PPT-Neonatal sepsis in Kilifi

Alison Talbert Kisumu June 5 th 2018 MRC Confidence in Global Nutrition and Health Research Improving the survival growth and development of low birth weight newborns through better nutrition the Neonatal Nutrition Network project. Infants born with maternal chorioamnionitis . Mary Angela Woodward. . ,MD. April 29,2015. Outline. M. aternal chorioamnionitis. Definitions . Risk factors. Diagnosis. Outcomes. Identifying the ‘high risk neonate’. Changing our Management of Mothers and Their Newborns . Andrew M. Ellefson, MD. Neonatologist. Christiana Care Health System. 1. FROM CHORIOAMNIONITIS:. TO T.I.M.E. PATHWAY. CHANGING OUR MANAGEMENT OF . A Changing Definition. Andrew M. Ellefson, MD. Neonatologist. Christiana Care Health System. Edited by Cem Soykan, MD . Pediatric Hospitalist at CCHS. 1. Background & Definitions. Maternal Chorioamnionitis. Changing our Management of Mothers and Their Newborns . Andrew M. Ellefson, MD. Neonatologist. Christiana Care Health System. 1. Agenda. Background. Comprehensive Pathway Overview. Simplified Pathway Overview. Stage 1. Source: world-sepsis-day.org . What is Sepsis?. Source: world-sepsis-day.org . Sepsis at a Glance. Sepsis is a . medical emergency . . . . . Source: . Advisory Board Company: “Why sepsis screening isn't one-size-fits-all” . outline. Definitions. Signs/symptoms. Evaluation. Treatment. Group B strep (GBS) . prophylaxis. Question of the day. . ABP content specs. Sepsis -- 1. . Plan appropriate antimicrobial therapy for suspected sepsis in the immediate . Andrew J Seier, MS4. HPI. 3 weeks of age. ex-39 week uncomplicated (GBS negative) pregnancy and C-section (repeat) delivery. Routine prenatal labs were normal. . Asymptomatic from birth until 1 day prior to presentation. Then,. Early recognition of Sepsis. Early Goal Directed Therapy . CASE. 6. 4yr . Samoan male. 24 . hr. . Fever, productive cough, SOB . and . delirium. Initial . Obs. HR 162, RR . 40, . sats. . 90% . on 15l, BP . Neonatal Neutropenia: . By : Dr. Mahdi Shahriari. Pediatric Hematologist Oncologist. Associate Professor of Shiraz University of Medical Sciences. 1396. Objectives. Summarize the differential diagnosis of leukopenia in a neonate.. Neonatal Early Onset Sepsis (EOS). Culture proven invasive infection (blood or CSF) that occurs from birth to 6 days of age. Rare, but life-threatening. Most often caused by Group B . Streptococcus. (GBS) or Escherichia coli. Objectives. Understand etiology and pathophysiology of neonatal jaundice and kernicterus. Identify high risk conditions. Understand limits of clinical exam. Describe appropriate evaluation. Apply appropriate treatment to term and near term infants. Rev. 3/1/2018 (An Exhaustive List) Achondroplasia Birth Anomalies Gastroschisis Short Gut Syndrome Omphalocele Congenital Diaphragmatic Hernia Congenital Renal Failure Birth weight 1200 grams Infections are a frequent and important cause of neonatal and infant morbidity and mortality. As many as 2% of fetuses are infected in . utero. , and up to 10% of infants have infections in the 1st mo of life.. A case study of ‘best practices’ in community engagement. Ms . Maureen . Njue . Dr Patricia . Njuguna. KEMRI . Wellcome. Trust Research Programme, Kenya.. . Outline . KEMRI-Wellcome Trust, Kilifi .