M C Fadous Khalife

Agree for SIDS risk; Eran Alhaij,adversarial chilhood events are associated with SIDS:an ecological study, doi: https://doi.org/10.1101/339465 But it's not easy in our country to monitor at home till 3 months corrected age ; medicine is private, even post-dischqrge follow up by ''home care'' is expensive. WE only monitor BPD leaving the unit with nasal oxygen .

Our first line antibiotics are Ampicillin and cefotaxime Meropenem comes in 3rd line Vancomycine is a 2nd line choice if he have a central line Amikin is usually used just for 48h till we are sure of our cultures results Sorry ampicillin and /or cefotaxime

We use chlorhexidine for extremely preterm babies and we use dakin for older ones but never had burns or any other problems for umbilical catheter insertion

We use surfactant bolus but never used surfactant lavage I find the idea only interesting in pulmonary hemorrage ; since we have high mortality , Does anyone have experienced surfactant lavage in pulmonary hemorrage?

I agree with dr hamed! There is no big difference between 4,3 and 4,1 .

We give acyclovir we don’t have VZ Ig By the way I want to ask about time limits for this recommandation We recently had a mother who had chickenpox but was totally healed 12 days before labor ! The newborn case was debated ! And baby had chickenpox at J5

We use dopamine and donutamine . We use NO but no milrinone

No we don’t ! Usually we don’t send babies home with any risk of apnea

Amsterdam

I find it very interesting but speaking of is not like watching it! For the moment I will not dare do it !

Thx Dr johanssen

From the above , I like the idea of Dr johansson about giving only one antibiotic instead of keeping with 3 to 4 antibiotics; can we discuss using meropenem only for NEC? Do we have infectious disease neonatologists in the team? I always feel like keeping meropenem for the next step , but using 4 antibiotics is not the best option even if most of us are doing so . What do you think?

if you want to be sure, try to reevaluate the newborns with delay of doing Ig ! But it must be at least 2-3 months after birth because surface HB ag must not be measured within 1 month of vaccination. It would even be interesting to try to measure surface antibodies and Ag to all these babies . We rarely do it . Do you do it for your babies?

A new article published in 2018 says that 2-5% of newborns from mothers infected with hepatitis B will be infected despite immediate vaccination and Ig ! But tgey don’t speak about the delay for IgHB .https://www.ncbi.nlm.nih.gov/m/pubmed/29688415/?i=15&from=Neonatal Hepatitis you can read it .may be it can help

From my experience , only viral vs bacterial

I just uploaded Neodiagnosis and I recommand it! Thx

Cefotaxime , amikacin and flagyl but in case of deterioration , we broaden spectrum (Lebanon)

I agree with dr sherif

We use both CRP and PCT and correlating both helps us a lot It is very useful when we decide to stop antibiotics

Some cases are so stressfull that we will not be able to work easily with presence of parents ! But when baby is good , parents’ participation is essential. Our only limitation is the lack of space in our NICU.

In our unit, all medications and parenteral and IV are prepared by nurses without hood