A comparison of Triple I classification with neonatal early-onset sepsis calculator recommendations in neonates born to mothers with clinical chorioamnionitis

被引：2
作者：
Coleman, Cassandra [1 ]
Carola, David L. [2 ]
Sloane, Amy J. [2 ]
Lafferty, Margaret A. [2 ]
Roman, Amanda [3 ]
Cruz, Yury [3 ]
Solarin, Kolawole [2 ]
Aghai, Zubair H. [2 ]
机构：
[1] Thomas Jefferson Univ Hosp Nemours, Pediat, Philadelphia, PA USA
[2] Thomas Jefferson Univ Hosp Nemours, Neonatol, Philadelphia, PA 19107 USA
[3] Thomas Jefferson Univ Hosp, Maternal Fetal Med, Philadelphia, PA 19107 USA
来源：
JOURNAL OF PERINATOLOGY | 2020年 / 40卷 / 09期
关键词：
NEWBORNS; MANAGEMENT; RISK; INFLAMMATION;
D O I：
10.1038/s41372-020-0727-9
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Objective To compare the early-onset sepsis (EOS) calculator recommendations for infants born to mothers with clinical chorioamnionitis with those made by the Triple I classification. Study design Retrospective analysis of chorioamnionitis-exposed neonates >= 35 weeks. EOS risk was calculated with baseline risks of 0.5/1000 and 4/1000. Mothers were retrospectively categorized using the Triple I classification. Calculator recommendations were compared with the Triple I classification recommendations. Results We included 687 chorioamnionitis-exposed neonates. With a baseline risk of 0.5/1000, the calculator recommended no evaluation in 68.4% of infants of mothers with confirmed Triple I. With a baseline risk of 4/1000, 62.3% of infants of mothers with confirmed Triple I and 57.1% of infants born to mothers who did not meet fever criteria would have received evaluation. Conclusions The EOS calculator with either baseline risk does not recommend evaluation in a large number of infants born to mothers with confirmed Triple I.
引用
收藏
页码：1308 / 1314
页数：7
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