[Therapy of neonatal infection caused by group B beta-hemolytic Streptococcus]

Pediatr Med Chir. 1995 Jul-Aug;17(4):305-6.
[Article in Italian]

Abstract

Expectant therapy for early Group B Streptococcus onset septicemia must provide coverage against other microorganism, such as L. Monocytogenes, H. Influenzae and S. Pneumoniae. It is possible to administer a combination of antimicrobial agents with activity against all or the most likely pathogens. Thus initial expectant therapy includes a broad spectrum semisynthetic penicillin (e.g. ampicillin) and an aminoglycoside (e.g. netilmicin). Vancomicin, teicoplanin and cefotaxime may also be used. Supportive therapy consists on temperature control, i.v. administration of fluids, acid-base balance and electrolytes monitoring, seizures control and ventilation. IV immunoglobulins, granulocyte and serum transfusion are also used. The G-Colony Stimulating Factor (G-CSF, filgastrim) usage is also reported.

Publication types

  • English Abstract

MeSH terms

  • Age Factors
  • Anti-Bacterial Agents
  • Blood Transfusion
  • Drug Therapy, Combination / therapeutic use
  • Granulocyte Colony-Stimulating Factor / immunology
  • Humans
  • Immunoglobulins, Intravenous / therapeutic use
  • Immunotherapy
  • Infant, Newborn
  • Monitoring, Physiologic
  • Respiration, Artificial
  • Streptococcal Infections / therapy*
  • Streptococcus agalactiae*

Substances

  • Anti-Bacterial Agents
  • Immunoglobulins, Intravenous
  • Granulocyte Colony-Stimulating Factor