Neonatal sepsis Flashcards
1
Q
What are the perinatal risk factors to neonatal sepsis?
A
GBS colonization PROM >18 hrs Significant GBC bacteriuria during pregnancy Maternal temp >38 in labour Chorioamnionitis Sustained intrapartum foetal tachycardia
2
Q
Physical appearance of a neonate with sepsis?
A
Resp distress; grunting, retractions, pallor, cyanosis Hypotension Delayed CRT Hypoxia Lethargy Poor feeding Indifferent to pain
3
Q
What can be seen on vital signs of a neonate with sepsis?
A
Tachypnoea
Tachycardia
Hypotension
Temp; high, normal or low
4
Q
What Ix should be performed in suspected neonatal sepsis
A
Blood culture, LP, urine culture BG FBC CRP U+Es
5
Q
What bugs cause neonatal sepsis?
A
GBS E,coli S.aureus/ epi Enterococcus Klebsiella
6
Q
Tx of neonatal sepsis?
A
Benzylpenicillin
Gentamicin
If due to staph infection lines; vancomycin/ fluclox
