Table 4.
ID | GA (w, d) |
Max. Maternal Temp. (°C) |
ROM (hrs) |
GBS Status |
Maternal Antibiotics |
Infant Exam |
Infant Culture Pathogen* |
Probability of EOS |
Calculator Recommendation |
---|---|---|---|---|---|---|---|---|---|
Identified by categorical approach only | |||||||||
1 | 37, 2 | 38.3 | 7.6 | Neg | Broad >4hrs | Well | L. monocytogenes | 0.22 | Routine VS |
2 | 39, 1 | 38.2 | 9.2 | Pos | GBS IAP | Well | A. neurii (cord) | 0.27 | Routine VS |
3 | 40, 6 | 38.1 | 3.3 | Neg | None | Well | S. gallolyticus | 0.30 | Routine VS |
4 | 39, 5 | 38.3 | 14.4 | Pos | GBS IAP | Well | S. mitis (cord) | 0.37 | Routine VS |
5 | 39, 0 | 38.1 | 14.3 | Neg | None | Well | S. mitis | 0.44 | VS Q4hrs ×24h |
6 | 39, 1 | 38.4 | 15.6 | Pos | GBS IAP | Well | E. coli | 0.45 | VS Q4hrs ×24h |
7 | 40, 2 | 38.1 | 17.1 | Neg | None | Well | E. faecalis | 0.48 | VS Q4hrs ×24h |
8 | 39, 6 | 38.0 | 26.7 | Pos | None | Well | S. agalactiae | 0.49 | VS Q4hrs ×24h |
9 | 41, 5 | 38.7 | 21.5 | Neg | Broad >4hrs | Well | S. agalactiae (cord) | 0.61 | VS Q4hrs ×24h |
10 | 39, 6 | 38.1 | 38.0 | Neg | None | Well | S. viridans | 0.68 | VS Q4hrs ×24h |
11 | 39, 1 | 39.1 | 24.0 | Neg | Broad >4hrs | Well | S. anginosus (cord) | 0.80 | VS Q4hrs ×24h |
12 | 35, 3 | 36.6 | 0.0 | Pos | None | Equi. | S. viridans | 0.98 | Routine VS |
Not identified by either approach | |||||||||
1 | 38, 3 | 37.4 | 11.9 | Pos | GBS IAP | Well | S. aureus (csf) | 0.09 | Routine VS |
2 | 41, 5 | 37.9 | 16.5 | Neg | None | Well | S. aureus | 0.51 | VS Q4hrs ×24h |
3 | 40, 6 | 37.2 | 0.8 | Neg | None | Well | S. gallolyticus | 0.05 | Routine VS |
4 | 40, 1 | 38.4 | 24.2 | Neg | None | Well | E. coli | 0.89 | VS Q4hrs ×24h |
5 | 39, 5 | 37.8 | 5.5 | Neg | None | Well | E. coli | 0.19 | Routine VS |
EOS: early onset sepsis; GA: gestational age; w: weeks; d: days; Max: maximum; Temp: temperature; ROM: rupture of membranes; hrs: hours; GBS:
Group B Streptococcus; Neg: Negative; Pos: Positive; Broad: broad spectrum antibiotics administered more than 4 hours before delivery; IAP:
intrapartum antibiotic prophylaxis; Equi: equivocal; csf: cerebral spinal fluid; VS: vital signs; Q4hrs × 24 hrs: every 4 hours for 24 hours.
Peripheral blood culture unless otherwise indicated in parentheses as cord blood or csf culture.