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)
Alberto Berardi1, Caterina Spada2, Matilde Ciccia3, Mariagrazia Capretti4, Giacomo Brusa5, Fabrizio Sandri3, Eleonora Balestri6, Laura Rocca2, Lucia Gambini7, Milena Azzalli8, Vittoria Rizzo9, Giancarlo Piccinini10, Eleonora Vaccina2, Laura Lucaccioni1
1Terapia Intensiva Neonatale (TIN), Azienda Policlinico, Modena; 2Scuola di Specializzazione in Pediatria, Università di Modena e Reggio Emilia; 3TIN, Ospedale Maggiore, Bologna; 4TIN, Azienda Policlinico Sant’Orsola - Malpighi, Bologna; 5TIN, Ospedale Infermi, Rimini; 6TIN, Arcispedale Santa Maria Nuova, Reggio Emilia; 7TIN, Azienda Policlinico, Parma; 8TIN, Arcispedale Sant’Anna, Ferrara; 9TIN, Ospedale Bufalini, Cesena; 10TIN, Ospedale Santa Maria Delle Croci, Ravenna
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