Luoto Raakel, Holmberg Kaisa, Ruuskanen Olli, Lehtonen Liisa
Duodecim. 2014;130(7):675-82.
Many newborns are exposed to diagnostic or treatment procedures due to a suspicion of sepsis. Since non-specific signs of neonatal sepsis can quickly proceed to a life-threatening condition, it is essential to have a low threshold to diagnostic procedures and to provide antimicrobial therapy while waiting for the test results. After sepsis has been ruled out, antimicrobial therapy should be discontinued without delay. Good clinical practice includes avoiding unnecessarily broad-spectrum antibiotics. The future challenge is to develop a sensitive and specific marker for early detection of the disease and for avoiding unnecessary antibiotics, hospital care days and mother-infant separation.
许多新生儿因疑似败血症而接受诊断或治疗程序。由于新生儿败血症的非特异性体征可迅速发展为危及生命的状况,因此对于诊断程序应保持较低的阈值,并在等待检测结果时提供抗菌治疗。在排除败血症后,应立即停止抗菌治疗。良好的临床实践包括避免不必要地使用广谱抗生素。未来的挑战是开发一种敏感且特异的标志物,用于早期检测该疾病,并避免不必要的抗生素使用、住院天数以及母婴分离。