DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20211658

Clinical management and outcome of extreme preterm infant with respiratory distress syndrome, early onset sepsis and necrotizing enterocolitis stage 1: a case report

A. Priya, Mohammed Fardan, Aswathy M. Shaji, R. Kannan, K. Arun Chander Yadav

Abstract


Respiratory distress syndrome, although it is common in extreme preterm infants, early and effective management will aid in better outcome. Preterm also comes with multiple co- morbidities which has to be considered and stepwise treatment is utmost important in tackling them. Here, we report a case of an extreme preterm baby who experienced respiratory distress syndrome with early onset sepsis along with necrotizing enterocolitis. Early diagnosis and management helped in the discharge of the infant in stable condition.


Keywords


Respiratory distress syndrome, Sepsis, Necrotizing enterocolitis, Preterm infant

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References


Thakuria B, Lahon K. The Beta Lactam Antibiotics as an Empirical Therapy in a Developing Country: An Update on Their Current Status and Recommendations to Counter the Resistance against Them. J Clin Diagn Res. 2013;7(6):1207-14.

Gephart SM, McGrath JM, Effken JA, Halpern MD. Necrotizing Enterocolitis Risk. Adv Neonatal Care. 2012;12(2):77-89.

Kramer HH, Trampisch HJ, Rammos S, Giese A. Birth weight of children with congenital heart disease. Eur J Pediatr. 1990;149(11):752-7.

Isayama T. The clinical management and outcomes of extremely preterm infants in Japan, past, present and future. Transl Pediatr. 2019;8(3):199-211.

Simonsen KA, Anderson-Berry AL, Delair SF, Davies HD. Early onset neonatal sepsis. Clin Microbiol Rev. 2014;27(1):21-47.

Ericson JE, Benjamin DK. Fluconazole prophylaxis for prevention of invasive candidiasis in infants. Curr Opin Pediatr. 2014;26(2):151-6.

Abdel Maksod YH, Shahin AM, Ahmed H, Aabdelwahab MB. Stepwise management of necrotizing enterocolitis could improve outcome of this life- Threatening disease. Med Rep Case Stud. 2016;1:2.

South Australian Neonatal medication guidelines, government of South Australia. South Australian Maternal, Neonatal and Gynaecology community of practice. 2017;1-3.

Bentlin MR, Ferreira GL, de Souza Rugolo LMS, Silva GHS, Mondelli AL, et al. Neonatal meningitis according to the microbiological diagnosis. Arq Neuropsiquiatr. 2010;68(6):882-7.

Schellack N. Amphotericin B in the management of fungal infections in a neonatal intensive care unit; experiences in a teaching hospital. South Afr J Epidemiol Infect. 2012;27(1).

Heath PT, Yusoff NKK, Baker CJ. Neonatal meningitis. Arch Dis Child Fetal Neonatal. 2003;88:73-8.

Venkataramana NK. Hydrocephalus Indian scenario- A review. J Pediatr Neurosci. 2011;6(1):511-22.

Sivanandan S, Soraisham AS, Swarnam K. Choice and duration of antimicrobial therapy for neonatal sepsis and meningitis. Int J Pediatr. 2011;1-9.