Secondary prevention of early-onset sepsis: a less invasive Italian approach for managing neonates at risk
Abstract Strategies to prevent early-onset sepsis (EOS) have led to a substantial decline in many countries. However, one of the most controversial topics in neonatology is the management of asymptomatic full-term and late preterm neonates at risk for EOS, and guidelines lack substantial consensus r...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-06-01
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| Series: | Italian Journal of Pediatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13052-018-0515-8 |
| _version_ | 1828261130617749504 |
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| author | Alberto Berardi Chryssoula Tzialla Laura Travan Jenny Bua Daniele Santori Milena Azzalli Caterina Spada Laura Lucaccioni on behalf of the GBS Prevention Working Group of Emilia-Romagna |
| author_facet | Alberto Berardi Chryssoula Tzialla Laura Travan Jenny Bua Daniele Santori Milena Azzalli Caterina Spada Laura Lucaccioni on behalf of the GBS Prevention Working Group of Emilia-Romagna |
| author_sort | Alberto Berardi |
| collection | DOAJ |
| description | Abstract Strategies to prevent early-onset sepsis (EOS) have led to a substantial decline in many countries. However, one of the most controversial topics in neonatology is the management of asymptomatic full-term and late preterm neonates at risk for EOS, and guidelines lack substantial consensus regarding this issue. A strategy for managing neonates, entirely based on serial physical examinations, has been developed in two Italian regions. This strategy seems safe, while reducing laboratory tests and unnecessary antibiotics. In the current commentary we provide area-based data concerning the prevention of EOS in 2 northern Italian regions, and we detail the results of their strategy for managing healthy-appearing newborns at risk for EOS. |
| first_indexed | 2024-04-13T03:34:27Z |
| format | Article |
| id | doaj.art-014e841a5ee044d5bf38b7c1960904dc |
| institution | Directory Open Access Journal |
| issn | 1824-7288 |
| language | English |
| last_indexed | 2024-04-13T03:34:27Z |
| publishDate | 2018-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Italian Journal of Pediatrics |
| spelling | doaj.art-014e841a5ee044d5bf38b7c1960904dc2022-12-22T03:04:22ZengBMCItalian Journal of Pediatrics1824-72882018-06-014411410.1186/s13052-018-0515-8Secondary prevention of early-onset sepsis: a less invasive Italian approach for managing neonates at riskAlberto Berardi0Chryssoula Tzialla1Laura Travan2Jenny Bua3Daniele Santori4Milena Azzalli5Caterina Spada6Laura Lucaccioni7on behalf of the GBS Prevention Working Group of Emilia-RomagnaUnità Operativa di Terapia Intensiva Neonatale, Dipartimento Integrato Materno-Infantile, Azienda Ospedaliero-Universitaria PoliclinicoNeonatologia, Patologia Neonatale e Terapia Intensiva Neonatale, Fondazione IRCCS Policlinico “San Matteo”Unità Operativa di Terapia Intensiva Neonatale, IRCCS “Burlo Garofolo”Unità Operativa di Terapia Intensiva Neonatale, IRCCS “Burlo Garofolo”Struttura Complessa di Pediatria e Neonatologia, Azienda Ospedaliera Santa Maria degli AngeliUnità Operativa di Terapia Intensiva Neonatale, Ospedale S. AnnaScuola di specializzazione in Pediatria, Università di Modena e Reggio Emilia, Azienda Ospedaliero-Universitaria PoliclinicoUnità Operativa di Terapia Intensiva Neonatale, Dipartimento Integrato Materno-Infantile, Azienda Ospedaliero-Universitaria PoliclinicoAbstract Strategies to prevent early-onset sepsis (EOS) have led to a substantial decline in many countries. However, one of the most controversial topics in neonatology is the management of asymptomatic full-term and late preterm neonates at risk for EOS, and guidelines lack substantial consensus regarding this issue. A strategy for managing neonates, entirely based on serial physical examinations, has been developed in two Italian regions. This strategy seems safe, while reducing laboratory tests and unnecessary antibiotics. In the current commentary we provide area-based data concerning the prevention of EOS in 2 northern Italian regions, and we detail the results of their strategy for managing healthy-appearing newborns at risk for EOS.http://link.springer.com/article/10.1186/s13052-018-0515-8Group B streptococcusNeonatal sepsisIntrapartum antibiotic prophylaxisNewborn infantRisk factorsPrevention |
| spellingShingle | Alberto Berardi Chryssoula Tzialla Laura Travan Jenny Bua Daniele Santori Milena Azzalli Caterina Spada Laura Lucaccioni on behalf of the GBS Prevention Working Group of Emilia-Romagna Secondary prevention of early-onset sepsis: a less invasive Italian approach for managing neonates at risk Italian Journal of Pediatrics Group B streptococcus Neonatal sepsis Intrapartum antibiotic prophylaxis Newborn infant Risk factors Prevention |
| title | Secondary prevention of early-onset sepsis: a less invasive Italian approach for managing neonates at risk |
| title_full | Secondary prevention of early-onset sepsis: a less invasive Italian approach for managing neonates at risk |
| title_fullStr | Secondary prevention of early-onset sepsis: a less invasive Italian approach for managing neonates at risk |
| title_full_unstemmed | Secondary prevention of early-onset sepsis: a less invasive Italian approach for managing neonates at risk |
| title_short | Secondary prevention of early-onset sepsis: a less invasive Italian approach for managing neonates at risk |
| title_sort | secondary prevention of early onset sepsis a less invasive italian approach for managing neonates at risk |
| topic | Group B streptococcus Neonatal sepsis Intrapartum antibiotic prophylaxis Newborn infant Risk factors Prevention |
| url | http://link.springer.com/article/10.1186/s13052-018-0515-8 |
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