Incidence of neonatal infection in newborn infants with a maternal history of premature rupture of membranes (PROM) for 18 hours or longer by using Phramongkutklao Hospital Clinical Practice Guideline (CPG).
Artigo
em Inglês
| IMSEAR
| ID: sea-41441
ABSTRACT
BACKGROUND:
Phramongkutklao CPG was developed for detecting infants with maternal PROM > or = 18 hours who had a high risk of infection.OBJECTIVE:
To determine efficacy of the CPG, and risk factors of infection. STUDYDESIGN:
Prospective cohort study. MATERIAL ANDMETHOD:
Eligible infants were categorized into group I (symptomatic), group II (chorioamnionitis) or group III (asymptomatic). Infants in group I, II and those in group III who had scores > or = 3 were treated with antibiotics. Infants were followed-up until 28 days of age.RESULTS:
104 infants were recruited into the present study. 29 of 104 (27.88%) infants had infection. Risk factors were Apgar scores < or = 5, PROM > 72 hours, gestational age < 34 weeks, and low birth weight. The success rate of using CPG was 98.08% and antibiotic use was reduced by 53.08%.CONCLUSION:
Phramongkutklao CPG on PROM is safe and cost saving. All risk factors should be included in the guideline.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Tailândia
/
Fatores de Tempo
/
Feminino
/
Ruptura Prematura de Membranas Fetais
/
Humanos
/
Recém-Nascido
/
Gravidez
/
Incidência
/
Estudos Prospectivos
/
Fatores de Risco
Tipo de estudo:
Estudo de etiologia
/
Guia de Prática Clínica
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
País/Região como assunto:
Ásia
Idioma:
Inglês
Ano de publicação:
2005
Tipo de documento:
Artigo
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