HOSPITAL COURSE AND SHORT-TERM OUTCOMES OF TERM AND LATE PRETERM NEONATES FOLLOWING EXPOSURE TO PROLONGED RUPTURE OF MEMBRANES AND/OR CHORIOAMNIONITIS

被引:24
作者
Jackson, Gregory L. [1 ]
Rawiki, Patricia [1 ]
Sendelbach, Dorothy [1 ]
Manning, Denise [1 ]
Engle, William D. [1 ]
机构
[1] Univ Texas SW Med Ctr Dallas, Dept Pediat, Dallas, TX 75390 USA
关键词
prolonged rupture of membranes; neonate; chorioamnionitis; early onset neonatal sepsis; group B streptococcus; RISK-FACTORS; DIAGNOSIS; SEPSIS;
D O I
10.1097/INF.0b013e31822fb15d
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Our objective was to characterize the hospital course and short-term outcomes of neonates exposed to prolonged rupture of membranes (PROM), chorioamnionitis (CH), or both PROM and CH. Outcomes were positive blood culture and/or clinical signs of infection (+BC/CSI) prompting >4 days of antibiotics. Six neonates had a positive BC, 2 (0.6%) in the CH group and 4 (2.7%) in the PROM + CH group (P = 0.05); none of the neonates exposed to PROM alone had a + BC. These results support our current approach of withholding routine antibiotic therapy in neonates exposed to PROM alone.
引用
收藏
页码:89 / 90
页数:3
相关论文
共 13 条
  • [1] Prenatal prediction of neonatal outcome in the extremely low-birth-weight infant
    Bahado-Singh, RO
    Dashe, J
    Deren, O
    Daftary, G
    Copel, JA
    Ehrenkranz, RA
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1998, 178 (03) : 462 - 468
  • [2] Epidural analgesia and intrapartum fever: Placental findings
    Dashe, JS
    Rogers, BB
    McIntire, DD
    Leveno, KJ
    [J]. OBSTETRICS AND GYNECOLOGY, 1999, 93 (03) : 341 - 344
  • [3] Neonatal pneumonia: Comparison of 4 vs 7 days of antibiotic therapy in term and near-term infants
    Engle W.D.
    Jackson G.L.
    Sendelbach D.
    Ford D.
    Olesen B.
    Burton K.M.
    Pritchard M.A.
    Frawley W.H.
    [J]. Journal of Perinatology, 2000, 20 (7) : 421 - 426
  • [4] CLINICOPATHOLOGICAL APPROACH TO THE DIAGNOSIS OF NEONATAL SEPSIS
    GERDES, JS
    [J]. CLINICS IN PERINATOLOGY, 1991, 18 (02) : 361 - 381
  • [5] Prolonged rupture of membranes in the term newborn
    Marlowe, SE
    Greenwald, J
    Anwar, M
    Hiatt, M
    Hegyi, T
    [J]. AMERICAN JOURNAL OF PERINATOLOGY, 1997, 14 (08) : 483 - 486
  • [6] Pickering LK, 2009, RED BOOK 2009 REPORT, P628
  • [7] Probert RC, 1989, PEDIATR INFECT DIS J, V8, P479
  • [8] Prevalence and risk factors of chorioamnionitis among adolescents
    Rickert, VI
    Wiemann, CM
    Hankins, GDV
    McKee, JM
    Berenson, AB
    [J]. OBSTETRICS AND GYNECOLOGY, 1998, 92 (02) : 254 - 257
  • [9] Risk factors and opportunities for prevention of early-onset neonatal sepsis: A multicenter case-control study
    Schuchat, A
    Zywicki, SS
    Dinsmoor, MJ
    Mercer, B
    Romaguera, J
    O'Sullivan, MJ
    Patel, D
    Peters, MT
    Stoll, B
    Levine, OS
    [J]. PEDIATRICS, 2000, 105 (01) : 21 - 26
  • [10] Characterization and control of intraamniotic infection in an urban teaching hospital
    Soper, DE
    Mayhall, CG
    Froggatt, JW
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1996, 175 (02) : 304 - 309