4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
Hi, we have got a baby of Annalaxmi in our NICU. The baby got transferred from PNC ward in view of jitteriness and excessive crying. Her reports suggested that she is suffering from hypocalcemia, and was started on inj Ca gluconate. Repeat Ca report showed normal values. Till the first 3 days, the baby was OK. But on the third day c/t/a was depressed . Report of CBC and Platelets showed drop in the platelet count, and was stared on Inj. Meropenem and Inj Ciplox i/v/o sepsis, on the next day baby had slow irregular respiration RR: 20-28 with episodes of apnea. In between, 3 Arterial Blood Gas reports consistently showed metabolic alkalosis like picture with normal 02 saturation and normal PO2 PCO2 levels. Now, the baby is off oxygen but is not fully active abdomen still shows metabolic alkalosis. What should be done further? The serum electrolytes report was normal, blood culture shows no growth even after it was done twice.
Answer
Rule out Barters syndrome, Gitelman syndrome, Cystic fibrosis and congenital adrenal hyperplasia. Do plasma renin and aldosterone.
 
 
 
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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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