Thursday, May 9, 2013

Sepsis in a newborn


Neonatal sepsis (sepsis neonatorum) is a severe bacterial infection that affects the entire body, and also occurs in the first month of life. Sepsis occurs in less than 1% of newborns, but that causes account for 30% of deaths in the first few weeks of life. Bacterial infection is five times more common in infants with birth weight less than 2,500 grams, compared to infants of normal weight. Sepsis is twice more common in men than in female newborns. Risk of sepsis increased complications during childbirth, such as premature rupture of membranes, bleeding or infection in the mother.



Symptoms of Sepsis starts within the first 6 hours after birth in more than half, and within 72 hours in most infants. Sepsis occurring 4 or more days of birth was probably acquired the neonatal ward (nosocomial infections). newborn with sepsis usually limp, lazy sucking has slowed heartbeat and variable body temperature (low or high). Other symptoms can include breathing disorder, convulsions, shivering, jaundice, vomiting, diarrhea and stomach tensed. Symptoms depend on the primary seat and extent of infection, eg infection pupĨanog stump (omfahtis) navel may bleed or there is pus discharge. Infection of the meninges (meningitis) or an abscess in the brain can be revealed coma, convulsions, twisting back into a solid arch or tension and protrusion fontanelle (two point cushion between the bones of the head, the greater the front, lower back). For bone infections (osteomyelitis) newborn in motion saving the exposed arm or leg. Infection of the joint (arthritis) causes swelling, warmth, redness and tenderness of the joint.Infection of the peritoneum (peritonitis) leads to tension abdomen or bloody diarrhea. Diagnosis pathogen infection proves to cultivate blood samples and swabs or secretions infection affected the body works.Detection of antibodies can indicate the type of microorganism. Microscopic and culture is processed and a urine sample. When suspected meningitis doctor performed a spinal tap. You can search and ear swab samples and stomach contents. Prognosis and treatment of neonatal sepsis treated with intravenous antibiotics. Treatment begins before the famous lab test results, and according to them, when they are finished, antibiotic therapy can be changed. In some rare cases, the newborn is given purified antibodies or white blood cells. Despite modern antibiotics and intensive care, 25% or more infants with sepsis die. The mortality rate is twice as high in small, premature, but in term neonates with normal body weight.

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