The role of intrapartum fever in identifying asymptomatic term neonates with early-onset neonatal sepsis

Katherine T. Chen, Steven Ringer, Amy P. Cohen, Ellice Lieberman

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Objective: To assess the role of intrapartum fever in identifying asymptomatic term neonates with early-onset neonatal sepsis. Study Design: Retrospective review of all term neonates with sepsis over a 7-year period to evaluate the significance of symptoms at delivery Results: Fifty-three of 90 term neonates with sepsis (59%) were asymptomatic at delivery. Thirty-five of 53 asymptomatic term neonates (66%) met criteria for sepsis evaluations and 18 (34%) were evaluated when symptoms developed after delivery. Among the 35 asymptomatic term neonates meeting criteria for sepsis evaluations, 14 (40%) had evaluations because of intrapartum fever. Thus, 14 of 53 (26%) asymptomatic term neonates with sepsis (30% of GBS sepsis and 11% of non-GBS sepsis) would not have been evaluated if intrapartum fever were ignored. Conclusion: Over half of term neonates with sepsis were asymptomatic at delivery. Intrapartum fever was helpful in identifying over a quarter of asymptomatic term neonates with sepsis.

Original languageEnglish
Pages (from-to)653-657
Number of pages5
JournalJournal of Perinatology
Volume22
Issue number8
DOIs
StatePublished - Dec 2002
Externally publishedYes

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