Affiliation:
1. Department of Neonatology Children's Hospital Capital Institute of Pediatrics Beijing China
2. Capital Institute of Pediatrics Beijing China
3. Children's Hospital Capital Institute of Pediatrics Chinese Academy of Medical Sciences & Peking Union Medical College Beijing China
Abstract
AbstractBackgroundEarly identification of pathogenic bacteria and monitoring residual status are essential for accurate treatment of neonatal bacterial meningitis (NBM).MethodsClinical data and specimens were collected from neonates with NBM. Bacterial cultures and RT‐PCR of blood and cerebrospinal fluid (CSF) were compared to assess the positivity rate, sensitivity and specificity of each method.ResultsRT‐PCR had a higher positivity rate compared with cultures, regardless of whether antibiotics had been used prior to specimen collection. After 1 week of regular antibiotic treatment, the number of pathogen DNA copy numbers in CSF was either undetectable or significantly reduced compared with previous levels.ConclusionsRT‐PCR is expected to provide a basis for the precise application of antibiotics and the course of treatment for NBM, particularly in patients with negative cultures or those who have already been treated with antibiotics.