Neonatal sepsis care?

Sepsis is a very common disease in normal times. Neonatal sepsis generally refers to a serious infectious disease, and the pathogens invade the baby's blood, multiply in the blood and cause systemic inflammation. Newborns need to be treated in time due to low immunity, otherwise it is likely to affect the baby's life safety. What is the care method for neonatal sepsis?

Clinical manifestations of neonatal sepsis:

1. Reduced milk intake and weak sucking: Newborn babies consume significantly less milk, suck for a short and weak time, choke easily while feeding, and seem to not know hunger.

2. The crying sound is soft like a cat’s meow: Babies with sepsis often do not cry or cry for only a few times and then stop, and their crying sound is soft.

3. The body temperature does not rise, but the hands and feet are cold: When a newborn suffers from sepsis, the body temperature is very low, and when measured below 35.5℃, the baby's hands and feet will be cold.

4. Weakness of the whole body and less movement of limbs: Babies with sepsis have weak limbs and body. When stretching the upper limbs, there is no obvious flexion reaction. Once the baby's hand is released, his upper limbs will naturally fall down.

5. Poor response and drowsiness: Babies with sepsis have a poor response ability when stimulated and will not respond appropriately, such as waking up, staring, smiling, etc. They will appear listless or drowsy.

6. Jaundice does not subside or reappears after it subsides: Normal physiological jaundice should gradually subside. However, in neonatal sepsis, physiological jaundice does not subside but worsens, or jaundice reappears after it subsides.

7. Failure to gain weight: For newborns with sepsis, physiological weight loss will exceed the normal range, and the weight will not increase during the weight gain period.

8. Shock: Pale complexion, skin patterns, decreased blood pressure, and little or no urine.

1. Maintain stable body temperature: keep the room temperature at 24-26℃ and the relative humidity at 55-65%. Adjust the temperature of the incubator according to the child's body temperature. Take warming measures in time when the body temperature is low or does not rise. When the body temperature is too high, give physical cooling or feed boiled water.

2. Control infection: Use antibiotics promptly and accurately according to the doctor's orders; strengthen skin care and remove local lesions: take good care of the skin, oral cavity, and navel. Pay special attention to the cleanliness and dryness of skin folds (neck, armpits, groin, etc.). When the umbilicus is infected, first clean it with 3% hydrogen peroxide, then use 0.5% iodine tincture and keep it dry.

3. Ensure nutritional supply through reasonable feeding and provide intravenous high nutrition as prescribed by the doctor.

4. Observe the condition of the disease: Observe symptoms and signs: observe body temperature, complexion, mental reaction, appetite, jaundice, skin and mucous membrane bleeding tendency, etc.; Observe complications: observe the appearance and changes of symptoms of the digestive system, circulatory system, respiratory system, etc., such as the recurrence of drowsiness, convulsions, and increased intracranial pressure; Observe the efficacy and side effects of drugs: contact the doctor in time if the condition recurs or worsens.