Infectious Diseases

I would like to hear your opinions in regard to starting antibiotics for ROS in preterm asymptomatic infants born due to reasons other than purely maternal (such as c-section for NRFHT, Premature ROM with preterm labor)? 1- Any GA cut off? 2. Based on GBS status and IPA prophylaxis adequacy? Thanks for your response

a fullterm born to the mother who is having varicella lesions one day prior to delivery. baby shifted to isolation care, given varicella zoster immunoglobulin. is breast feeding contraindicated in the first week of life?

I was wondering to call something a congenital pneumonia? Some centers call RDS a congenital pneumonia and treat it for 7 days Abx if infants > 35wks GA required O2 more than 4-8 hours. Others will treat if RDS lasted for >48 hrs ..others may not treat and will call RDS and will treat just for 48 hrs and watch closely for Bcx and clinical status and finally some centers may call it TTN even if the infant required FIO2 .. My question is : 1-When do you call "something" congenital pneumonia? i.e what are your criteria? 2-What is the msot common pathogen you think? 3-Do you treat? if yeas, for how long? (assuming you will use amp and gent) Thanks for shari…

Greetings to everyone. In a Neonatal Unit of my country, Ecuador, in the city of Guayaquil, a septic outbreak has occurred caused by multidrug-resistant Serratia marcescens. Any suggestions for handling and treatment? Sincerely, Dr. Fernando Agama C. Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito-Ecuador

Hi, could you help me? We have in my NICU gram neg res. bact ( kl pneum and E. coli) and last year we have 24 VLBW infants with sepsis. Almost all blood culture were negative, however tubus aspirate in the babies on MV and gastric fluids were positive on one of those bacteria. I know that was colonisation, but in the case of sepsis (oliguria/anuria, low blood pressure, impaired perfusion, apnea, need for MV...lab signs- high CRP, leukopenia, thrombocitopenia..) we gave the babies meropenem. And now we have more infections, despite all epidemiogical investigations were negative. 1. I'm considered because meropenem is the second line of antibiotics 2. What do you think…

I read an article about 10 years ago that suggested that foul smelling amniotic fluid was NOT a strong risk factor for sepsis (I remember this well because this went against my residency teaching-either that or I am losing my faculties!). The article stated the smelliest bugs at delivery were not usually the ones that caused the most trouble in infants. Am I losing my mind or can anyone else recall this? I often teach students and I want to have my facts straight. I was able to find a few studies with small samples that listed smelly fluid as a risk factor. On the Cochrane database the article on neonatal sepsis lists chorioamnionitis as a risk but says nothing specif…

:confused:Hi All it's a very simple question. what's your protocol regarding the IUGR babies ? we know that the most common reasons for IUGR is maternal morbidities like hypertention, smoking bad diabetes and some other factors like multiple gestation, placental insufficency, TORCH infections and congenital anomalies. The reason I'm asking this is because some reports are saying that it's so rare to have positive TORCH titers thesedays.. so is it a waste of time , money and Blood ! how aboout the head Ultrasound to check for calcification? to do or not to do? so basically if you have someone with preeclampsia, and IUGR or a smoker with multiple gestation and IUGR.…

Dear colleagues! Share please your tactics if HCMV was found in breast milk by PCR? Do you know any RCT about it? Thank you!

I would like to know how common it is to have meningococcal meningitis in a newborn. Mother had concomitant UTI and LRTI. Direct smear of csf showed gram negative rods. Child had intracranial bleed and severe pneumonia neonatal sizures. Now recovering with piperacillin and amikacin. I will post the pictures later Thanks for your inputs dr.r.selvan Erode, india

peace be upon you all .i need your help for my master degree in pediatrics and neonatology ,i'm preparing thesis about postoperative complications in surgical nicu in cairo university in egypt.but i can't find papers about this issue.can you please help me if anyone have any idea about any link or paper related to this subject.thanks alot.