ABSTRACT
New French guidelines in 2017 aimed to improve the identification of newborns at risk of early-onset neonatal infection (EONI). Identification is based on perinatal risk factors, management of perinatal antibiotic prophylaxis, and standardized clinical assessment. We conducted a retrospective cross-study at the University Hospital of Nantes. The main objective was to assess implementation of the French guidelines. Of 1240 births included, 40% (501) required perinatal antibiotic prophylaxis (adequate in 67.3%) and 306 (24.7%) needed a standardized clinical assessment (performed in 69.2%). Only two newborns (0.16%) included in the study received neonatal antibiotic therapy. On the basis of the assessment conducted in our maternity ward, implementation of the recommendations seems to be effective.
Subject(s)
Communicable Diseases , Pregnancy Complications, Infectious , Humans , Infant, Newborn , Pregnancy , Female , Retrospective Studies , Pregnancy Complications, Infectious/prevention & control , Antibiotic Prophylaxis , Risk Factors , HospitalsABSTRACT
We report a case of congenital diaphragmatic hernia detected in an 8-month-old boy with previously normal pulmonary X ray. This case shows that some Bochdalek hernias may appear at a later date and are sometimes intermittent.
Subject(s)
Hernias, Diaphragmatic, Congenital , Hernia, Diaphragmatic/diagnostic imaging , Humans , Infant , Male , Radiography , Time FactorsABSTRACT
A case of legionnaires' disease is described in a 9 months old boy. He had a rapidly extensive bilateral pneumoniae. There was no premorbidity. The diagnosis was made by demonstrating legionella pneumophila serogroup 1 in pulmonary biopsy and pleural liquid, by direct immunofluorescence assay and positive culture. There was no seroconversion. An adenovirus type 2 was also isolated in pulmonary biopsy, with an strong seroconversion. The course was favorable, with Doxycycline therapy.
