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

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。

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.