Treatment Of Sepsis In Newborns?
Hello, baby is 8 days old, you are not sure what blood infection is, what is the treatment?
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Sepsis is a condition when the body reacts violently against bacteria or other microorganisms. Neonatorum comes from the word neonatus which means a newborn with an age from 0 days to 28 days. So neonatal sepsis is a systemic infection in the blood characterized by bacteremia (the discovery of bacteria or germs in the blood) that occurs in infants in the first month of life.
Neonatal sepsis is one of the most common causes of neonates for hospitalization and is also a cause of neonatal death in both developing and developed countries. Newborns are at higher risk of developing neonatal sepsis when:
Infection during delivery, usually occurs within 24 hours-72 hours postpartum Infection after delivery, occurs 4-90 days after the baby is born Maternal factors: which include intrapartum fever (fever during pregnancy) body temperature> 37.50 C, chorioamnionitis (infection amniotic fluid), premature rupture of membranes that lasts> 18 hours, amniotic fluid is cloudy green and smelly, labor and preterm pregnancy, neonates <37 weeks of gestation Babies with very low birth weight Some tests must be done to confirm or confirm the diagnosis neonatal sepsis starting from clinical findings or physical examination as well as additional examinations such as blood tests, X-rays, or examination of brain fluids and other tests.
Infants suspected of having sepsis if there are symptoms:
Fussy, looks sick Skin is paler or grayish in color The whites of the eyes turn yellow, Bluish in the mouth, bluish or cyanotic fingertips, fever, high body temperature or low body temperature, shortness of breath, nasal discharge with the development of the nostrils, movement chest when breathing deeply and quickly Stop breathing suddenly Refusing to drink Vomiting Bloating Heart rate fast or slowing Diarrhea Low blood sugar or hypoglycemia Treatment of babies diagnosed with neonatal sepsis must be done immediately, because the baby's immune system itself is not yet fully formed. Infants with neonatal sepsis need close treatment and evaluation in the hospital. The pediatrician doctor r will likely give the baby antibiotics by injection, while doing a complete examination.
Antibiotics will be given broad spectrum antibiotics and will generally be given for 7-10 days. Usually a blood culture examination will be carried out. If germs or bacteria are found in the blood, the antibiotics will be continued for up to 3 weeks. However, if the cause of the infection is a virus, antiviral drugs may be given to the baby.
Monitoring of vital signs is also very important. Monitoring of pulse, breathing rate, temperature and blood pressure must be monitored, if the baby's temperature is unstable, doctors usually consider treating the baby in an incubator. And if the baby is not found breathing problems, the baby is unable to breathe spontaneously usually also requires mechanical ventilation or a ventilator. In addition, to maintain the balance of fluids in the body, the baby will be given intravenous fluids according to the baby's needs. Furthermore, while other examinations are carried out to determine the cause, and subsequent treatment will be adjusted to the baby's condition.
As already explained that neonatal sepsis is one of the most common causes of death in newborns, therefore treatment should be done as early as possible. Handling must also be carried out by competent medical personnel and requires strict monitoring so that it must be hospitalized. In addition, it is also important for mothers to give birth assisted by health professionals to prevent infection in newborns. With treatment as early as possible and monitoring the baby's condition closely, the recovery will also improve.
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