Document Detail


Early onset group B streptococcus neonatal septicemia and respiratory distress syndrome: characteristic features of assisted ventilation in the first 24 hours of life.
MedLine Citation:
PMID:  7004777     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Clinical features and assisted ventilation (AV) aspects of 10 neonates with early onset group B streptococcus (GBS) septicemia were compared with those of 12 randomly selected newborns with severe respiratory distress syndrome (RDS). Initial chest radiograph in the GBS group was interpreted as RDS in seven of 10 cases. Although 9 of the 10 neonates with early onset GBS were preterm, they were of a significantly higher mean birth weight (p < 0.01) and the mean gestational age (p < 0.005). The duration of rupture of fetal membranes was not significantly different between the two groups. Contrary to neonates with severe RDS, who gradually developed hypoxia necessitating AV, the neonates with early onset GBS required AV because of persistent apnea, shock, and respiratory insufficiency. During the first 24 h of life, neonates with early onset GBS were more acidotic, had significantly higher PaCO2 and lower PaO2 values, and required significantly higher peak inspiratory pressure (PIP) on the respirator (po < 0.01) while on AV, although the oxygen requirement was similar.
Authors:
H D Modanlou; S K Bosu; M H Weller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Critical care medicine     Volume:  8     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:  1980 Dec 
Date Detail:
Created Date:  1981-03-17     Completed Date:  1981-03-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  716-20     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Diagnosis, Differential
Gestational Age
Humans
Hyaline Membrane Disease / radiography
Infant, Newborn
Infant, Newborn, Diseases / radiography,  therapy*
Infant, Premature, Diseases / radiography,  therapy
Respiration, Artificial*
Respiratory Distress Syndrome, Newborn / radiography,  therapy*
Streptococcal Infections / radiography,  therapy*
Streptococcus agalactiae

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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