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

页码：1308 / 1314

页数：7