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harnon last won the day on October 2 2017

harnon had the most liked content!

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About harnon

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  • Birthday 02/25/1958

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    Meir Hospital Tel -Aviv University
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    Jogging, singing

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  1. harnon

    Procalcitonin (PCT)

    We rely on acute phase reactant if we want to rule out sepsis, as their NPV is higher when you use a bundle of tests, therefore we will use them for not starting antibiotics and length of antibiotic treatment but not for starting antibiotics when symptoms are not specific and no risk factors for LOS.
  2. harnon

    Empiric Antibiotics for NEC

    We will start empirically, the same antibiotics as we use for late onset sepsis=Tazobactam+piperacillin, Tazocin, and only after isolation of specific bacteria from blood we will narrow our treatment as apporpriate
  3. harnon


    Dear Drs, Are you aware of studies done by Christensen et al connecting IVH to blood products transfusion after birth, recommending giving PRBC if needed slowly. We are now giving for symptomatic anemia (hypotension+HTC<35%) after birth only 10cc\kg of PRBC over 3 hours (not evidence based practice)
  4. I an interested to know what diagnostic markers you are using in your daily work, to diagnose early/late onset infection in term/preterm infants: 1. Clinical signs 2. CBC and differentials 3. CRP 4. Clinical score (HR variability etc. ) 5. Acute phase reactant (ie; Procalcitonin, SAA etc) 6. Cytokines and\or chemokines (ie IL-6, IL-8, 10 etc 7. Leukocyte surface antigen (CD11b, CD64 etc) 8. Molecular techniques : PCRs or FISH to detect bacteria Is there any difference applying these markers in preterm or term infant? Or in early Vs. late infection? S Arnon harnon@netvision.net.il