Question
The baby was born 18 days ago and started to have a fever and become ill on the 12th day. The test results showed bacterial invasion of the blood. How should neonatal sepsis be treated?
Answer
Neonatal sepsis refers to systemic infection caused by bacterial invasion of the blood circulation during the neonatal period, which may also lead to metastatic lesions. The incidence rate of neonatal sepsis is approximately one in a thousand to one in ten thousand, and it is higher in preterm infants. Infections can be classified into three types: prenatal, perinatal, and postnatal. Treatment usually involves the use of antibiotics, and for patients suspected of having pyemia, antiseptics such as penicillin or third-generation cephalosporins are generally used before the pathogen is cleared. Specific plans need to be determined in combination with the epidemiological characteristics and drug resistance of local strains. Treatment should be selected based on the culture results and sensitive antibiotics should be used for treatment.