Feb 23, 2023
Neonatal sepsis is an important topic in Pediatrics for the NEET PG Exam because it is a serious and potentially life-threatening condition that requires early recognition and appropriate management. It is a significant cause of morbidity and mortality in the neonatal period, especially in premature or low-birth-weight infants.
In this blog we’ll cover the associated risk factors, clinical features, diagnosis and treatment of neonatal sepsis. Keep reading.
A clinical syndrome characterized by signs and symptoms suggestive of systemic neonatal infection with or without bacteremia.
NOTE: Meningitis is commonly associated with LOS
|NICU admission||Poor cord care|
|Invasive procedures||Bottle feeding|
|Mechanical ventilation||Lack of breastfeeding|
|Use of stock solutions||Pre lacteal feeds|
Most Common Organism Responsible for Neonatal Sepsis
|In India||→||Acinetobacter > klebsiella|
|In hospitals in India||→||Acinetobacter > klebsiella|
|In hospitals across the world||→||E. coli|
|Early onset sepsis (world)||→||Group B- streptococcus|
|Overall throughout the world||→||Group B- streptococcus|
Definitive Test (gold standard) → Blood Culture
Screening Test → Sepsis Screen
Components → Any 2 out of 4 → +ve sepsis screen
|Sepsis screen||Blood culture||CSF S/O meningitis||Duration of Antibiotics|
|+||-||-||1 week (7-10 days)|
|±+/-||++/-||-+||2 weeks 3 weeks|
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