Infectious Diseases

Late preterm baby 36 w , delivered by CS to IDM with no risk factor of sepsis Presented with RD after birth .? TTN ....can I start antibiotic from start till result of CBC , CRP appear and if negative I stop antibiotic within 48h or I should do also blood culture....or not start antibiotic from start.?

Here - an interesting commentary by Roger Soll on the Cochrane review update on "Prophylactic Systemic Antifungal Agents to Prevent Mortality and Morbidity in Very Low Birth Weight Infants" Published in Neonatology and with open access, free to read for all! I quite his take-home message below. http://www.karger.com/Article/FullText/353683#PD

HI all what the indication to give antifungal medication for premature baby as prevention?when you start ?dose?duration?which medication? thank

Pregnant woman with herpes zoster at 6th month , is there any risk in her baby which born at 33w

Dear all, I need your feedback regarding the following question. What's your practice if a woman is colonized with any of the following organism (Klebsiella, pseudomonas, serratia , enterobacter or acinetobacter) whether there is PROM OR NOT ? Do you do sepsis screen and start antibiotics or you just observe the baby or what? Best regards Dr. Alaa Specialist neonatology UAE

1.7kg neonate born to non consanguineous parents,one of the twins with antenatal diagnosis of intestinal obstruction was operated on day 2 of life.A jejunal web was found intraoperatively. Baby tolerated procedure well. Post-op baby was on antibiotics of piperacillin and Tazobactum, Amikacin and metrogyl.Baby was started on PICC line for Tpn.septic parameters were negative. Baby was started on feeds after 8 days and slowly escalated. After 3 wkd post op CRP became positive and blood culture grew coagulase negative Staph. Picc line removed Baby was started on Vancomycin . CRP though showed a downward trend in the first 5 days suddenly increased 4 fold.Again thorough evalua…

We frequently see mothers who are colonised with Ureaplasma and for that receive ABx with Erythromycin (with +/- success). Having a baby on the unit who was born preterm due to AIS caused by Ureaplasma (PCR confirmation) the old discussion about treatment of atypical bacterial infection in neonates was re-ingnited. Usually these infants receive a course of clarythromycin PO, however, the suspension causes frequent obstruction and thus requires replacement of the NGT. The data are still controversal about the requirement to treat these kind of infections. Therefore I would be interested in your practices, do you test, do you treat, if so, with what (macrolide ...) and ho…

Hello, an affectionate greeting. I would like to know if anyone has experience with the use of Sulfamethoxazole + Trimethoprim in newborns. In our NICU we have a blood culture which grew Stenotrophomonas Maltophilia that is sensitive to this product. Sincerely, Fernando Agama C. Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito-Ecuador

whats substituing ampicilin in sepsis?i dont have ampicilin in our nicu

Which drug do you found most useful in treating late onset sepsis caused by klebsiella in your NICU?