Infectious Diseases

Good afternoon members, I have a strange issue. I have received a 6 weeks old infant, transferred from another hospital, normal vaginal delivery to a G2 P2 mother, with no significant antenatal history(heresay), birth weight being 2.5kg, no other anthropometry available. Baby was discharged but taken to the hospital in view of poor feeding, admitted with a diagnosis of sepsis based on thrombocytopenia(48,000), high CRP but negative culture. Hewas discharged after 5 days of iv cefipime but returned to the hospital after 10 days with breathlessness. He was again investigated, found to be thrombocytopenic and anemic and was transfused with platelets and packed cells, u…

Hi 99ers, Those LBW preterm infants with PICC lines for parenteral fluids, do you perform routine CRPs/infection markers in the otherwise well appearing infant? Many thanks Al

Dear all- I am posting this via the 99NICU app to test it!! But I am also interested to know what strength Chlorhexidine people use prior to central line insertion in ELBW infants and 23 (?22?) to 25 weeks??? Thanks in advance! Best wishes Vicky x

This might be useful to some, covers paediatrics and some neonates. "Waiting until 48 hours to stop antibiotic therapy in all children is an outdated approach. Research shows that 90% of bacteria will have grown by 24 hours and 95% by 36 hours. In children with low BSI suspicion, stopping antibiotics at 24–36 hours with good safety-netting advice avoids unnecessary hospitalisation without jeopardising patient safety" https://ep.bmj.com/content/edpract/106/4/244.full.pdf Just for fun.......anyone stopping at 24 hours?

In case the mother serology unknown, what are you doing in case of extreme premature babies than 1000g?? Are you give HBIg and vaccine to these babies within 12 hr Sent from my Redmi Note 9 Pro using Tapatalk

Hi everyone ! CMV controversy again - who performs systematic CMV screening in pregnancy? - does anyone give antiviral drug (valaciclovir) during early pregnancy in case of maternal primary infection, in order to prevent vertical transmission? https://www.sciencedirect.com/science/article/abs/pii/S0140673620318687?via%3Dihub

Former 27 weeker, 895 gram male (now 1700+ and 36 and 6/7). STAT C-section for abruption, Apgars 1/3/5. Suspected antepartum anoxia/hypoxemia based on blood gases. Developed renal failure, elevated transaminases, etc. Very difficult respiratory mgmt, at 2 months of life, still on 5LPM HFNC and 50% FiO2 which is far outside the norm for us. This weekend, increased frequency and severity of apnea prompted a septic workup, including viral respiratory panel by RT-PCR. Negative for all the common resp viruses (including RSV, metapneumo, and flu), negative blood culture (now day 3), but positive for SARS-CoV-2. Tested mother, negative at admission, positive now. We…

Is there a role for FFP in the management of sclerema neonatorum?

Dear Colleagues In extreme preterm babies who failed hearing screening at the time of discharge. do you screen these babies for cyotmegalovirus infection although the age is 2-4 months old?

Hi Do you use beta glucan to assess for possible fungal infections?