Recommendations on the diagnosis and the use of antibiotics for early-onset sepsis in preterm infant: consensus of the expert panel from Hunan Province
Hunan Neonatal Medical Quality Control Center;Neonatology Group of Perinatal Medical Committee of Hunan Medical Association
Abstract：Preterm infants are at higher risk of developing early-onset sepsis (EOS). Due to non-specific clinical manifestations and lack of laboratory tests for prompt diagnosis of EOS, inappropriate use of antibiotics is common in preterm infants. Prolonged exposure to antibiotics can lead to antibiotic resistance and significantly increases the risk of mortality and morbidity. Based on the latest progress in the diagnosis and treatment for EOS, both in China and overseas, and considering the current condition in Hunan Province, the expert panel of neonatologists in Hunan have reached this consensus after many discussions. This consensus clarifies the risk factors, proposes the diagnostic criteria, and recommends the antibiotic use strategies for EOS in preterm infants. It is emphasized that blood culture results and clinical manifestations are the main basis for the diagnosis of EOS and the duration of antibiotics use in preterm infants.
Hunan Neonatal Medical Quality Control Center,Neonatology Group of Perinatal Medical Committee of Hunan Medical Association. Recommendations on the diagnosis and the use of antibiotics for early-onset sepsis in preterm infant: consensus of the expert panel from Hunan Province[J]. CJCP, 2020, 22(1): 1-6.
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