Evidence · Research paper
Prolonged Rupture of Membranes, Neonatal Outcomes and Management Guidelines.
- Early-onset sepsis
- Infection
- Medical
- Nursing
- Postnatal and transitional care
This paper is from 2019, more than five years ago. Newer evidence may have been published since.
Summary
Retrospective single-centre study of 176 neonates of 34 weeks' gestation or more admitted because of prolonged rupture of membranes, all born to mothers with unknown group B streptococcus status. Infants were categorised as ill appearing, well or equivocal at birth, and the sepsis risk calculator was applied retrospectively. Most infants were asymptomatic; a minority had culture-positive or culture-negative sepsis, with sepsis more common in the ill-appearing group. The authors argue for a protocol combining multiple assessment methods and clinical follow-up to avoid missing true sepsis while reducing unnecessary antibiotic use.
Summary written for NICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
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