Document Detail


Gram's stains of tracheal secretions predict neonatal bacteremia.
MedLine Citation:
PMID:  6206719     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The presence of bacteria in tracheal secretions stained by the Gram method was evaluated as a method of predicting neonatal bacteremia. The presence of bacteria had a 74% sensitivity and a 47% predictive accuracy in identifying neonates with bacteremia before 12 hours of age. The specificity in predicting newborns without bacteremia was 98%. In the same neonates, an immature neutrophil-total neutrophil ratio of 0.2 or more had a 77% sensitivity in predicting neonates with bacteremia. Neonates with bacteria in their blood and tracheal aspirates, who died shortly after birth, had pneumonia on postmortem examination. In newborns who have respiratory distress and a risk of infection at birth, Gram's stains of tracheal secretions are a practical and useful method of predicting congenital bacteremia.
Authors:
M P Sherman; K H Chance; B W Goetzman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of diseases of children (1960)     Volume:  138     ISSN:  0002-922X     ISO Abbreviation:  Am. J. Dis. Child.     Publication Date:  1984 Sep 
Date Detail:
Created Date:  1984-09-26     Completed Date:  1984-09-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370471     Medline TA:  Am J Dis Child     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  848-50     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Bacteria / isolation & purification*
Bacteriological Techniques*
Bacteroides Infections / congenital,  diagnosis
Bacteroides fragilis / isolation & purification
Escherichia coli Infections / congenital,  diagnosis
Gentian Violet
Haemophilus Infections / congenital,  diagnosis
Humans
Infant, Newborn
Phenazines
Pneumococcal Infections / congenital,  diagnosis
Pneumonia / congenital,  diagnosis
Sepsis / congenital*,  diagnosis
Staining and Labeling*
Streptococcal Infections / congenital*,  diagnosis
Streptococcus agalactiae / isolation & purification
Streptococcus pneumoniae / isolation & purification
Trachea / microbiology*
Chemical
Reg. No./Substance:
0/Gram's stain; 0/Phenazines; 548-62-9/Gentian Violet

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