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Early-onset Sepsis Among Preterm Neonates in China, 2015 to 2018

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资源类型：
WOS体系：
Pubmed体系：

收录情况： ◇ SCIE

作者：
Jiang, Siyuan[1] * ; Hong, Luyang[1] ; Gai, Jianfang[2] ; Shi, Jingyun[3] ; Yang, Yi[4] ; Lee, Shoo K.[5,6,7,8,9] ; Cao, Yun[1,4] ; Ji, Yong[10] ; Han, Shuping[11] ; Wang, Sannan[12] ; Li, Zhankui[13] ; Xia, Shiwen[14] ; Yang, Changyi[15] ; Yang, Chuanzhong[16] ; Chen, Ling[17] ; Yuan, Jing[18] ; Liu, Ling[19] ; Yi, Bin[20] ; Lin, Zhenlang[21,22] ; Wang, Yang[23] ; Liu, Jiangqin[24] ; He, Ling[25] ; Li, Mingxia[26] ; Pan, Xinnian[27] ; Guo, Yan[28] ; Liu, Cuiqing[29] ; Zhou, Qin[30] ; Li, Xiaoying[31] ; Xiong, Hong[32] ; Qi, Yujie[33] ; Hei, Mingyan[34] ;
单位： [1]Fudan Univ, Childrens Hosp, Dept Neonatol, 399 Wanyuan Rd, Shanghai 201102, Peoples R China [2]Childrens Hosp Shanxi, Dept Neonatol, Taiyuan, Shanxi, Peoples R China [3]Gansu Prov Maternal & Child Hosp, Dept Neonatol, Lanzhou, Gansu, Peoples R China [4]Fudan Univ, NHC Key Lab Neonatal Dis, Shanghai, Peoples R China [5]Univ Toronto, Mt Sinai Hosp, Maternal Infant Care Res Ctr, Toronto, ON, Canada [6]Univ Toronto, Mt Sinai Hosp, Dept Pediat, Toronto, ON, Canada [7]Univ Toronto, Dept Pediat, Toronto, ON, Canada [8]Univ Toronto, Dept Obstet & Gynecol, Toronto, ON, Canada [9]Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada [10]Childrens Hosp ShanXi, Womens Hlth Ctr Shanxi, Taiyuan, Shanxi, Peoples R China [11]Nanjing Med Univ, Womens Hosp, Nanjing, Jiangsu, Peoples R China [12]Suzhou Municipal Hosp, Suzhou, Jiangsu, Peoples R China [13]Northwest Women & Childrens Hosp, Xian, Shaanxi, Peoples R China [14]Women & Childrens Hosp Hubei Prov, Wuhan, Hubei, Peoples R China [15]Fujian Med Univ, Affiliated Hosp, Fujian Prov Matern & Childrens Hosp, Fuzhou, Fujian, Peoples R China [16]Southern Med Univ, Affiliated Shenzhen Matern & Child Healthcare Hos, Guangzhou, Guangdong, Peoples R China [17]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Wuhan, Hubei, Peoples R China [18]Qingdao Women & Childrens Hosp, Qingdao, Shandong, Peoples R China [19]Guiyang Maternal & Child Hlth Care Hosp, Guiyang, Guizhou, Peoples R China [20]Gansu Prov Matern & Child Care Hosp, Lanzhou, Gansu, Peoples R China [21]Wenzhou Med Univ, Affiliated Hosp 2, Wenzhou, Zhejiang, Peoples R China [22]Wenzhou Med Univ, Yuying Childrens Hosp, Wenzhou, Zhejiang, Peoples R China [23]Anhui Med Univ, Affiliated Hosp 1, Hefei, Anhui, Peoples R China [24]Tongji Univ, Sch Med, Shanghai Matern & Infant Hosp 1, Shanghai, Peoples R China [25]Jiangxi Prov Childrens Hosp, Nanchang, Jiangxi, Peoples R China [26]Xinjiang Med Univ, Affiliated Hosp 1, Urumqi, Xinjiang, Peoples R China [27]Maternal & Child Hlth Hosp Guangxi Zhuang Autonom, Nanning, Guangxi, Peoples R China [28]Nanjing Med Univ, Childrens Hosp, Nanjing, Jiangsu, Peoples R China [29]Childrens Hosp Hebei Prov, Shijiazhuang, Hebei, Peoples R China [30]Nanjing Med Univ, Affiliated Wuxi Matern & Child Hlth Hosp, Nanjing, Jiangsu, Peoples R China [31]Shandong Univ, Qilu Childrens Hosp, Jinan, Shandong, Peoples R China [32]Zhengzhou Univ, Childrens Hosp, Zhengzhou, Henan, Peoples R China [33]Capital Med Univ, Beijing Childrens Hosp, Beijing, Peoples R China [34]Cent South Univ, Xiangya Hosp 3, Changsha, Hunan, Peoples R China
出处：
DOI： 10.1097/INF.0000000000002492
ISSN：

关键词： early-onset sepsis preterm neonatal intensive care units epidemiology pathogens

摘要：
Background: The epidemiology of early-onset sepsis (EOS) in China is poorly understood because of the paucity of high-quality data. We aimed to examine the epidemiology, pathogen distribution and neonatal outcomes of EOS among a large cohort of preterm infants in China. Methods: All infants born at Results: Among 27,532 enrolled infants, 321 (11.7 cases per 1000 admissions) infants developed EOS, and 61 (19.0%) infants died within seven days after EOS onset. The incidence of EOS among inborn infants in 18 perinatal centers was 9.7 cases per 1000 live births <34 weeks' gestation (186/19,084). The case fatality rate was 22.6% (42/186). Gram-negative bacteria were responsible for 61.7% of EOS and 82.0% of EOS-related deaths. Escherichia coli (20.3%) was the leading pathogen, followed by Coagulase-negative staphylococcus (16.5%), Achromobacter xylosoxidans (9.0%) and Klebsiella pneumoniae (8.1%). Group B streptococci infections were relatively rare (2.5%). EOS was an independent risk factor for all-cause mortality and retinopathy of prematurity. Conclusions: There is a high burden of EOS among preterm infants in China with a distinctive pathogen distribution. Longitudinal epidemiologic monitoring, further investigation of causative pathogens and development of targeted strategies for prevention and treatment of EOS are needed.

基金：
China Medical Board [14-194]; Key Developing Discipline of the Shanghai Municipal Health Commission (Pediatrics) [2016ZB0101]; Canadian Institutes of Health Research [CTP 87518]
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2018]版：
大类 | 3 区 医学
小类 | 2 区 儿科 4 区 免疫学 4 区 传染病学
最新[2025]版：
大类 | 4 区 医学
小类 | 3 区 儿科 4 区 免疫学 4 区 传染病学
JCR分区：
出版当年[2017]版：
Q2 PEDIATRICS Q3 INFECTIOUS DISEASES Q3 IMMUNOLOGY
最新[2023]版：
Q1 PEDIATRICS Q2 INFECTIOUS DISEASES Q3 IMMUNOLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

第一作者：
第一作者单位： [1]Fudan Univ, Childrens Hosp, Dept Neonatol, 399 Wanyuan Rd, Shanghai 201102, Peoples R China
通讯作者：
通讯机构： [1]Fudan Univ, Childrens Hosp, Dept Neonatol, 399 Wanyuan Rd, Shanghai 201102, Peoples R China [4]Fudan Univ, NHC Key Lab Neonatal Dis, Shanghai, Peoples R China
推荐引用方式(GB/T 7714)：
Jiang Siyuan,Hong Luyang,Gai Jianfang,et al.Early-onset Sepsis Among Preterm Neonates in China, 2015 to 2018[J].PEDIATRIC INFECTIOUS DISEASE JOURNAL.2019,38(12):1236-1241.doi:10.1097/INF.0000000000002492.
APA：
Jiang, Siyuan,Hong, Luyang,Gai, Jianfang,Shi, Jingyun,Yang, Yi...&Hei, Mingyan.(2019).Early-onset Sepsis Among Preterm Neonates in China, 2015 to 2018.PEDIATRIC INFECTIOUS DISEASE JOURNAL,38,(12)
MLA：
Jiang, Siyuan,et al."Early-onset Sepsis Among Preterm Neonates in China, 2015 to 2018".PEDIATRIC INFECTIOUS DISEASE JOURNAL 38..12(2019):1236-1241

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