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.
PDF - Registered users only
View at publisher
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.
110 downloads since deposited on 23 Jan 2012
18 downloads since 12 months
|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
|Dewey Decimal Classification:||570 Life sciences; biology
610 Medicine & health
|Deposited On:||23 Jan 2012 15:47|
|Last Modified:||05 Apr 2016 15:28|
|Additional Information:||Copyright: Georg Thieme Verlag|
Users (please log in): suggest update or correction for this item
Repository Staff Only: item control page