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[新生儿B族链球菌感染的风险]

[Risk of neonatal Streptococcus B infection].

作者信息

Tessier F, Colau J C, Bouillie J, Le Lorier G, Daguet G L

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1977 Mar;6(2):239-54.

PMID:328559
Abstract

23 cases of contamination with streptococcus group B have been seen after premature rupture of the membranes. Mothers and fetuses have been affected. The systematic study of swabs or liquor or cervical discharge carried out on the mother since the time her membranes had ruptured show that in 74 per cent of cases studied contamination existed within the first 24 hours. Giving antibiotics to the mother before delivery gave very variable results. These multiple tests, before and around the time of birth, made it possible to detect the children at risk of infection and to start antibiotic therapy with a narrow spectrum antibiotic of the type Penicillin G. The clinical progress of these children, which is usually favourable, gives no reason for postponing prophylactic cover antibiotic treatment when the membranes have ruptured prematurely.

摘要

胎膜早破后已发现23例B族链球菌感染病例。母亲和胎儿均受到影响。自母亲胎膜破裂后对其进行的拭子、羊水或宫颈分泌物的系统研究表明,在74%的研究病例中,感染在最初24小时内就已存在。在分娩前给母亲使用抗生素,结果差异很大。在出生前及出生前后进行的这些多项检测,使得能够检测出有感染风险的儿童,并开始使用青霉素G这类窄谱抗生素进行抗生素治疗。这些儿童的临床进展通常良好,因此当胎膜早破时,没有理由推迟预防性抗生素覆盖治疗。

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