{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:41:18Z","timestamp":1747183278316,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:00:00Z","timestamp":1628553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>While infants with early\u2010onset sepsis require antibiotics, there is little evidence to support their routine use in asymptomatic infants exposed to maternal chorioamnionitis. We aimed to ascertain the incidence of culture\u2010proven sepsis in full\u2010term infants exposed to chorioamnionitis and to determine whether asymptomatic infants need routine antibiotic treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was retrospective. Included were all full\u2010term infants admitted to our neonatal intensive care unit between 1\u00a0January 2017 and 31\u00a0May 2018 who were given intravenous antibiotics for maternal chorioamnionitis. After identifying eligible infants, relevant maternal and infant data were collected from our medical records and the Neonatal Intensive Care Units Database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We selected 167 term infants from 7736 deliveries. The incidence of chorioamnionitis was 21 per 1000 deliveries. The mean gestational age was 39\u00a0weeks (range 37\u201341), and 57% infants were male. Asymptomatic infants (76%) received intravenous antibiotics for an average of 2\u00a0days compared to 4\u00a0days in the symptomatic group (24%), <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001. No infant died or developed culture\u2010positive sepsis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The risk of early\u2010onset sepsis in well\u2010appearing term infants of mothers with chorioamnionitis is low. Further studies are mandatory to determine whether asymptomatic infants of mothers with clinical chorioamnionitis need antibiotic treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16059","type":"journal-article","created":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T18:21:45Z","timestamp":1628274105000},"page":"3000-3005","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Asymptomatic full\u2010term infants born to women with chorioamnionitis may not need routine antibiotics"],"prefix":"10.1111","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2822-9005","authenticated-orcid":false,"given":"Nakul","family":"Kothari","sequence":"first","affiliation":[{"name":"Department of Neonatology Westmead Hospital Westmead NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Dsouza","sequence":"additional","affiliation":[{"name":"Department of Neonatology 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