4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
Newborn baby delivered vaginally with thin meconium stained liquor, with intrapartum suctioning and needing no resuscitation at birth developed tachypnea and grunt after 8 hours of birth.SpO2 fell down to <88% and was put on SIMV. Developed GI bleed after another 8 hours given blood transfusion and Vitamin K was repeated. CRP negative. Hemogram WNL. X-ray chest unexpanded lung with cardiomegaly. Treated with Inj. Augmentin and Amikacin. Nedding Fio2 >0.6 (today on 3 rd day). She had GI bleed again two times. has been given FFP. PT normal. Advise DD and further management.
Answer
What is her platelet count and PTT? Since she developed respiratory distress after 8 hours after birth, one may also rule out pulmonary bleed. Also since she has cardiomegaly, get her 2D echo done to rule out a congenital heart disease. Rule out a bleeding disorder.
 
 
 
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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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