Neonatologia
Osservazione nel neonato a rischio di sepsi precoce
Observation on the newborn at risk of early-onset sepsis: the approach of the Emilia-Romagna Region (Italy)
A. Berardi, C. Spada, M. Ciccia, M Capretti, G. Brusa, F. Sandri, E. Balestri, L. Rocca, L. Gambini, M. Azzalli, V. Rizzo, G. Piccinini, E. Vaccina, L. Lucaccioni
Giugno 2019 - pagg. 370 -376
Abstract
The approach to the newborn at risk of early-onset sepsis is a challenge. In the past the
approach was mainly based on laboratory tests, which were poorly predictive and
might cause repeated blood samples and unnecessary antibiotic therapies, with possible
long-term side effects. The medicalisation of asymptomatic newborns also interferes with
breastfeeding. Recent experiences carried out in the Friuli Venezia Giulia and Emilia-Romagna
Regions (Italy) have suggested that a less invasive approach is useful. This approach
is mainly based on careful and repeated clinical observations of asymptomatic
full-term or late preterm infants at standard intervals, regardless of risk factors. Moreover,
it is useful for a timely diagnosis, does not separate mothers from their neonates
and consequently does not interfere with the development of the nascent intestinal microbiota
and breastfeeding.
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Corrispondenza: aberardi@unimore.it