Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-56750
Zbinden, A; Zbinden, R; Natalucci, G; Zimmermann, R; Bucher, H U; Krafft, A (2011). How useful is routine amniotic fluid and neonatal surface swab microbiology at Caesarean section? Zeitschrift für Geburtshilfe und Neonatologie, 215(5):205-208.
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Our aim was to evaluate the clinical impact of routine amniotic fluid and neonatal surface swab microbiology at Caesarean section.
MATERIALS AND METHODS:
Microbiology data from 1 537 neonates delivered by Caesarean section were analysed in the light of clinical outcome.
1 340 (87%) neonates had non-pathogenic bacteria or negative culture results from both amniotic fluid and surface swab samples. Of the 197 (13%) neonates with pathogenic bacteria, 22 (1.4%) were diagnosed with infection, but only in 6 (0.4%) were the bacteria presumed to be responsible for the infection. Amniotic fluid and surface swab culture had sensitivities of 54% and 35%, and positive predictive values of 14% and 17%, respectively, for detecting a neonate at risk of infection.
Amniotic fluid and neonatal surface swab microbiology at Caesarean section contributes little if anything to postnatal management and can be safely dropped from operative routine.
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|Other titles:||Wie nützlich ist die anlässlich einer Sectio caesarea routinemässig gewonnene Kultur aus Fruchtwasser und Kindsabstrich?|
|Item Type:||Journal Article, refereed, further contribution|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Clinic for Obstetrics
04 Faculty of Medicine > University Hospital Zurich > Clinic for Neonatology
04 Faculty of Medicine > Institute of Medical Microbiology
|DDC:||570 Life sciences; biology
610 Medicine & health
|Deposited On:||23 Jan 2012 15:47|
|Last Modified:||12 Jul 2014 19:06|
|Additional Information:||Copyright: Georg Thieme Verlag|
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