Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
9319306 | EMC - Gynécologie-Obstétrique | 2005 | 63 Pages |
Abstract
Numerous recommendations have been addressed this past decade in relation with the frequency and severity of bacterial infections of the newborn induced by maternal-fÅtal contamination. They are principally aimed at promoting the Streptococcus agalactiae screening and its eradication by a per partum antibiotherapy. In this literature review we attempt to present a synthesis of the successive published French and American recommendations, with a focus on the related drawbacks: difficulty of application, maternal risk in relation with the antibiotherapy, i.e., the emergence of resistant Gram-bacteria, the neonatal risk, since the results of these strategies suggest their likeliness to be inefficacious (outbreak of bacteria-resistant neonatal infections, sepsis onset, use of antibiotherapies with wider spectrum, and increased rate of bacteria-resistant nosocomial infections). Finally we will consider the factors involved in the risk of infection, and propose some types of management.
Keywords
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Authors
M.-H. (Praticien hospitalier, pédiatre), P. (Professeur des Universités, praticien hospitalier, gynécologue-obstétricien), F. (Professeur des Universités, praticien hospitalier, pédiatre), E. (Professeur des Universités, praticien hospitalier,