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   Diagnosis of congenital/perinatal infections by neonatologists: a national survey  
   
نویسنده Hwang Jung S. ,Friedlander Scott ,Rehan Virender K. ,Zangwill Kenneth M.
منبع journal of perinatology - 2019 - دوره : 39 - شماره : 5 - صفحه:690 -696
چکیده    Objectiveto describe the clinical approach used by neonatologists for diagnosis of congenital/perinatal infections (cpi); no such data currently exist.study designa national survey regarding the diagnosis of toxoplasma, syphilis, rubella, cytomegalovirus, and herpes simplex virus (hsv) infection in neonates.resultwe received 553 (11%) responses. central nervous system calcification or hydrocephalus was the commonest trigger to pursue a cpi diagnosis (98%); maternal history was the least frequent (67%). four hundred twenty-two (76%) used general screening such as “torch titer screen” (57%) or total igg or igm (39%). further evaluation targeted known clinical sequelae; but cerebrospinal fluid testing was used in only 65% of those suspected of having hsv or syphilis. fifty-six percent chose a treponemal instead of a non-treponemal test for syphilis. multivariable analyses did not identify factors associated with the clinical diagnostic approach.conclusionwe observed clinically important deviations from cpi diagnostic test recommendations in a national cohort of neonatologists.
آدرس Harbor-UCLA Medical Center, Department of Pediatrics, USA, Harbor-UCLA Medical Center, USA, Harbor-UCLA Medical Center, Department of Pediatrics, USA, Harbor-UCLA Medical Center, Department of Pediatrics, USA
 
     
   
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