Indometacin

[Pototo 11]

Does anybody use Indometacina for preventing HIV in extrem preterm? Thanks a lot

 

[Francesco Cardona 150]

do you mean HIV as in IVH (Intraventricular hemorrhage) or as in human immunodeficiency virus?

[Pototo 11]

Thanks Francesco. Sorry.  I mean IVH (intraventricular hemorrhage). 

 

[harnon 15]

We do not use it, due to two main reasons. 

1. We had few serious side effect such as: intestinal perforation

2. The drug is not available anymore in Israel

We are now practicing IVH prophylaxis measurements such as: delayed cord clamping, temperature stability, 4 hand treatment, insertion of umbilical lines to avoid IV punctures, volume guarantee ventilation etc.. and the IVH prevalence seems to decrease, therefore no need of INDO.  

[tjuren 14]

We do'nt use it. By my knowledge it is still unproven practice. If you want someone to discusse it I know one of my colleague who has some experiences in this regard. 

[livesynapse 19]

We use it in extreme circumstances: male preterm <700 g with no antenatal steroids who's had a vaginal unexpected birth. Sadly, ER-born extremely preterm births are becoming an issue in our hospital in the new COVID times. Prenatal care was perceived by some families as a risk factor during most of 2020.