新医学2012，Vol.43Issue(10)：739-741,3.DOI:10.3969/g.issn.0253-9802.2012.10.016
快速鉴别发热新生儿具有严重细菌感染低风险性的临床研究——附386例报告
The clinical research of quick differentiation in the febrile neonates with low risk for serious bacterial infection
邵红梅 1严建江 1柳国胜 2蹇涵3
作者信息
- 1. 广州市妇女儿童医疗中心 510090
- 2. 暨南大学附属第一医院 510030
- 3. 广州市白云区妇幼保健院 510010
- 折叠
摘要
Abstract
Objective: To discuss a practical, simple, and reliable clinical criteria for quickly identifying febrile neonates with low risk for serious bacterial infection (SB1). Methods: Three hundred and eighty-six febrile neonates whose complete clinical data were available were selected. According to their their clinical manifestations and essential laboratory results, the risk for SBI was identified, and compared with the last judgment in discharge. Result: Among the three hundred and eighty-six febrile neonales SBI was documented in one hundred and eight (28% ) neonates. According the quick clinical criteria among the one hundred and sixty-six neonates suitable to the criteria of low risk for SBI in three hundred and eighty-six febrile neonates only gne neonate was confirmed with SBI (0. 6% ). Among the other two hundred and twenty neonates who were not suitable to the criteria of low risk for SBI one hundred and seven neonates were confirmed with SBI (48. 6% ). There was a significant difference between the two groups with regard to the incidence of SBI (P <0. 01). The negative predictive value for SBI of the combination of the low risk criteria was 99. 4% (95% CI 99. 35% ~ 99. 45% ). Conclusion: Fulfilemt of the criteria for low risk might be one of evaluation methods for for excluding SBI in febrile neonates.关键词
细菌感染/发热/新生儿Key words
Bacterial infection/ Febrile/ Neonate引用本文复制引用
邵红梅,严建江,柳国胜,蹇涵..快速鉴别发热新生儿具有严重细菌感染低风险性的临床研究——附386例报告[J].新医学,2012,43(10):739-741,3.
