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Z Geburtshilfe Neonatol 2023; 227(06): 421-428
DOI: 10.1055/a-2125-1233
Übersicht

Update Perioperative Antibiotikaprophylaxe in der Neonatologie

Update Perioperative Antibiotic Prophylaxis in Neonatology
Arne Simon 
1   Pädiatrische Onkologie und Hämatologie, Universitätsklinikum Homburg, Homburg, Germany
,
Clemens Magnus Meier
2   Klinik für Allgemeine Chirurgie, Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinikum Homburg, Homburg, Germany
,
Yeliz Baltaci
1   Pädiatrische Onkologie und Hämatologie, Universitätsklinikum Homburg, Homburg, Germany
,
Rachel Müller
1   Pädiatrische Onkologie und Hämatologie, Universitätsklinikum Homburg, Homburg, Germany
,
Solvej Agneta Heidtmann
1   Pädiatrische Onkologie und Hämatologie, Universitätsklinikum Homburg, Homburg, Germany
,
Michael Zemlin 
3   Klinik für Allgemeine Pädiatrie und Neonatologie, Universität des Saarlandes, Saarbrücken, Germany
,
Hanna Renk
4   Institut für Medizinische Mikrobiologie und Hygiene, Universitäts-Kinderklinik Tübingen, Tübingen, Germany
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Zusammenfassung

In dieser Übersicht werden Grundprinzipien der perioperativen Antibiotikaprophylaxe (PAP) bei Früh- und Reifgeborenen diskutiert und es wird auf einige Besonderheiten bei den Indikationen und der Dosierung der PAP eingegangen. Auch wenn intensivmedizinisch behandelte Neugeborene eine vulnerable Patientengruppe darstellen, soll die PAP in ihrem Wirkspektrum gezielt und in der Regel nicht länger als 24 Stunden verabreicht werden.

Abstract

This narrative review discusses basic principles of the perioperative antibiotic prophylaxis (PAP) in premature and at term newborns and refers to some particularities concerning the indication and dosing issues. Although this is a vulnerable patient population, the spectrum of activity should not be unnecessarily broad and the regular PAP must not be prolonged beyond 24 hours.

Schlüsselwörter

Perioperative Antibiotikaprophylaxe - Frühgeborene - Neugeborene - neonatologische Intensivmedizin

Key words

perioperative antibiotic prophylaxis - preterms - newborns - neonatologic intensive care


Publication History

Received: 23 April 2023

Accepted after revision: 03 July 2023

Article published online:
14 August 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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