neonatal infection Flashcards
Risk factors for infections in a neonate
Prev baby group B streptococcal Maternal streptococcal group B PPROM Preterm intrapartrum fever chorioamnionitis maternal abx for ? infection
Clinical Signs
deranged obs muscle tone feeding difficult vomiting seizure Apnoea hypothermia fever local signs jaundice <24hours encephalopathy excretions
Antenatal care?
identify risk factors
abx in labour?
Offer abx during labour if….
prev baby group b streptococcal
streptococcal B in this pregnancy
Preterm labour PROM
if ? or confirmed PROM>24hours
Benzylpenicillin 25mg/kg and gentimicin 5mg/kg
when reassess abx?
Measure C-reactive protein levels before commencing abx and again at 24hours
This maybe reduce to 8hours on clinical judgement - paed
Postparturm care ….
Physical examination
Commence abx if clinical indication - <1hour decision
Monitor @ 1, 2 and 2hourly
Intrapartrum care
monitor in labour for any emerging risk factors - pyrexia or choriamnionitis
give prophylaxis abx if indicated benzylpenicillin IV