early-onset sepsis consistent with CDC guidelines. Conclusions The screening-based strategy is largely prevalent in Italy, and most protocols for preventing GBS early-onset sepsis are consistent with CDC guidelines. However, we found discrepancies in practices among centers that may reflect the lack of Italian guidelines issued by public health organizations. Electronic supplementary material The online version of this article (10.1186/s13052-017-0409-1) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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