2017 French health authority guidelines for neonates at risk of early-onset sepsis: Adherence and barriers in a tertiary hospital.

Arch Pediatr

Neonatal Intensive Care Unit, Grenoble Alpes University Hospital, Grenoble, France; TIMC-IMAG research department, Grenoble Alps University, Grenoble, France. Electronic address:

Published: October 2022

The objective of this study was to evaluate the adherence to the French Health Authority's 2017 guidelines concerning early-onset sepsis (EOS) in neonates. This 6-month prospective observational study was conducted in 2020 in a tertiary hospital maternity unit. Neonates were classified according to their risk of EOS and the level of appropriate surveillance was analyzed. The risk of EOS was determined for 69.9% of the 1024 included neonates. Of the 123 neonates with a moderate or high risk of EOS, the optimal clinical surveillance was 88%. Even in a tertiary hospital, with training of caregivers, adherence to guidelines was incomplete. Some corrective measures are suggested and should be applied to enhance the adherence.

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http://dx.doi.org/10.1016/j.arcped.2022.08.004DOI Listing

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