From: Evaluation of procalcitonin for diagnosis of neonatal sepsis of vertical transmission
Clinical signs | Data |
---|---|
Respiratory | Tachypnea (> 70 breaths/min in preterm babies, > 60 breaths/min in neonates at term) |
Subcostal and/or intercostal retractions | |
Grunting | |
Apnea > 10 seconds | |
Haemodynamic | Cyanosis |
Pallor | |
Hypotension (blood pressure < 2 SD of the mean for age and weight) | |
Tachycardia (> 180 beats/min) | |
Bradichardia (< 100 beats/min in preterm babies, < 80 beats/min in neonates at term) | |
Digestive | Rejection of food |
Vomiting | |
Abdominal distention | |
Hepatomegaly | |
Poor peripheral perfusion | |
Haematological | Anaemia (haemoglobin < 10 g/dL in preterm babies, < 11 g/dL in neonates at term) |
Jaundice | |
Petechiae | |
Echymoses | |
Neurological | Hypotony |
Irritability | |
Letargy | |
Convulsions | |
Risk factors for infection | Spontaneous premature delivery |
Time of membrane rupture > 18 h | |
Intrapartum maternal fever > 38°C | |
Clinical chorioamnionitis (two of the following criteria: maternal fever, foetal tachycardia >140 bpm, purulent or foul-smelling amniotic fluid, uterine tenderness) | |
Previous offspring with GBS infection | |
Maternal group B streptococci colonisation | |
Prenatal use of corticosteroids |