Division of Paediatric Infectious Diseases, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
S Afr Med J. 2020 Apr 29;110(5):360-363. doi: 10.7196/SAMJ.2020.v110i5.14564.
Despite a substantial decline in childhood mortality rates in South Africa (SA), progress in neonatal mortality reduction has been much slower. Severe bacterial infections remain a leading cause of neonatal morbidity and a direct cause of 13.1% of neonatal deaths among babies >1 kg. The incidence of hospital-acquired infections, antimicrobial resistance and outbreaks of infections in SA neonatal units is substantial, and is possibly higher than the currently available estimates. The SA Neonatal Sepsis Task Force was launched in Port Elizabeth, SA, on 13 September 2019 to provide technical advice and guidance on surveillance for neonatal sepsis, infection prevention, case management, antimicrobial stewardship and containment of neonatal unit outbreaks.
尽管南非(SA)的儿童死亡率大幅下降,但新生儿死亡率的降低速度要慢得多。严重细菌感染仍然是新生儿发病的主要原因,也是 >1 公斤婴儿中 13.1%新生儿死亡的直接原因。SA 新生儿病房医院获得性感染、抗生素耐药性和感染爆发的发生率相当高,可能高于目前的估计。2019 年 9 月 13 日,南非新生儿脓毒症工作队在伊丽莎白港成立,旨在就新生儿脓毒症监测、感染预防、病例管理、抗生素管理以及控制新生儿病房爆发提供技术建议和指导。