Gras-Le Guen C, Foix-L'Hélias L, Boileau P
Service de Pédiatrie, Hôpital Mère Enfant 7 quai Moncousu, 44093 Nantes, France.
Service de Néonatologie, Hôpital Armand Trousseau, AP-HP, Paris, France.
Arch Pediatr. 2017 Dec;24 Suppl 3:S14-S17. doi: 10.1016/S0929-693X(18)30039-3.
In the era of intrapartum chemoprophylaxis to reduce GBS, rates of early onset bacterial infection have declined in term newborns. New guidelines have been written in order to adapt our current practices to this epidemiological evolution and limit excessive exams and antibiotic administrations. The main point of these new guidelines consists in a clinical systematic surveillance in maternity for well appearing newborns instead of the current empiric antibiotic treatment. Advised biological exams are also detailed.
在产时进行化学预防以减少B族链球菌(GBS)感染的时代,足月儿早发型细菌感染的发生率有所下降。已制定新的指南,以便使我们当前的做法适应这一流行病学演变,并限制过度检查和抗生素使用。这些新指南的要点是对健康新生儿在产科进行临床系统监测,而非目前的经验性抗生素治疗。还详细说明了建议的实验室检查。