[新生儿败血症的临床管理进展]
[Advances in clinical management of neonatal sepsis].
作者信息
Yu Yuan-Qiang, Chen Ping-Yang
机构信息
Department of Neonatology, Children's Medical Center, Second Xiangya Hospital, Central South University, Changsha 410011, China.
出版信息
Zhongguo Dang Dai Er Ke Za Zhi. 2024 May 15;26(5):518-522. doi: 10.7499/j.issn.1008-8830.2309145.
Abstract
Neonatal sepsis, as a significant cause of various complications and adverse outcomes in neonates, remains a serious health burden both domestically and internationally. Strategies such as antibiotic prophylaxis during delivery, the utilization of early-onset sepsis risk calculators, and quality improvement initiatives in neonatal wards are beneficial in alleviating the disease burden of neonatal sepsis. This paper provides a review of the epidemiology, risk factors, and recent advances in clinical management of neonatal sepsis.
摘要
新生儿败血症是新生儿各种并发症和不良结局的重要原因，在国内外仍然是一个严重的健康负担。分娩期间的抗生素预防、早发型败血症风险计算器的使用以及新生儿病房的质量改进举措等策略，有助于减轻新生儿败血症的疾病负担。本文综述了新生儿败血症的流行病学、危险因素及临床管理的最新进展。
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本文引用的文献
1
Effect of intrapartum antibiotic prophylaxis of group B infection on the incidence and bacteriological profile of early-onset neonatal sepsis.
Zhongguo Dang Dai Er Ke Za Zhi. 2022 Jan 15;24(1):49-53. doi: 10.7499/j.issn.1008-8830.2109031.
2
Etiology, antimicrobial resistance, and risk factors of neonatal sepsis in China: a systematic review and meta-analysis from data of 30 years.
J Matern Fetal Neonatal Med. 2022 Dec;35(25):7541-7550. doi: 10.1080/14767058.2021.1951217. Epub 2021 Sep 1.
3
[Sepsis risk calculator-guided antibiotic management in neonates with suspected early-onset sepsis].
Zhongguo Dang Dai Er Ke Za Zhi. 2021 Jun;23(6):582-587. doi: 10.7499/j.issn.1008-8830.2101167.
4
Epidemiology of Sepsis Among Children and Neonates in Germany: Results From an Observational Study Based on Nationwide Diagnosis-Related Groups Data Between 2010 and 2016.
Crit Care Med. 2021 Jul 1;49(7):1049-1057. doi: 10.1097/CCM.0000000000004919.
5
Impact of neonatal sepsis calculator in West Midlands (UK).
Arch Dis Child Fetal Neonatal Ed. 2021 Sep;106(5):568-569. doi: 10.1136/archdischild-2020-320862. Epub 2020 Dec 8.
6
Technical assessment of the neonatal early-onset sepsis risk calculator.
Lancet Infect Dis. 2021 May;21(5):e134-e140. doi: 10.1016/S1473-3099(20)30490-4. Epub 2020 Oct 29.
7
Association of Histological and Clinical Chorioamnionitis With Neonatal Sepsis Among Preterm Infants: A Systematic Review, Meta-Analysis, and Meta-Regression.
Front Immunol. 2020 Jun 5;11:972. doi: 10.3389/fimmu.2020.00972. eCollection 2020.
8
Early-Onset Neonatal Sepsis 2015 to 2017, the Rise of Escherichia coli, and the Need for Novel Prevention Strategies.
JAMA Pediatr. 2020 Jul 1;174(7):e200593. doi: 10.1001/jamapediatrics.2020.0593. Epub 2020 Jul 6.
9
Comparison of the management recommendations of the Kaiser Permanente neonatal early-onset sepsis risk calculator (SRC) with NICE guideline CG149 in infants ≥34 weeks' gestation who developed early-onset sepsis.
Arch Dis Child Fetal Neonatal Ed. 2020 Nov;105(6):581-586. doi: 10.1136/archdischild-2019-317165. Epub 2020 Mar 13.
10
Early onset sepsis calculator implementation is associated with reduced healthcare utilization and financial costs in late preterm and term newborns.
Eur J Pediatr. 2020 May;179(5):727-734. doi: 10.1007/s00431-019-03510-9. Epub 2020 Jan 2.
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