DISEASES OF CHILDHOOD : NEONATAL SEPSIS (SEPSIS NEONATORUM) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
General infection by pyogenic cocci, Escherichia coli and other microbes. Possible infection both in utero and during delivery, and extrauterine (frequently). The umbilical cord and umbilical wound is the most common input gate.
Symptoms. Increasing lethargy, intermittent agitation, intestinal phenomena, sometimes fever, pallor, yellowness of the skin, enlarged liver and spleen; sometimes come to the fore nervous symptoms (disorders of consciousness, convulsions, anxiety, and so on), in other cases - the phenomenon from the respiratory tract (rhinitis, pleuropneumoniae phenomena). Often, a separate abscesses, phlegmon, empyema joints (septikopiemicheskoy form).
For sometimes slow that last for weeks, in other cases - lightning.
To exclude intracranial hemorrhage and the decline of power on the ground of improper feeding and care.
Prediction is always serious.
To pay attention to the meticulous care and sufficient breast milk. Heart (caffeine, camphor). Hemotherapy: 10 - 15 ml intramuscularly daily; in severe cases, a blood transfusion on 30 - 50 ml and more. Penicillin - 5 000 - 10 000, in the most severe cases up to 20,000 units per 1 kg of body weight, intramuscularly, topically, into the cavity of the joint. Inside or subcutaneously streptocide.