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[母婴传播所致新生儿细菌感染。某产科病房的回顾性流行病学研究]

[Newborn bacterial infection caused by materno-fetal contamination. Retrospective epidemiologic study at a maternity unit].

作者信息

Blond M H, Gold F, Quentin R, Pierre F, Kompanietz J, Soutoul J H, Laugier J

机构信息

Centre de Pédiatrie Gatien-de-Clocheville, CHRU de Tours.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1991;20(3):443-6.

PMID:1869792
Abstract

A retrospective epidemiological study of neonatal bacterial infection due to contamination from the mother was carried out in maternity unit. We analysed the results of taking bacterial swabs from the skin and GI tract in newborn children when there was a possibility, or even probability, from the criteria given that there would be infection. These results compare with different criteria. In 19 months there were 2,622 live born children; 40.6% of those had swabs taken; the infection rate was 0.61% of newborns, but 16% of the newborns, had asymptomatic colonisation by bacteria. The high risks of finding positive swabs as shown by increased infection rates by colonisation occurred where the mothers had high temperatures. Our results led us to change the criteria for antibiotic treatment immediately after birth, in newborn babies.

摘要

在产科病房对因母亲污染导致的新生儿细菌感染进行了一项回顾性流行病学研究。我们分析了在有感染可能性甚至根据给定标准有感染概率的情况下,对新生儿皮肤和胃肠道进行细菌拭子检测的结果。这些结果与不同标准进行了比较。在19个月内有2622名活产儿;其中40.6%进行了拭子检测;新生儿感染率为0.61%,但16%的新生儿有无症状细菌定植。在母亲体温较高的情况下,如因定植导致感染率增加所示,发现拭子检测呈阳性的风险较高。我们的结果促使我们立即改变新生儿出生后抗生素治疗的标准。

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