Bedford Russell A R, Kumar R
Neonatal Unit, Birmingham Women's NICU, Birmingham, UK.
Arch Dis Child Fetal Neonatal Ed. 2015 Jul;100(4):F350-4. doi: 10.1136/archdischild-2014-306193. Epub 2014 Nov 25.
Early onset neonatal sepsis is persistently associated with poor outcomes, and incites clinical practice based on the fear of missing a treatable infection in a timely fashion. Unnecessary exposure to antibiotics is also hazardous. Diagnostic dilemmas are discussed in this review, and suggestions offered for practical management while awaiting a more rapidly available 'gold standard' test; in an ideal world, this test would be 100% sensitive and 100% specific for the presence of organisms.
早发型新生儿败血症一直与不良预后相关,并且基于对未能及时发现可治疗感染的担忧而引发临床实践。不必要地使用抗生素也有危害。本综述讨论了诊断难题,并针对等待更快速可用的“金标准”检测期间的实际管理提供了建议;在理想情况下,该检测对于病原体的存在应具有100%的敏感性和100%的特异性。