Player is loading...

Embed

Copy embed code

Transcriptions

Note: this content has been automatically generated.
00:00:00
so I want to start with the first
00:00:04
question and do you have explanation for
00:00:07
the low incidence and sort of landfalls
00:00:09
only on footsteps expect of the data
00:00:12
historical data and no hope I would like
00:00:17
but I don't we look at GBS of course
00:00:19
that scene because it's the pattern
00:00:22
where we have prevention strategies so
00:00:26
compared the data to other countries and
00:00:29
actually the proportion of GBS among
00:00:33
episodes of the audience its is similar
00:00:35
and Switzerland compared to other
00:00:37
countries so we have a low incidence of
00:00:40
audiences but it's not only do two Gs we
00:00:44
also have a low incidence of e.coli
00:00:45
early-onset sepsis so it's probably due
00:00:51
to prenatal care i guess
00:00:53
hi access to prenatal care might be an
00:00:56
explanation
00:00:58
otherwise I don't have in idea may I
00:01:04
give a comment to this just what could
00:01:07
be hearings and don't you check we have
00:01:09
four neonatology we have to apply the
00:01:12
very strong definition of sepsis and
00:01:15
some other papers and summarizing the
00:01:20
incidence of steps in your nature not so
00:01:23
strong definitions and these could be
00:01:25
one point that we have a lower incidence
00:01:28
because we have four more states
00:01:29
election and the other thing is we are
00:01:32
not pretty sure what is the coverage of
00:01:35
of all the United sensations Richmond
00:01:37
with these studies know so regarding the
00:01:42
first comment other studies have
00:01:44
included cases of meningitis with- got
00:01:48
cultures but that would increase if we
00:01:50
do if we would imagine that it would
00:01:53
increase our numbers by around ten
00:01:55
percent so that doesn't explain a a
00:01:59
two-fold difference and of course we
00:02:06
i mean the the 10 centers do not include
00:02:11
all patients into two rounds of them
00:02:13
could be a little by yourself
00:02:18
Anita too so there are no guidelines
00:02:30
went to do a lumbar puncture I mean
00:02:32
there are no formal guidelines i mean in
00:02:38
general in the literature people
00:02:39
recommend to do well under pressure when
00:02:42
blood cultures are positive when the
00:02:45
patient is very sick which is very kind
00:02:50
of vague and when the patient has
00:02:53
neurologic symptoms
00:02:55
yes how we did not record that in the
00:03:01
study but this matches the literature
00:03:05
neonatal sepsis in general is associated
00:03:09
with a ten percent rate of meningitis
00:03:10
but culture if you have many Jackie's a
00:03:22
positive blood culture it's not in this
00:03:24
table please
00:03:34
what is interesting talk i have a
00:03:37
question to the risk of mortality in the
00:03:40
hospital acquired late-onset sepsis
00:03:43
group you showed that the more premature
00:03:45
baby is that the bigger risk of
00:03:47
mortality and you also said countdown
00:03:52
Ramona's have a big risk
00:03:54
whatwhat to the other pathogens ok yeah
00:03:59
so the domain killers in your study
00:04:02
where stories and e.coli number one and
00:04:06
two
00:04:08
staphylococcus sepsis in a study had
00:04:10
twenty-five percent mortality so it was
00:04:13
really a on top and about eighty percent
00:04:17
of mortality was explained by stories
00:04:20
ecoli coagulase-negative staphylococci
00:04:23
and GPS so the first four and of course
00:04:28
for candida and pseudomonas we cannot
00:04:30
really see because they are so few cases
00:04:32
so babies died premature babies because
00:04:36
of a core class negative staphylococcal
00:04:39
infection where the this would not
00:04:41
really the in agreement with the
00:04:44
literature because previous studies have
00:04:49
shown that girl has negative
00:04:50
staphylococci is not associated with
00:04:52
increased mortality but with brain
00:04:55
damage for study i would have to I mean
00:04:58
this is ongoing analyzes so we would
00:05:00
have to look at that because we recorded
00:05:04
total deaths but we also recorded death
00:05:06
related to sepsis so that's ongoing
00:05:09
analyzes Eric thank you very very much
00:05:13
for this interesting topic and I think
00:05:17
there will be plenty of questions during
00:05:18
the lunch meeting
00:05:19
I think we have to finish the session we
00:05:24
will have a very short business meeting
00:05:26
that is exclusively for the members of

Share this talk: 


Conference Program

Welcome Words
M. Roth-Kleiner, R. Arlettaz Mieth
Jan. 10, 2017 · 9:33 a.m.
659 views
Short Reports Introduction
E. Giannoni, T. Karen, Resp. Lausanne, Zürich
Jan. 10, 2017 · 9:38 a.m.
138 views
Association of Axonal Injury and Preeclampsia
Katrina Evers, Neonatology UKBB
Jan. 10, 2017 · 9:39 a.m.
307 views
Q&A - Association of Axonal Injury and Preeclampsia
Katrina Evers, Neonatology UKBB
Jan. 10, 2017 · 9:44 a.m.
158 views
Retinopathy of Prematurity
Roland Gerull, Bern
Jan. 10, 2017 · 9:47 a.m.
293 views
Q&A - Retinopathy of Prematurity
Roland Gerull, Bern
Jan. 10, 2017 · 9:54 a.m.
138 views
Parechovirus Infection: A Rare Cause of Neonatal Encephalitis (in French)
Dr Truant AS, Cheffe de clinique, Néonatologie, CHUV, Lausanne
Jan. 10, 2017 · 9:59 a.m.
549 views
Q&A - Parechovirus Infection: A Rare Cause of Neonatal Encephalitis
Dr Truant AS, Cheffe de clinique, Néonatologie, CHUV, Lausanne
Jan. 10, 2017 · 10:04 a.m.
126 views
Genetic Susceptibility to Neonatal Group B Streptococcal Disease
Alessandro Borghesi, Fellay lab, EPFL
Jan. 10, 2017 · 10:17 a.m.
174 views
Q&A - Genetic Susceptibility to Neonatal Group B Streptococcal Disease
Alessandro Borghesi, Fellay lab, EPFL
Jan. 10, 2017 · 10:25 a.m.
Psychomotor Development in Children Prenatally Exposed to Methadone
G. Grand-Guillaume-Perrenoud, Pediatrics, Children's University Hospital Geneva
Jan. 10, 2017 · 10:27 a.m.
170 views
Q&A - Psychomotor Development in Children Prenatally Exposed to Methadone
G. Grand-Guillaume-Perrenoud, Pediatrics, Children's University Hospital Geneva
Jan. 10, 2017 · 10:34 a.m.
Introduction to Christoph Berger's Presentation
C. Kind, R. Gerull, Resp. St.Gallen, Bern
Jan. 10, 2017 · 10:37 a.m.
Vertical Infections: An Update
Christoph Berger, Zürich
Jan. 10, 2017 · 10:40 a.m.
439 views
Q&A - Vertical Infections: An Update
Christoph Berger, Zürich
Jan. 10, 2017 · 11:15 a.m.
Introduction to Eric Giannoni's Presentation
R. Pfister, S. Kämpfen, Resp. Geneva, Basel
Jan. 10, 2017 · 11:44 a.m.
147 views
Sepsis, Antibiotics and Resistances: Where Are We?
Christoph Bührer, Berlin
Jan. 10, 2017 · 2:21 p.m.
271 views
Use and Abuse of Antibiotics in Neonatology
Martin Stocker, Lucerne
Jan. 10, 2017 · 2:50 p.m.
467 views
Panel Discussion : Controversies on Use of Antibiotics in Neonatology
Martin Stocker, Christoph Berger, Eric Giannoni, Christoph Bührer
Jan. 10, 2017 · 3:10 p.m.
202 views
Introduction to Christoph Bührer's Presentation
Romaine Arlettaz Mieth , Neonatologist, Zürich, President of the Organizing Committee
Jan. 10, 2017 · 3:47 p.m.
120 views
Evidence-Based Haemodynamic Management in Neonatal Sepsis
Christoph Bührer, Berlin
Jan. 10, 2017 · 3:48 p.m.
638 views
Q&A - Evidence-Based Haemodynamic Management in Neonatal Sepsis
Christoph Bührer, Berlin
Jan. 10, 2017 · 4:16 p.m.
SwissNeoDose Project
Marc Pfister, Ped Pharmacology, UKBB
Jan. 10, 2017 · 4:20 p.m.
271 views