Sepsis in asymptomatic term newborns delivered of antibiotic-treated mothers.

D. E. Hertz, S. C. Denne, E. A. Liechty

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Abstract

This study was undertaken to assess the incidence of culture-proved sepsis in term infants without symptoms born to mothers receiving intrapartum antibiotics and to determine the usefulness of the immature neutrophil: total neutrophil (I:T) ratio in the initial evaluation of these infants. A retrospective chart review was made of 103 infants born during a 3-year period. There was one positive blood culture and two positive cerebrospinal fluid cultures in three different patients; all three isolates were considered contaminants and all patients remained without symptoms. In spite of the lack of culture-proved sepsis and clinical illness, more than 50% of the initial I:T ratios were greater than the usually accepted upper limit of normal (that is, 0.16). We conclude that the incidence of sepsis in this population is very low and the initial I:T ratio is not useful as a predictive tool in term newborns without symptoms.

Original languageEnglish (US)
Pages (from-to)446-449
Number of pages4
JournalJournal of perinatology : official journal of the California Perinatal Association
Volume14
Issue number6
StatePublished - Nov 1 1994

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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