1例B族链球菌感染早产儿的围生期护理

doi:10.3761/j.issn.0254-1769.2022.16.010

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (16): 1983-1986.DOI: 10.3761/j.issn.0254-1769.2022.16.010

1例B族链球菌感染早产儿的围生期护理

吴陆萍(), 胡小黎, 王玉鹏, 冯素文()

310006 杭州市浙江大学医学院附属妇产科医院产六科（吴陆萍，胡小黎，王玉鹏），护理部（冯素文）

收稿日期:2022-02-10 出版日期:2022-08-20 发布日期:2022-08-08
通讯作者: 冯素文，E-mail：fengsw@zju.edu.cn
作者简介:吴陆萍：女，本科（硕士在读），主管护师，E-mail：5610027@zju.edu.cn
基金资助:
浙江省卫生健康科技计划项目(2022RC041)

Nursing care of a premature infant infected by group B streptococcus

WU Luping(), HU Xiaoli, WANG Yupeng, FENG Suwen()

Received:2022-02-10 Online:2022-08-20 Published:2022-08-08

摘要/Abstract

摘要：

总结1例B族链球菌（group B streptococcus，GBS）感染早产儿的围生期护理经验。护理要点:孕期筛查、产时预防性使用抗生素，降低早发型GBS感染发生率;启动高危预警，警惕早发型GBS感染;早期识别晚发型GBS感染症状，提高治疗、抢救成功率;加强基础护理，预防呼吸机相关并发症;开展个性化母乳喂养指导，避免GBS感染复发;提供针对性的健康教育，提高患儿家长对GBS感染的认知。经过40 d积极治疗与精心护理，患儿痊愈出院，随访至纠正月龄6个月，患儿疾病未复发，生长发育良好。

关键词: 婴儿, 早产, 无乳链球菌, 菌血症, 母乳喂养, 新生儿护理

Abstract:

To summarize the nursing experience of a premature infant infected by late onset group B streptococcus. Nursing points include:using intrapartum antibiotic prophylaxis administration to reduce the incidence of early-onset infections;establishing a high-risk alert for early-onset group B streptococcal infection;improving the ability to identify early signs of disease to increase the success rate of treatment and rescue;strengthening basic nursing to prevent ventilator-related complications;providing personalized breastfeeding guidance to avoid recurrent group B streptococcal infection;providing targeted health education to reduce the maternal and child hazards related to group B streptococcus disease. The newborn was discharged after 40 days’ active treatment and careful nursing care. Followed up to 6 months of corrected age，the newborn grows well with no recurrent group B streptococcal infection.

Key words: Infants, Premature, Streptococcus Agalactiae, Bacteremia, Breast Feeding, Neonatal Nursing

吴陆萍, 胡小黎, 王玉鹏, 冯素文. 1例B族链球菌感染早产儿的围生期护理[J]. 中华护理杂志, 2022, 57(16): 1983-1986.

WU Luping, HU Xiaoli, WANG Yupeng, FENG Suwen. Nursing care of a premature infant infected by group B streptococcus[J]. Chinese Journal of Nursing, 2022, 57(16): 1983-1986.

参考文献 11

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1例B族链球菌感染早产儿的围生期护理

Nursing care of a premature infant infected by group B streptococcus

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