Alexandre-Treilles M, Chenaud M, Kacet N, Ego A, Truffert P. Suivi des recommandations de prise en charge pédiatrique de l'infection maternofœtale : enquête au sein du réseau de soins périnatals de la métropole lilloise.
Arch Pediatr 2006;
13:341-5. [PMID:
16488584 DOI:
10.1016/j.arcped.2005.12.014]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2005] [Accepted: 12/21/2005] [Indexed: 11/20/2022]
Abstract
UNLABELLED
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.
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