Maternal colonization with gram negative bacteria and newborn sepsis

[Alaaswaify]

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

[kishoreyv17]

I would look at other risk factors for neonatal sepsis, like PROM more than 18 hours, maternal fever more than 38C, prematurity, suspected chorioamnionitis and the baby's condition at birth. If there are other risk factors or any clinical concerns, I wold do blood cultures and start antibiotics, otherwise wait and watch.