Ottobre 2013 - Volume XXXII - numero 8
Problemi speciali
1Terapia Intensiva Neonatale, Azienda Ospedaliero-Universitaria, Policlinico, Modena
2Unità per le Malattie Batteriche Sistemiche e Respiratorie, Dipartimento MIPI, Istituto Superiore di Sanità, Roma
Indirizzo per corrispondenza: berardi.alberto@policlinico.mo.it
Key words: Group B Streptococcus, Sepsis, Newborn infant, Prophylaxis
The management of neonates at risk of early-onset sepsis is a challenge. In the last years, the approach has been based on laboratory tests that have been proven to be low predictive. Recent Italian data suggest that a less invasive approach, based on careful physical examination, may replace testing. Starting from 2009 in Emilia Romagna (Italy) asymptomatic neonates at risk of early-onset sepsis do not undergo sepsis workup. Clinicians and nurses in turn fill in and sign a standardized form (detailing general wellbeing, skin colour including perfusion, and the presence of respiratory signs) at close intervals. At-risk neonates are diagnosed in a timely manner through this strategy.
Vuoi citare questo contributo?