Treatment strategies for neonatal pulmonary morbidity in Europe] |
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Authors: | L Desnoulez J Empana M Anceschi G Breart P Truffert |
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Affiliation: | 1. Service de médecine néonatale, hôpital Jeanne-de-Flandre, 59037 Lille, France;2. Unité de recherche Inserm, U149 Paris, France;3. 2nd institute of Gynecology and Obstetrics, University “La Sapienza”, Rome, Italy;1. Service de néonatologie, hôpital des enfants, CHU de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse, France;2. Inserm UMR 1027, université Paul Sabatier, 37, allées Jules-Guesde, 31062 Toulouse, France;3. Service de gynécologie-obstétrique, hôpital Paule-de-Viguier, CHU de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse, France;1. Département d’obstétrique et gynécologie, CHU de Saint-Etienne, hôpital Nord, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez, France;2. EA 3065, Groupe de Recherche sur la Thrombose, université Jean-Monnet, 42055 Saint-Etienne, France;1. University of Utah School of Medicine, Department of Obstetrics and Gynecology, Salt Lake City, Utah;2. University of Washington School of Medicine, Departments of Family Medicine and Obstetrics & Gynecology, Seattle, Washington;1. Réanimation néonatale et néonatologie, CHI de Créteil, 40, avenue de Verdun, 94000 Créteil, France;2. Médecine néonatale et réanimation polyvalente, CHU de Reims, 45, rue Cognacq-Jay, 51100 Reims, France;3. Département d’anesthésie pédiatrique, CHU de Reims, 45, rue Cognacq-Jay, 51100 Reims, France;1. Service de pédiatrie et de prévention infantile, centre hospitalier d’ESSOS, Caisse nationale de prévoyance sociale, Yaoundé 5777, Cameroun;2. Centre de santé catholique Afrique Future Déo Gracias, Yaoundé, Cameroun;1. Department of Obstetrics and Gynecology, Wilhelmina Children’s Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands;2. Department of Obstetrics, Wilhelmina Children’s Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands;3. Department of Neonatology, Wilhelmina Children’s Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands |
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Abstract: | OBJECTIVES: To survey practices in 14 European countries and to describe strategies for the prevention and treatment of pulmonary morbidity in very preterm newborns. METHODS: Questionnaires covering the use of prenatal steroids, surfactant and postnatal steroids were sent in 1999-2000 to every neonatal unit taking very preterm newborns in charge in population-based areas covering at least 20,000 births annually. One questionnaire was sent by surveyed unit. RESULTS: Results are given concerning these three treatments and compared to evidence based recommendations. CONCLUSION: Antenatal steroids were given at recommended terms. Surfactant was prescribed with respect of best practices. Postnatal steroids utilisation was not well described. |
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