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[新生儿重症监护病房住院晚期败血症早产儿抗生素使用建议]

[Recommendations for antibiotic use in hospitalized preterm infants with late-onset sepsis in the neonatal intensive care unit].

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2024 Oct 15;26(10):1009-1018. doi: 10.7499/j.issn.1008-8830.2408024.

Abstract

Late-onset sepsis (LOS) is commonly seen in neonates who are hospitalized for extended periods, particularly in very low birth weight infants (VLBWI) and extremely low birth weight infants (ELBWI). Currently, the management of LOS in preterm infants faces dual challenges of delayed diagnosis and treatment, as well as antibiotic overtreatment. To address these issues, the Hunan Neonatal Medical Quality Control Center and the Neonatology Group of Perinatal Medical Committee of Hunan Medical Association organized a group of neonatal experts from Hunan Province to formulate recommendations based on published literature and statistical data from the Hunan Neonatal Medical Quality Control Center, as well as real-world practices in most neonatal intensive care units in Hunan Province. The group of neonatal experts proposed 15 recommendations for the diagnosis and antibiotic treatment of LOS in hospitalized preterm infants in the neonatal intensive care unit.

摘要

迟发性败血症(LOS)常见于住院时间较长的新生儿,尤其是极低出生体重儿(VLBWI)和超低出生体重儿(ELBWI)。目前,早产儿LOS的管理面临诊断和治疗延迟以及抗生素过度治疗这双重挑战。为解决这些问题,湖南省新生儿医疗质量控制中心和湖南省医学会围产医学委员会新生儿学组组织了一批来自湖南省的新生儿专家,根据已发表的文献、湖南省新生儿医疗质量控制中心的统计数据以及湖南省大多数新生儿重症监护病房的实际情况制定建议。该新生儿专家小组针对新生儿重症监护病房中住院早产儿LOS的诊断和抗生素治疗提出了15条建议。

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