Article ; Online: Early-onset sepsis: a cohort study comparing serial clinical observation with laboratory testing.
Journal of perinatology : official journal of the California Perinatal Association
2021 Volume 41, Issue 10, Page(s) 2482–2487
Abstract: Objective: Early onset sepsis (EOS) remains a serious and potentially fatal illness. We aimed to demonstrate that serial clinical observation (SCO) is a feasible strategy associated with fewer laboratory evaluations and unnecessary antibiotic use.: ... ...
Abstract | Objective: Early onset sepsis (EOS) remains a serious and potentially fatal illness. We aimed to demonstrate that serial clinical observation (SCO) is a feasible strategy associated with fewer laboratory evaluations and unnecessary antibiotic use. Study design: We compared the admissions and antibiotic therapy in neonates ≥35 weeks' gestation at risk for EOS in a prospective cohort after the implementation of a new protocol based on SCO (n = 381) with a historical cohort which received laboratory testing (n = 417). Results: There was a significant reduction in admissions for suspected sepsis (7.2% vs 2.9%, p = 0.006) and the use of antibiotics (6.1% vs 0.7%, p = 0.000) in the cohort based on SCO. There was no delay in diagnosis. Conclusions: SCO in neonates ≥35 weeks' gestation at risk for EOS, including chorioamnionitis-exposed infants, is a feasible measure that reduces laboratory evaluations and the overuse of antibiotics respecting the bonding mother-infant. |
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MeSH term(s) | Anti-Bacterial Agents/therapeutic use ; Cohort Studies ; Female ; Humans ; Infant ; Infant, Newborn ; Neonatal Sepsis/diagnosis ; Neonatal Sepsis/drug therapy ; Neonatal Sepsis/epidemiology ; Pregnancy ; Prospective Studies ; Risk Assessment ; Sepsis/diagnosis ; Sepsis/drug therapy |
Chemical Substances | Anti-Bacterial Agents |
Language | English |
Publishing date | 2021-07-08 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 645021-0 |
ISSN | 1476-5543 ; 0743-8346 |
ISSN (online) | 1476-5543 |
ISSN | 0743-8346 |
DOI | 10.1038/s41372-021-01138-y |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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