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Sepsis & sudden death syndrome

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neonatal sepsis and sudden infant death syndrome..

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Sepsis & sudden death syndrome

  1. 1. SEPSIS Presented by: Santos, Gwendolyn C. BSN II-1 Mrs. Dela Torre-Samonte Clinical Instructor
  2. 2. NEONATAL SEPSIS <ul><li>Definition </li></ul><ul><li>Neonatal sepsis ( Sepsis neonatorum; Neonatal septicemia) is a blood infection that occurs in an infant younger than 90 days old. Early-onset sepsis is seen in the first week of life. Late-onset sepsis occurs between days 8 and 89. In both types of neonatal sepsis, the infection may be only in the bloodstream, or may spread to the lungs (pneumonia), brain (meningitis), bone (osteomyelitis), joints, or other organs in the body. </li></ul>
  3. 3. Causes <ul><li>Bacterial infection </li></ul><ul><li>-Escherichia coli  ( E.coli ), </li></ul><ul><li>  - Listeria , </li></ul><ul><li>-certain strains of streptococcus, may cause neonatal sepsis </li></ul>
  4. 4. Early-onset Neonatal Sepsis <ul><li>- most often appears within 24-72 hours of birth. </li></ul><ul><li>-the baby gets the infection from the mother before or during delivery . </li></ul><ul><li>Risk Factors: </li></ul><ul><li>Group B streptococcus (group b strep) infection during pregnancy </li></ul><ul><li>Preterm </li></ul><ul><li>Rupture of membranes (placenta tissue) that lasts longer than 24 hours </li></ul><ul><li>Chorioamnionitis -Infection of the placenta tissues and amniotic fluid. </li></ul>
  5. 5. Late-onset neonatal sepsis <ul><li>-get infected after delivery (a nosocomial infection). </li></ul><ul><li>Risk Factors: </li></ul><ul><li>Having a catheter in a blood vessel for a long time </li></ul><ul><li>Staying in the hospital for an extended period of time </li></ul>
  6. 6. Symptoms <ul><li>High and Low body temperatures </li></ul><ul><li>Breathing problems </li></ul><ul><li>Diarrhea </li></ul><ul><li>Low blood sugar </li></ul><ul><li>Reduced movements </li></ul><ul><li>Reduced sucking </li></ul><ul><li>Seizures </li></ul><ul><li>Slow heart rate </li></ul><ul><li>Swollen belly area </li></ul><ul><li>Vomiting </li></ul><ul><li>Jaundice </li></ul><ul><li>Lethargy </li></ul>
  7. 7. Diagnostic Exam <ul><li>-Blood tests include: </li></ul><ul><li>Blood culture </li></ul><ul><li>C-reactive protein </li></ul><ul><li>Complete blood count (CBC) </li></ul><ul><li>-A lumbar puncture (spinal tap) will be done to examine the cerebrospinal fluid for bacteria. </li></ul><ul><li>-If the baby has a cough or problems breathing, a chest x-ray will be taken. </li></ul><ul><li>-Urine culture tests are done in babies older than several days. </li></ul>
  8. 8. Treament <ul><li>-Antibiotics </li></ul><ul><li>Nursing Intervention </li></ul><ul><li>Mother: </li></ul><ul><li>-prevent and treat infections on pregnant mothers </li></ul><ul><li>-provide a clean birth environment </li></ul><ul><li>Baby: </li></ul><ul><li>-maintaining aseptic techniques </li></ul><ul><li>-close monitoring of infant </li></ul><ul><li>-administer prescribed antibiotics </li></ul>

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