Risk assessment in neonatal early onset sepsis.

TitleRisk assessment in neonatal early onset sepsis.
Publication TypeJournal Article
Year of Publication2012
AuthorsMukhopadhyay S, Puopolo KM
JournalSemin Perinatol
Volume36
Issue6
Pagination408-15
Date Published2012 Dec
ISSN1558-075X
KeywordsAge of Onset, Anti-Bacterial Agents, Antibiotic Prophylaxis, Asymptomatic Diseases, Female, Humans, Incidence, Infant, Newborn, Infant, Newborn, Diseases, Infant, Premature, Infant, Very Low Birth Weight, Models, Statistical, Perinatal Care, Policy Making, Pregnancy, Risk Assessment, Risk Factors, Sepsis, Severity of Illness Index, Streptococcus agalactiae
Abstract

The incidence of neonatal early onset sepsis has declined with the widespread use of intrapartum antibiotic therapies, yet early onset sepsis remains a potentially fatal condition, particularly among very low birth-weight infants. Clinical signs of neonatal infection are nonspecific and may be absent in the immediate postnatal period. Maternal and infant clinical characteristics, as well as infant laboratory values, have been used to identify newborns at risk and to administer empiric antibiotic therapy to prevent progression to more severe illness. Such approaches result in the evaluation of approximately 15% of asymptomatic term and late preterm infants and of nearly all preterm infants. The development of multivariate predictive models may provide more accurate methods of identifying newborns at highest risk and allow for more limited newborn antibiotic exposures.

DOI10.1053/j.semperi.2012.06.002
Alternate JournalSemin. Perinatol.
PubMed ID23177799
PubMed Central IDPMC3782302
Grant ListUL1 RR 025758 / RR / NCRR NIH HHS / United States
UL1 RR025758 / RR / NCRR NIH HHS / United States