Document Detail


Perinatal antibiotic exposure of neonates in Canada and associated risk factors: a population-based study.
MedLine Citation:
PMID:  25053193     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objective: Describe neonatal antibiotic exposures occurring immediately before and after birth, and their associated risk factors. Methods: A retrospective review of the hospital charts of 449 mother-neonate pairs enrolled in the Canadian Healthy Infant Longitudinal Development (CHILD) national birth-cohort study was conducted at two tertiary hospitals and one rural hospital in Manitoba, Canada. The main outcome measures included: Maternal and neonatal antibiotic use during the perinatal period; indications for antibiotic use, including suspected neonatal sepsis, maternal group B Streptococcus (GBS), premature rupture of membranes, and caesarean-section; maternal health status, focusing on gestational hypertension, gestational diabetes, obesity, and primigravida pregnancies. Results: During the perinatal period, 45.0% of neonates were exposed to antibiotics. Intravenous penicillin G (17%) and cefazolin (16%) were the most commonly-administered intrapartum antibiotics. Colonization with GBS was confirmed in 21.2% of women and treated with antibiotics in 86% of cases. Overweight women and women with hypertension were significantly more likely to receive intrapartum antibiotics for caesarean section or GBS prophylaxis. Antibiotic treatment of the neonate was highest following emergency caesarean section (12%) or unknown maternal GBS status (20%). Conclusions: Neonates in Canada are routinely exposed to antibiotics during the perinatal period.
Authors:
Ryan R Persaud; Meghan B Azad; Radha S Chari; Malcolm R Sears; Allan B Becker; Anita L Kozyrskyj
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-7-23
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-7-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-20     Citation Subset:  -    
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