Sepsis

Question 1

How is sepsis managed?

Answer 1

Sepsis 6

Test

• lactate
• urine output
• blood cultures -> send for bacteriology

Treatments

• O2
• broad spectrum ABs - co-amoxiclav in pregnancy
• IV fluids

Question 2

What does co-amoxiclav not cover?

Answer 2

MRSA

Psuedomonas

Question 3

What antibiotics are used for septic shock?

Answer 3

Tazocin
Clindamycin
Gentamicin

Question 4

What sign can lead you towards infection when invx vaginal discharge/blood loss?

Answer 4

Offensive smell

Question 5

What is number one risk factor for sepsis and development of chorioamnioitits (infection of placenta and amniotic fluid)?

Answer 5

Prolonged rupture of membranes - allows infection to pass from vagina into uterus

Question 6

What strep is found in 20-40% of mothers vaginas?
What can it lead to?
Is it routinely tested for?

Under what circumstances are mothers given prophalyatic ABs antenataly?

Answer 6

Strep B (group B strep = GBS)
Neonatal sepsis v rarely
No because it rarely leads to it

Previous kid was affected by GBS
Was routinely found antenatally
Delivery planned <37wks

Question 6

What strep is found in 20-40% of mothers vaginas?
What can it lead to?
Is it routinely tested for?

Under what circumstances are mothers given prophalyatic ABs antenataly?

Answer 6

Strep B (group B strep = GBS)
Neonatal sepsis v rarely
No because it rarely leads to it

Previous kid was affected by GBS
Was routinely found antenatally
Delivery planned <37wks