Infectious Diseases

When the neonate presents with scelerema the prognosis is guarded.Do you treat with antibiotics, FFP ,IV gamma or with exchange transfusion? We recently admitted 2 noenates with septic shock who presented with scelerema witin 36 hrs after birth. Bactec c&s grew organism and hence antibiotics were started along with ionotroes. Both of them went downhill and while the were on ventilator, Double volume exchange was done. It helped both the babies. Please share your views dr.selvan Erode. India

Is lumbar puncture necessary in a high risk for sepsis,clinically well term newborn ?

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