Skip to main content

Neonatal Sepsis, Emergency Medicine

Lazaro Lezcano Reviewed 06/2017
 


Basics

Description

Mechanism

  • Life-threatening infection of the newborn, rarely occurring as late as 3 mo of age

  • Overwhelmingly bacterial:

    • Rarely viral or fungal infection

    • Organisms usually present in the m...

Diagnosis

Signs and Symptoms

History

  • Nonspecific history:

    • “Not acting normal”

    • Feeding poorly

    • Irritable or lethargic

  • General:

    • Toxic appearing

    • Altered mental status: Irritable or lethargic

    • Apnea or bradycardia

    • Mo...

Treatment

Pre-Hospital

Cautions

  • Ventilatory support if obtunded, apneic, or respiratory distress

  • IV access

  • Continuous monitoring

Ed Treatment/Procedures

  • Implement empiric treatment for neonatal sepsis if pr...

Follow-Up

Disposition

Admission Criteria

  • All patients with suspected sepsis are admitted to the hospital for supportive care, IV antibiotic therapy, and close monitoring.

  • All children <1 mo with a fev...

Additional Reading

  • American Academy of Pediatrics. Red Book: 2012 Report of the Committee on Infectious Diseases. 29th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2012.

  • Edwards  MS. Po...

Codes

ICD9

  • 038.0 Streptococcal septicemia

  • 038.42 Septicemia due to escherichia coli [E. coli]

  • 771.81 Septicemia [sepsis] of newborn

  • 771.2 Other congenital infections specific to the perinatal period

  • 038.3 ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×