The challenges of neonatal sepsis management

Abstract

Objectives: To present current evidence on the etiology, risk factors, diagnosis, and management of early and late neonatal sepsis.

Source of data: Non-systematic review of the Medline (PubMed), Scopus, Web of Science, Cochrane, and Google Scholar databases regarding the following terms: neonatal sepsis, early neonatal sepsis, late neonatal sepsis, empirical antibiotic therapy, sepsis calculator, vancomycin, newborn, preterm newborn.

Data synthesis: Neonatal sepsis is a frequent cause of neonatal morbidity and mortality. Its diagnosis is difficult. Continuous observation of the patient is critical to diagnostic suspicion. When neonatal sepsis is suspected, bacteriological tests should be collected. Vancomycin should not be routinely using in the empirical antibiotic regimen in late neonatal sepsis, and the main protective mechanisms against neonatal sepsis are handwashing and the use of breast milk.

Conclusions: Newborns constitute a group that is more vulnerable to sepsis. Knowledge of risk factors and etiological agents allows a better approach to the newborn with sepsis.

Keywords: Coagulase-negative Staphylococcus; Estafilococo coagulase negativo; Estreptococo grupo B; Group B Streptococcus; Neonatal sepsis; Sepse neonatal; Sepsis calculator; Vancomicina; Vancomycin.