Khảo sát các trường hợp trẻ sinh từ mẹ nhiễm liên cầu khuẩn nhóm B tại Bệnh viện Đa khoa Tâm Anh Hồ Chí Minh=Observation of the newborns born to GBS positive mothers at Tam Anh Ho Chi Minh City Hospital

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Tác giả: Thị Phương Nga Bùi, Ngọc Phượng Cam, Lê Mỹ Hạnh Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.118-123

Bộ sưu tập: Metadata

ID: 243899

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To describe incidence rates and characteristics of the newborns infected early who were born by GBS positive mothers. Methods: The cross – sectional study examined the newborns born to GBS positive mother at Tam Anh HCM hospital from 01/08/2022 to 28/02/2023. These newborns were treated following the guideline of AAP 2019. Results: In total of 124 the newborns born to GBS positive mother, no one had positive blood culture. There were 4 cases of probable sepsis (3.2%), 2 cases of pneumonia (1.6%), 1 case of meningitis (0.8%). The most popular clinical sign was respiratory insufficiency which had early onset in the first hour after birth. All of infants responded to empirical antibiotic treatment. Conclusions: There was no case with culture confirmed early onset neonatal sepsis possibly due to low sensitivity of blood culture. So GBS PCR will be needed to help confirm the diagnosis and further research on factors related to early onset neonatal infection will help in better prevention.Xác định tỉ lệ và mô tả đặc điểm trẻ bị NTSS sớm sinh từ mẹ nhiễm GBS. Đối tượng và phương pháp: Nghiên cứu cắt ngang khảo sát các trẻ sinh từ mẹ nhiễm GBS tại Bệnh viện (BV) Tâm Anh Hồ Chí Minh (HCM) từ 01/08/2022 đến 28/02/2023. Trẻ được xử trí theo hướng dẫn của Viện hàn lâm nhi khoa Hoa Kỳ (AAP) 2019. Kết quả: Tổng cộng 124 trẻ sinh từ mẹ nhiễm GBS, trong đó: không có trẻ nhiễm trùng huyết (NTH) xác định, 4 trẻ NTH có thể (3,2%), 2 trẻ viêm phổi (1,6%), 1 trẻ viêm màng não (0,8%). Triệu chứng thường gặp nhất là suy hô hấp và khởi phát sớm trong 1 giờ sau sinh. Tất cả đều đáp ứng điều trị với kháng sinh (KS) ban đầu. Kết luận: Không có trẻ NTH xác định có thể do cấy máu độ nhạy thấp, cần PCR GBS giúp chẩn đoán xác định và nghiên cứu tiếp theo về yếu tố liên quan NTSS sớm giúp phòng ngừa tốt hơn.

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