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[Pediatric management of early-onset neonatal sepsis: guidelines adherence in Lille's perinatal care network].

AbstractUNLABELLED:
Neonatal early-onset infection has been recognized as a significant cause of perinatal mortality and morbidity, in spite of recent improvement in perinatal care. In France, Anaes guidelines were published in 2002.
OBJECTIVES:
To evaluate paediatricians' knowledge about these official guidelines in Lille's perinatal network.
MATERIALS AND METHODS:
Every network's paediatrician, working in a hospital maternity or in a neonatology unit received a questionnaire, to evaluate his knowledge about early onset sepsis diagnosis, indication and type of per partum antibiotherapy, and immediate neonatal care, according to perinatal factors.
RESULTS:
Response rate was 55%. Thirty-five per cent of paediatricians underestimated gastric sample's diagnostic role and 41% prescribed a triple antibiotherapy. Duration of antibiotic treatment was too long in 56% of cases. Biologic tests were prescribed in excess in 71% of cases when a streptoccocal B mother's colonization was present. Per partum antibiotherapy was appropriated in only 29% of responses.
CONCLUSION:
This study underlines imperfect official guidelines' knowledge, leading to ecological, bacterial, and economical consequences.
AuthorsM Alexandre-Treilles, M Chenaud, N Kacet, A Ego, P Truffert,
JournalArchives de pédiatrie : organe officiel de la Sociéte française de pédiatrie (Arch Pediatr) Vol. 13 Issue 4 Pg. 341-5 (Apr 2006) ISSN: 0929-693X [Print] France
Vernacular TitleSuivi des recommandations de prise en charge pédiatrique de l'infection maternofoetale: enquête au sein du réseau de soins périnatals de la métropole lilloise.
PMID16488584 (Publication Type: English Abstract, Journal Article)
Chemical References
  • Anti-Bacterial Agents
Topics
  • Adult
  • Anti-Bacterial Agents (therapeutic use)
  • Clinical Competence
  • France
  • Guideline Adherence
  • Humans
  • Infant, Newborn
  • Middle Aged
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians'
  • Sepsis (diagnosis, drug therapy)
  • Surveys and Questionnaires

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