Hello dear
where i work, i have seen a lot of babies admitted and treated for pneumonia and a significant number of them have had no maternal risk factors for infection.
this point is making a lot of of argument and discussion between us and the obs-gyn team.
usually we look for PROM, UTI, Meconium, GBS, prematurity, Chorio. Also we take into consideration other risks like the need for resuscitation and apgar score.
Recently , i red an article about the role of multiple vaginal examination as a risk for infection and in another article they were discussing the possibility of vernix as a main factor leading to pneumonia .
Now i will formulate my questions
What are the unusual risk factor for infection ?
Do you do a tracheal aspirate or gastric aspirate as a part of your workup ?
In which cases you add antiviral or antifungal to the treatment plane?