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[Neonatal group B Streptococcus infection: an integrated approach (of clinical pathologists, gynecologists, midwives, pediatricians-neonatologists) of the functional area of Cuneo (Italy)]. / Infezione neonatale da Streptococco B: un approccio multidisciplinare integrato (di laboratoristi, ginecologi, ostetriche e pediatri-neonatologi) del Quadrante di Cuneo.
Pomero, G; Delogu, A; Osenda, M; Ginardi, C; Rattazzi, P; Castellino, N; Gancia, P; Besenzon, L; Sardi, R; Bricchi, G; Vucusa, C; Silvestro, L; Raggi, M; Verri, P G; Toppino, M; Serra, A; Ardizzoia, M; Valle, S; Castelli, G; Alovisi, C; Cardone, M; Grazia, G; Patrucco, G; Nangeroni, M; Galletto, L; Carpi, D.
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  • Pomero G; Terapia Intensiva Neonatale-Neonatologia, 2 Laboratorio Analisi, 3 Ostetricia e Ginecologia-ASO S. Croce e Carle, Cuneo. tin@ospedale.cuneo.it
Pediatr Med Chir ; 30(6): 281-9, 2008.
Article en It | MEDLINE | ID: mdl-19431950
The frequency of early-onset neonatal sepsis without prophylaxis is 1-5/1.000 live births. Since year '70 the most frequent causative microorganism is the group B Streptococcus (S. agalactiae, GBS), followed by Escherichia coli. The mortality rate is now reduced to 4% due to the improvement of neonatal intensive care. In the USA, the incidence of GBS early-onset neonatal sepsis has been markedly reduced by the application of the guidelines released by the Centers for Disease Control (CDC). This strategy, however, is not effective on occurrence of late-onset neonatal group B streptococcal disease. In Italy, the application of CDC guidelines is not customary, and different, often complex, protocols of obstetrical-neonatological integrated approach are applied. The frequency of infectious risk has made the GBS a paramount problem for the neonatologist, even for the legal responsibility issues resulting from the multiplicity of possible options. To reach the best level of protection of the newborn against early-onset GBS infection, the working group of providers of prenatal, obstetric, and neonatal care of the functional area of Cuneo issued an integrated protocol, in order to perform the GBS screening with the optimal culture method suggested by CDC guidelines in the highest possible number of pregnant women, and to standardize the obstetrical and neonatal management.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Infecciosas del Embarazo / Infecciones Estreptocócicas / Streptococcus agalactiae Tipo de estudio: Diagnostic_studies / Etiology_studies / Guideline / Prevalence_studies / Risk_factors_studies Límite: Adult / Female / Humans / Newborn / Pregnancy País/Región como asunto: America do norte / Europa Idioma: It Revista: Pediatr Med Chir Año: 2008 Tipo del documento: Article Pais de publicación: Italia
Buscar en Google
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Imprimir
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PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Infecciosas del Embarazo / Infecciones Estreptocócicas / Streptococcus agalactiae Tipo de estudio: Diagnostic_studies / Etiology_studies / Guideline / Prevalence_studies / Risk_factors_studies Límite: Adult / Female / Humans / Newborn / Pregnancy País/Región como asunto: America do norte / Europa Idioma: It Revista: Pediatr Med Chir Año: 2008 Tipo del documento: Article Pais de publicación: Italia