4th Pediatric Infectious Diseases Conference
 
 
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Congenital Heart Disease
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Specialist Answers
Question
Dear Sir, My daughter born 2 months back is diagnosed as a case of down syndrome with AVSD- PS(TOFF).Her Echo report asd+av canal defect vsd type+severe PS&IS+hypoplastic pulmonary annulus. Normal Biventricular function..At present she is having cynosis in feet & hand on crying. Her oxygen saturation 75% TO80%.At birth her weight 3 kg now she is 4.2 kg. What is prognosis & progress of cardiac disease?
Answer
Cardiac - I would like to start 1mg/kg/dose twice a day on ciplar i.e 1/2 tablet of 10 mg twice a day.Monitor the Pulse Oximetry at 15 days interval. if persistently > 75-80% do a complete surgical repair at a good centre ( Kochi, Bangalore, Hyderabad, Asian heart) by 6 months time. Prognosis for heart is good as biventricular functions are normal.


The child presently should be immunized for hepatitis b. Also T3,T4 , tSH for hypothyroidism, USG abd for kidney anomalies and karyotype need to be evaluated.Child need infective endocarditis prophylaxis ( antibiotics) if she has to to undergo some
 
 
 
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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
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