4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
A newborn, term baby, 3kg, mother having no positive history, was brought in half hour of delivery with grunting and severe respiratory distress. It cried immediately after birth according to obstetrician. As baby was in intermittent apnea and SaO2 50%. Baby was intubated and blood was coming out of endotracheal tube (non-traumatic intubation). Baby was put on ventilator but baby SaO2 was 60-70% on Fio2-1 and Pip-25. Rates - 30. X-ray chest was done in 3 hours of birth which showed total whiteout in both lung fields. The SaO2 never improved. USG chest ruled out possibility of congenital diaphragmatic hernia. Finally baby succumed to death in 20 hours as the SaO2 did not improve and gradually fell down. Endotracheal suction revealed bleeding intermittently. Baby is conscious and passed urine 4 times and stools once. What could be the diagnosis?
Answer
It could either be a bad sepsis or congenital deficiency of surfactant that can be fatal. Was meconium aspiration ruled out?
 
 
 
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Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
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