Infectious Diseases

Dear Colleagues, I am interested in reducing bloodstream infection in the VLBW population in my NICU. Do any of you have bundles that have worked for you and willing to share? Thanks.

Hello friends, Greetings from Hyderabad India,I have a preterm baby (28-30 weeks) with resp.distress mother PPROM 3 days born by SVD mother received 2 doses of steroid. how to manage in a level III NICU setup since the parents are poor.

dear members, Fumigation is a routine procedure in nicu. is there is any guideline regarding fumigation of nicu regarding indications.

We have 60 % non culture proven sepsis in newborns. I doubt that many of them might have viral sepsis. None of the studies from india haveidentified the viral etiology.Hence our aim is to organise a study to find out the other etiologies of neonal sepsis.I need experts help in formulating, diagnosing and proving this. I request the advice from the learned . Thanks dr.r.selvan Erode, India

hi all It´s basic, but this always generates discussion in our service. the patient is 35 weeks pregnant, one single control, VDRL 1/16 FTA abs positive, our discussion is ,if we should consider it a previous serologic title or indicate benzathine penicillin. If the birth occurs before the month, the infant shoud be treated ? and to end , do you have experience in the use of benzathine penicillin en the neonate ? I hope your answers as soon as possible thanks in advance

New CDC Revised Guidelines for Prevention of Perinatal Group B Streptococcal Disease were presented at the PAS meeting in Vancouver last month. I was not able to attend the meeting. Can anybody tell me what is going to change? Thanks Eric Giannoni, MD University Hospital, Lausanne, Switzerland

Is there any recent study after 2006 or any recent evidence addressing this issue of " lumber puncture in early onset sepsis in neonate". Regards

How many of our colleagues use nystatin in preterms for Candida Prophylaxis? What has been your success rate? What has been your experience? What is your protocol? When do you start? What dose? Frequency? Continue till when?

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 ?