inis-workshop课件

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1、IsthisbabyeligibleforINIS?23weeksgestation,birthweight475gDay3-reducedactivityonventilator,looksseriouslyillScreeningbloods-CRP45mg/l,platelets88AntibioticscommencedConfirmationofinfectionday2withGBSonbloodculture23weeksgestation,birthweight475gDay3-reducedactivityonventilator,looksseriously

2、illScreeningbloods-CRP45mg/l,platelets88AntibioticscommencedConfirmationofinfectionday2withGBSonbloodculture26weeksgestation,birthweight950gDay4,deteriorationonventilatorIncreasingoxygenrequirementto80%AppearsunwellETSrecentlygrowncoagulasenegativestaphylococciandCXRconsistentwithpneumoniaA

3、ntibioticscommenced26weeksgestation,birthweight950gDay4,deteriorationonventilatorIncreasingoxygenrequirementto80%AppearsunwellETSrecentlygrowncoagulasenegativestaphylococciandCXRconsistentwithpneumoniaAntibioticscommenced27weeksgestation,1.3kgPROM27hrsGBSonmaternalHVSIntrapartumantibioticsn

4、otgivenAsymptomaticinfantAntibioticscommencedashospitalpolicy27weeksgestation,1.3kgPROM27hrsGBSonmaternalHVSIntrapartumantibioticsnotgivenAsymptomaticinfantAntibioticscommencedashospitalpolicy27weeksgestation,birthweight1360gDay38intermittentbradycardias,thenapnoeasresultinginventilationDis

5、tended,tenderabdomennotedwithbiliousaspiratesSerialAXRsconfirmfixed,oedematousbowelloopsNECdiagnosedandantibioticscommenced27weeksgestation,birthweight1360gDay38intermittentbradycardias,thenapnoeasresultinginventilationDistended,tenderabdomennotedwithbiliousaspiratesSerialAXRsconfirmfixed,o

6、edematousbowelloopsNECdiagnosedandantibioticscommencedTerminfantCyanoticepisodesat2hrsageIncreasingoxygenrequirementCXRpatchyconsolidationbothlungfieldsCommencedonantibioticsCRP19TerminfantCyanoticepisodesat2hrsageIncreasingoxygenrequirementCXRpatchyconsolidationbothlungfieldsCommencedonant

7、ibioticsCRP19ButIftherewasoffensiveliquor,raisedinflammatorymarkersorthisbabywastobecomeunwellThisbabywouldbeeligibleforINISDeteriorationday34RecurrentapnoeicepisodesProlongedcap.refilltimeCRP66Commencedonantibiotics29weeksgestationPositivebloodcul