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Master Thesis

Prélèvements gastriques en salle de naissance : indications pour les enfants nés à terme

Abstract : Maternal-fetal infections represent 1% of neonatal infections of full-term infant in France. According to ANAES and HAS recommendations, peripheral bacteriological sampling have a central place in the decision-making of new born children management, and particularly with the gastric collection who have a good diagnostic value. The purpose of this work was to determine if it's possible to limit the amount of gastric collection in the delivery room, in order to reduce children stress and the new born child management price, without altering the management quality. This retrospective study has been realized in maternity ward at CHU of CAEN. From the 1st july to the 31th august 2012, the 201 gastric collections that were made in delivery room on full-term and alive new borns were studied. None child has had a certain infection, 5 children has had a doubtful infection and 4 children has had probable infection. This study has confirmed the really good negative predictive value of the gastric collection (96,9%). 42,6% of children has had a sample. The indication could be discussed on 26% cases (52 children) by taking into account ANAES recommendations. However the study cohort is too small to conclude on a limitation of the gastric collection amount. A prospective study with a higher population would allow determining if it is possible to reduce gastric collections, without taking risks for the child.
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https://dumas.ccsd.cnrs.fr/dumas-01070864
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Submitted on : Thursday, October 2, 2014 - 3:34:18 PM
Last modification on : Friday, October 23, 2020 - 4:59:58 PM
Long-term archiving on: : Saturday, January 3, 2015 - 11:05:51 AM

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  • HAL Id : dumas-01070864, version 1

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Aurélie Clanet. Prélèvements gastriques en salle de naissance : indications pour les enfants nés à terme. Gynécologie et obstétrique. 2014. ⟨dumas-01070864⟩

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