Infectious Diseases

We get into a tight corner when we have a sick septic baby who is going downhill even with good cover. And we get a C&S report of Suction tip or ET Tube pointing to another bug and some other sensitive drug. How can we differentiate colonisation from infection with the bug in these situation? Your input is valuable. selvan.r

I'm looking for an anaerobic coverage in a baby with meropenem. Found it "incompatible"...in some references. Is this about the inyection site or a drug interaction ? Thanks...Regards.Leonora.

Hello. An request from Ecuador. Somebody knows about the handling of new borns of mothers with infection AH1N1. In the same way, somebody knows the handling of a new born one infected with infection AH1N1. Sincerely, Fernando Agama C. Hospital "Dr. Enrique Garcés" Quito-Ecuador

I work in a large NICU but when I am not needed for a shift I will go relieving , often to the pediatric ocology unit. There, when sepsis is being treated , antibiotics will be infused into each lumen of a cvl on a regular basis .The care plan will indicate whether the Gentamycin goes in the blue or yellow lumen at a particular time eg . There is literature to support this practice . If both lumens are not cleared of infection before antibiotics are discontinued , the infection will simply recur . When I mentioned this practice to my colleagues in NICU , they look at me like I am possessed and over several years ,with me supplying supporting documetation ,nothing has eve…

we had 2 newborns prentong with culture proven staph sepsis. they had colour change to black pigmentation while on drugs. any strain which causes colour change?

Hello! We are wondering about our vaccination scheme for our preterm babies. That preterm babies have a higher risk to suffer from a invasive infection is a well known problem. To protect this children for example the American Academy of Pediatrics, the Department of Health in GB and the STIKO in Germany recommend to start the vaccination schedule early (for example 8 weeks of live). The vaccinations schemes includes diphtheria, tetanus, acellular pertussis, Haemophilus influenzae type b, hepatitis B, poliovirus, and pneumococcal conjugate vaccines. I would be thankful to hear/read, how your vaccination schedule looks like and what kind of vaccine you are using. …

Has any experienced increased infections since beginning to use Giraffe humidification? How long do you generally use humidity for infants < 26 weeks? Thanks for your replies, Susan Young

DearNICU friends. I want to know your opinion about take a Urine culture like a control of antibiotic response in such cases of urine infections. Does this decision is really helpfull or we are waisting time and money. thanks a lot for your help Manuel

i am wondering where you put your infants ventilation bags. Our nursing staff puts them inside the isolette or radiant warmer bed. Mostly you can find them hanging around at the end of the bed (feet). Sometimes the dedicated mask is connected to the bag, sometimes it is put in a different place of the same bed. Our bags and masks are changed every 7 days together with the vent. circuits for infection control. The rationale for that practice is that most of our nurses believe, that they can find and handle the bags faster and easier as if they were placed outside the beds, attached or clamped on the side of the bed or isolette where one can easily grab them if needed. N…

Dear Colleagues, Most of us on suspicion of neonatal blood stream bacterial infection initiate antibiotic therapy and stop it if the blood cultures are negative and the baby is well (usually 48 hours), but what there does not seem to be a consensus is as to how long antibiotic therapy should be continued in culture proven blood stream infection (not meningitis or osteomyelitis) or culture negative but clinically suspected or surrogate marker supported blood stream infection. In our survey of 210 neonatal units in UK some years ago the range varied from 5 to 21 days! What I would like to know from colleagues is; 1. How long do you give antibiotics in culture proven b…