Neonatal Sepsis due to Coagulase-Negative Staphylococci

被引:121
作者
Marchant, Elizabeth A. [1 ,2 ]
Boyce, Guilaine K. [1 ,2 ]
Sadarangani, Manish [3 ,4 ]
Lavoie, Pascal M. [1 ,2 ,3 ]
机构
[1] Child & Family Res Inst, Vancouver, BC V5Z 4H4, Canada
[2] Univ British Columbia, Dept Med, Vancouver, BC V6T 1ZA, Canada
[3] Univ British Columbia, Dept Pediat, Vancouver, BC V6T 1ZA, Canada
[4] Univ Oxford, Dept Pediat, Childrens Hosp, Oxford OX3 9DU, England
来源
CLINICAL & DEVELOPMENTAL IMMUNOLOGY | 2013年
关键词
INTENSIVE-CARE-UNIT; BIRTH-WEIGHT INFANTS; LATE-ONSET SEPSIS; PATTERN-RECOGNITION RECEPTORS; VENOUS CATHETER INFECTIONS; BLOOD-STREAM INFECTIONS; HEPARIN LOCK SOLUTION; NOSOCOMIAL INFECTIONS; INNATE IMMUNITY; NECROTIZING ENTEROCOLITIS;
D O I
10.1155/2013/586076
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Neonates, especially those born prematurely, are at high risk of morbidity and mortality from sepsis. Multiple factors, including prematurity, invasive life-saving medical interventions, and immaturity of the innate immune system, put these infants at greater risk of developing infection. Although advanced neonatal care enables us to save even the most preterm neonates, the very interventions sustaining those who are hospitalized concurrently expose them to serious infections due to common nosocomial pathogens, particularly coagulase-negative staphylococci bacteria (CoNS). Moreover, the health burden from infection in these infants remains unacceptably high despite continuing efforts. In this paper, we review the epidemiology, immunological risk factors, diagnosis, prevention, treatment, and outcomes of neonatal infection due to the predominant neonatal pathogen CoNS.
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页数:10
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