Neonatal sepsis Flashcards
1
Q
common organisms
A
e coli Group B strep Listeria Klebsiella Staph aureus
2
Q
Risk factors
A
vaginal GBS colonisation GBS previous baby maternal sepsis/fever prematurity PROM
3
Q
clinical features
A
fever hypotonia poor feeding resp distress/apnoea hypoxia hypoglycaemia vomiting seizures jaundice 24 hours
4
Q
red flags
A
confirmed/suspected sepsis mother signs of shock seizures term = need mechanical ventilation resp distress
5
Q
when to start anitibotics?
A
2 or more risk factors or clinical feature
singe red flag
6
Q
investigations
A
blood cultures before abx
FBC and CRP
LP
7
Q
first line antibiotics
A
gentamicin and pencillin
8
Q
alternative abx in low risk babies
A
cefotaxime
9
Q
ongoing management
A
check CRP 24hrs and blood cultures 36hrs
10
Q
when to check CRP again
A
day 5
11
Q
Risk factors for late onset neonatal sepsis
A
central lines and catheters
malnutrition
immunodeficiency
spina bifida
12
Q
treating listeria
A
ampicillin/amoxicillin
