What is sepsis of newborn

Content

  • Sepsis of newborn
  • Symptoms of neonatal sepsis
  • Treatment of neonatal sepsis
  • Prevention of sepsis



  • Sepsis of newborn

    Sepsis of newborn or neonatal sepsis - general
    infectious disease, with bacteremia (bacteria from the source
    infections into the blood). Infection of a newborn baby can
    happen: antenatal (before birth), in intrapartum (during birth) and postnatal
    (After giving birth) periods. The most susceptible to such disease premature
    children. Subject neonatal sepsis does not lose its relevance for
    a long time because it is too high percentage of deaths
    disease.

    What is sepsis of newborn
    Pathogens can be a variety of pathogens and
    opportunistic organisms: staphylococcus, streptococcus, pneumococcus,
    Salmonella, E. coli, Pseudomonas aeruginosa, and a number of other threatening
    Human microorganisms. Availability
    purulent and inflammatory processes in the mother, a long dry period,
    skin damage during delivery - all this can become a source of infection
    newborn baby. Bacteria and viruses can penetrate into the organism
    mucosal, respiratory
    path and gastrointestinal tract, as well as through skin damage, wound umbilical
    and umbilical vessels. If sepsis is intrauterine origin, hearth
    infection is in the body of the mother (placenta or any organ).

    There are three main clinical forms of sepsis
    newborns: early, late and nosocomial sepsis.

    Detect early sepsis in the first 5-7 days of life, often
    children infected perinatally, that is in the womb. Pathogenic
    microorganisms enter the body transplatsentarno child (through the placenta).
    Also, early sepsis may develop as a result of ingestion of amniotic
    water or due to rupture of the amniotic membrane, which penetrates
    pathogenic microflora of the vagina. Also possible infection in step
    passage of the birth canal child, especially if there foci
    inflammation.

    Late sepsis detected 2-3 weeks after birth,
    infection most often occurs during the period of the birth child
    tract microflora mother's vagina.

    Nosocomial sepsis is caused by pathogenic microorganisms,
    which occurs in hospitals and maternity wards, most of the causative agent
    sepsis becomes aureus (especially Staphylococcus epidermidis),
    gramootritsatelnye sticks (including Pseudomonas, Klebsiella, Serratia, Proteus)
    and fungi. The immune system of the newborn have not been prepared for such active
    the effects of pathogens, mucosa and skin easily
    vulnerable, whereby the risk of sepsis increases significantly.



    Symptoms of neonatal sepsis

    Most often sepsis is manifested through the following symptoms:
    decreased appetite, refusal of the breast, frequent regurgitation, vomiting, grayish
    skin, increased body temperature, a significant drop in body weight, cyanosis
    nasolabial triangle, poor healing of the umbilical wound ( "weeping" navel).

    Sepsis can occur in two forms: septicemia (total
    intoxication, without the expressed foci of infection) and pyosepticemia
    (The presence of explicit foci of inflammation: abscess, abscesses, pneumonia,
    meningitis, osteomyelitis, etc.).

    Sepsis can be a lightning occurs first 3-7 days
    life, accompanied by septic shock ends, mostly lethal
    outcome. The acute stage of sepsis lasts 4-8 weeks, protracted stage of sepsis may
    last more than two or three months (most likely to occur in infants with
    immunocompromised).



    Treatment of neonatal sepsis

    Infected children are subject to compulsory hospitalization
    specialized departments of newborn pathology. Treatment is carried out
    antibacterial agents broad-spectrum: semisynthetic
    penicillin, ampicillin sodium salt, ampioks, tseporinom, lincomycin hydrochloride, gentamicin
    sulfate etc. Antibiotics are often used in the form of intramuscular injections, and
    an unfavorable course of sepsis and threatened states - intravenously.

    The course of antibiotics usually lasts 7-14 days, long
    course of the disease, as well as undulating and prolonged duration calls
    a repeat course of antibiotics or of multiple courses of antibiotics.
    And on each course are assigned different antibiotics, repetitions should be
    to avoid.

    Treatment continued until a stable therapeutic
    effect.



    Prevention of sepsis

    Because sepsis severity of the disease, which is
    most cases, leads to death, carried out a number of
    preventive measures. These are: monitoring during pregnancy specialists,
    timely diagnosis and detection of diseases and infections in pregnant
    women.

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