[Necrotizing enterocolitis. A study of forty-six cases seen in a maternity hospital].
Identifieur interne : 001673 ( Main/Exploration ); précédent : 001672; suivant : 001674[Necrotizing enterocolitis. A study of forty-six cases seen in a maternity hospital].
Auteurs : F. Lebrun ; C. Amiel-Tison ; C. SureauSource :
- La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris ; 1982.
Descripteurs français
- KwdFr :
- Coronaviridae (isolement et purification), Entérocolite pseudomembraneuse (), Entérocolite pseudomembraneuse (épidémiologie), Flambées de maladies (épidémiologie), Humains, Maladies du prématuré (épidémiologie), Maladies du prématuré (étiologie), Maladies néonatales (épidémiologie), Maladies néonatales (étiologie), Nouveau-né, Paris, Pronostic.
- MESH :
- isolement et purification : Coronaviridae.
- épidémiologie : Entérocolite pseudomembraneuse, Flambées de maladies, Maladies du prématuré, Maladies néonatales.
- étiologie : Maladies du prématuré, Maladies néonatales.
- Entérocolite pseudomembraneuse, Humains, Nouveau-né, Paris, Pronostic.
English descriptors
- KwdEn :
- Coronaviridae (isolation & purification), Disease Outbreaks (epidemiology), Enterocolitis, Pseudomembranous (epidemiology), Enterocolitis, Pseudomembranous (prevention & control), Enterocolitis, Pseudomembranous (therapy), Humans, Infant, Newborn, Infant, Newborn, Diseases (epidemiology), Infant, Newborn, Diseases (etiology), Infant, Premature, Diseases (epidemiology), Infant, Premature, Diseases (etiology), Paris, Prognosis.
- MESH :
- geographic : Paris.
- epidemiology : Disease Outbreaks, Enterocolitis, Pseudomembranous, Infant, Newborn, Diseases, Infant, Premature, Diseases.
- etiology : Infant, Newborn, Diseases, Infant, Premature, Diseases.
- isolation & purification : Coronaviridae.
- prevention & control : Enterocolitis, Pseudomembranous.
- therapy : Enterocolitis, Pseudomembranous.
- Humans, Infant, Newborn, Prognosis.
Abstract
Forty-six cases of necrotizing enterocolitis were seen at the Baudelocque maternity hospital from august 1978 to october 1980. In eighteen cases, clinical signs associated with roentgenograms showing pneumatosis led to unequivocal diagnosis. A surgical procedure was done in nine of these patients, during the acute stage in four and later on in five. Diagnosis was strongly suspected in twenty-eight cases. Clinical features were less serious and included abdominal distension, bloody stools, and emesis. There were no roentgenological signs. None of these infants underwent surgery. Overall mortality rate was 7% (3/46). In comparison to previously published studies, our series shows lower perinatal risk factors, higher mean birthweight, and lower prematurity rate (14%). No evidence was found to support the responsibility of a specific bacterial agent. Corona virus was found in the stools of five out of eleven cases studied during the second epidemic wave in october 1979, suggesting a possible viral etiology. Several preventive steps have been taken. Breast-feeding has been encouraged. Each mother-infant pair has been isolated instead of grouping infants in night nurseries. Staff members have been given specific information on the means of preventing contamination.
PubMed: 6293079
Affiliations:
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Le document en format XML
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A study of forty-six cases seen in a maternity hospital].</title><author><name sortKey="Lebrun, F" sort="Lebrun, F" uniqKey="Lebrun F" first="F" last="Lebrun">F. Lebrun</name></author><author><name sortKey="Amiel Tison, C" sort="Amiel Tison, C" uniqKey="Amiel Tison C" first="C" last="Amiel-Tison">C. Amiel-Tison</name></author><author><name sortKey="Sureau, C" sort="Sureau, C" uniqKey="Sureau C" first="C" last="Sureau">C. Sureau</name></author></analytic><series><title level="j">La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris</title><imprint><date when="1982" type="published">1982</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Coronaviridae (isolation & purification)</term><term>Disease Outbreaks (epidemiology)</term><term>Enterocolitis, Pseudomembranous (epidemiology)</term><term>Enterocolitis, Pseudomembranous (prevention & control)</term><term>Enterocolitis, Pseudomembranous (therapy)</term><term>Humans</term><term>Infant, Newborn</term><term>Infant, Newborn, Diseases (epidemiology)</term><term>Infant, Newborn, Diseases (etiology)</term><term>Infant, Premature, Diseases (epidemiology)</term><term>Infant, Premature, Diseases (etiology)</term><term>Paris</term><term>Prognosis</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Coronaviridae (isolement et purification)</term><term>Entérocolite pseudomembraneuse ()</term><term>Entérocolite pseudomembraneuse (épidémiologie)</term><term>Flambées de maladies (épidémiologie)</term><term>Humains</term><term>Maladies du prématuré (épidémiologie)</term><term>Maladies du prématuré (étiologie)</term><term>Maladies néonatales (épidémiologie)</term><term>Maladies néonatales (étiologie)</term><term>Nouveau-né</term><term>Paris</term><term>Pronostic</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Paris</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Disease Outbreaks</term><term>Enterocolitis, Pseudomembranous</term><term>Infant, Newborn, Diseases</term><term>Infant, Premature, Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Infant, Newborn, Diseases</term><term>Infant, Premature, Diseases</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Coronaviridae</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Coronaviridae</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Enterocolitis, Pseudomembranous</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Enterocolitis, Pseudomembranous</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Entérocolite pseudomembraneuse</term><term>Flambées de maladies</term><term>Maladies du prématuré</term><term>Maladies néonatales</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladies du prématuré</term><term>Maladies néonatales</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Infant, Newborn</term><term>Prognosis</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Entérocolite pseudomembraneuse</term><term>Humains</term><term>Nouveau-né</term><term>Paris</term><term>Pronostic</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Forty-six cases of necrotizing enterocolitis were seen at the Baudelocque maternity hospital from august 1978 to october 1980. In eighteen cases, clinical signs associated with roentgenograms showing pneumatosis led to unequivocal diagnosis. A surgical procedure was done in nine of these patients, during the acute stage in four and later on in five. Diagnosis was strongly suspected in twenty-eight cases. Clinical features were less serious and included abdominal distension, bloody stools, and emesis. There were no roentgenological signs. None of these infants underwent surgery. Overall mortality rate was 7% (3/46). In comparison to previously published studies, our series shows lower perinatal risk factors, higher mean birthweight, and lower prematurity rate (14%). No evidence was found to support the responsibility of a specific bacterial agent. Corona virus was found in the stools of five out of eleven cases studied during the second epidemic wave in october 1979, suggesting a possible viral etiology. Several preventive steps have been taken. Breast-feeding has been encouraged. Each mother-infant pair has been isolated instead of grouping infants in night nurseries. Staff members have been given specific information on the means of preventing contamination.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Amiel Tison, C" sort="Amiel Tison, C" uniqKey="Amiel Tison C" first="C" last="Amiel-Tison">C. Amiel-Tison</name><name sortKey="Lebrun, F" sort="Lebrun, F" uniqKey="Lebrun F" first="F" last="Lebrun">F. Lebrun</name><name sortKey="Sureau, C" sort="Sureau, C" uniqKey="Sureau C" first="C" last="Sureau">C. Sureau</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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