281
Unit 8: Infections
Objectives............................................................................................................................ 282
1.. Why.Do.Babies.Become.Infected?............................................................................. 285
2.. How.Are.Types.of.Infections.Grouped?...................................................................... 285
3.. Which.Babies.Are.At.Risk.for.Infection?.................................................................... 287
4.. How.Do.You.Know.a.Baby.Is.Infected?...................................................................... 288
5.. What.Should.Be.Done.if.a.Baby.Is.Suspected.of.Being.Infected?. .......................... 292
. A.. Systemic.Life-Threatening.Infections................................................................... 293
. B.. Localized.Infections............................................................................................... 295
. . Chlamydial.............................................................................................................. 295
. . Gonococcal............................................................................................................. 296
. . Staphylococcal.Pustulosis..................................................................................... 296
. C.. Congenital.Infections............................................................................................. 298
. . Cytomegalovirus.................................................................................................... 298
. . Hepatitis.B.Virus..................................................................................................... 298
. . Herpes.Simplex.Virus............................................................................................. 302
. . Human.Immunodeficiency.Virus........................................................................... 304
. . Syphilis................................................................................................................... 305
. . Toxoplasmosis........................................................................................................ 309
. D.. Hospital-Acquired.Infections................................................................................. 309
6.. How.Do.You.Care.for.a.Baby.Whose.Mother.Received
. Antibiotics.During.Labor?............................................................................................310
7.. How.Do.You.Provide.for.Infection.Control.in.the.Nursery?...................................... 312
Tables.and.Figures
Table 8.1. Antibiotic Therapy—Recommended Dosing ................................................ 294
Table 8.2 Hepatitis B Immunoprophylaxis by Infant Birth Weight.............................. 300
Table 8.3. Hepatitis B Vaccine by Maternal Hepatitis B Surface Antigen
(HBsAg) Status ............................................................................................ 302
Table 8.4. Recommended Treatment of Neonates (#4 Weeks of Age)
With Proven or Possible Congenital Syphilis ................................................ 308
Figure 8.1. Neutrophil Count Versus Chronologic Age ................................................. 289
Figure 8.2. Immature Neutrophil Count in the First 60 Hours Following Birth ............ 290
Figure 8.3. Algorithm for Evaluation and Treatment of Babies Born to
Mothers With Reactive Serologic Tests for Syphilis .................................... 307
Figure 8.4. Algorithm for Secondary Prevention of Early-Onset Group B
Beta-Hemolytic Streptococcus Disease Among Newborns ...........................311
Recommended.Routines.................................................................................................. 315
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