TY - JOUR
T1 - Osservazione nel neonato a rischio di sepsi precoce
T2 - L'Approccio della Regione Emilia-Romagna
AU - Berardi, Alberto
AU - Spada, Caterina
AU - Ciccia, Matilde
AU - Capretti, Mariagrazia
AU - Brusa, Giacomo
AU - Sandri, Fabrizio
AU - Balestri, Eleonora
AU - Rocca, Laura
AU - Gambini, Lucia
AU - Azzalli, Milena
AU - Rizzo, Vittoria
AU - Piccinini, Giancarlo
AU - Vaccina, Eleonora
AU - Lucaccioni, Laura
PY - 2019/1/1
Y1 - 2019/1/1
N2 - The approach to the newborn at risk of early-onset sepsis is a challenge. In the past the approach was mainly based on laboratory tests, which were poorly predictive and might cause repeated blood samples and unnecessary antibiotic therapies, with possible long-term side effects. The medicalisation of asymptomatic newborns also interferes with breastfeeding. Recent experiences carried out in the Friuli Venezia Giulia and Emilia-Romagna Regions (Italy) have suggested that a less invasive approach is useful. This approach is mainly based on careful and repeated clinical observations of asymptomatic full-term or late preterm infants at standard intervals, regardless of risk factors. Moreover, it is useful for a timely diagnosis, does not separate mothers from their neonates and consequently does not interfere with the development of the nascent intestinal microbiota and breastfeeding.
AB - The approach to the newborn at risk of early-onset sepsis is a challenge. In the past the approach was mainly based on laboratory tests, which were poorly predictive and might cause repeated blood samples and unnecessary antibiotic therapies, with possible long-term side effects. The medicalisation of asymptomatic newborns also interferes with breastfeeding. Recent experiences carried out in the Friuli Venezia Giulia and Emilia-Romagna Regions (Italy) have suggested that a less invasive approach is useful. This approach is mainly based on careful and repeated clinical observations of asymptomatic full-term or late preterm infants at standard intervals, regardless of risk factors. Moreover, it is useful for a timely diagnosis, does not separate mothers from their neonates and consequently does not interfere with the development of the nascent intestinal microbiota and breastfeeding.
KW - Group B streptococcus
KW - Newborn infant
KW - Prophylaxis
KW - Sepsis
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M3 - Articolo
AN - SCOPUS:85068898336
VL - 38
SP - 370
EP - 376
JO - Medico e Bambino
JF - Medico e Bambino
SN - 1591-3090
IS - 6
ER -