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Master Thesis

Prise en charge des nouveau-nés ≥34SA à risque d’infection néonatale bactérienne précoce : étude de faisabilité des recommandations HAS 2017 à la maternité du CHU Grenoble Alpes

Abstract : Early onset neonatal infection (EONI) is a major diagnostic issue and remains one of the leading causes of neonatal morbidity and mortality. HAS guidelines were published in 2017, placing the clinic at the center of diagnostic care. The aim of this study is to assess the feasibility of the HAS 2017 guidelines at the CHU Grenoble Alpes maternity ward. This is a cohort, descriptive, prospective and unicentric study carried out between February 1 and July 31, 2020. We included live births with term ≥34 gestational weeks occurred at CHU Grenoble Alpes or at home and excluded newborns with malformation syndrome or serious fetal pathology requiring immediate pediatric care at birth. An “Infection Risk (IR) sheet” was used to classify newborns in a risk group for EONI (without risk of infection, A, B or C). We collected 716 IR sheet out of 1024 newborns who stayed in the maternity ward (70%). Among the IR sheet collected, 94.6% of newborns were correctly classified in their risk group of INBP and the clinical monitoring of newborns in groups B and C was excellent, averaging 94.6%. However, the pediatric examination recommended between H6 and H12 for newborns with highest risk was insufficient (carried out for 74.4% of newborns on average) but improved markedly all along the study. The feasibility objective was not achieved (30% of newborns did not have an IR sheet collected). Nevertheless, concerning newborns for whom the IR sheet was collected, the results show that the healthcare team has well understood the HAS 2017 guidelines.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02968476
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Submitted on : Thursday, October 15, 2020 - 5:21:53 PM
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Claire Riquet. Prise en charge des nouveau-nés ≥34SA à risque d’infection néonatale bactérienne précoce : étude de faisabilité des recommandations HAS 2017 à la maternité du CHU Grenoble Alpes. Médecine humaine et pathologie. 2020. ⟨dumas-02968476⟩

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