Neonatal Sepsis: Current Insights and Challenges
Neonatal Sepsis: Current Insights and Challenges

Author: Rozeta Sokou

Publisher: Frontiers Media SA

Published: 2024-06-05

Total Pages: 93

ISBN-13: 2832549950

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Despite the continuous progress in perinatal and neonatal care, sepsis is still a leading cause of morbidity and mortality in neonates accounting for approximately 15% of deaths during the neonatal period globally. Additionally, despite being a life-threatening situation, sepsis in the neonatal population, and especially in very preterm neonates, is a potential source for short- and long-term morbidity and neurodevelopmental outcomes. Initial clinical signs and symptoms of sepsis are subtle and often non-specific in neonates, representing substantial impediments to the institutionalization of an international definition for sepsis in this population. Early diagnosis of neonatal sepsis is crucial and remains a major challenge for neonatologists due to nonspecific symptoms and laboratory tests with limited diagnostic value, resulting in the empirical and non-prudent antibiotics use, a common practice in Neonatal Intensive Care Units (NICUs). Nevertheless, this practice is largely responsible for a high rate of antibiotic resistance in NICUs, a major issue for global healthcare systems, as it has been estimated that 31% of neonatal deaths related to sepsis can be attributed to antimicrobial resistance.

Sepsis Management in Resource-limited Settings
Sepsis Management in Resource-limited Settings

Author: Arjen M. Dondorp

Publisher: Springer

Published: 2019-02-08

Total Pages: 216

ISBN-13: 3030031438

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This book is open access under a CC BY 4.0 license. It constitutes a unique source of knowledge and guidance for all healthcare workers who care for patients with sepsis and septic shock in resource-limited settings. More than eighty percent of the worldwide deaths related to sepsis occur in resource-limited settings in low and middle-income countries. Current international sepsis guidelines cannot be implemented without adaptations towards these settings, mainly because of the difference in local resources and a different spectrum of infectious diseases causing sepsis. This prompted members of the Global Intensive Care working group of the European Society of Intensive Care Medicine (ESICM) and the Mahidol-Oxford Tropical Medicine Research Unit (MORU, Bangkok, Thailand) - among which the Editors – to develop with an international group of experts a comprehensive set of recommendations for the management of sepsis in resource-limited settings. Recommendations are based on both current scientific evidence and clinical experience of clinicians working in resource-limited settings. The book includes an overview chapter outlining the current challenges and future directions of sepsis management as well as general recommendations on the structure and organization of intensive care services in resource-limited settings. Specific recommendations on the recognition and management of patients with sepsis and septic shock in these settings are grouped into seven chapters. The book provides evidence-based practical guidance for doctors in low and middle income countries treating patients with sepsis, and highlights areas for further research and discussion.

Disease Control Priorities, Third Edition (Volume 2)
Disease Control Priorities, Third Edition (Volume 2)

Author: Robert Black

Publisher: World Bank Publications

Published: 2016-04-11

Total Pages: 419

ISBN-13: 1464803684

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The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.

Liver Disease in Children
Liver Disease in Children

Author: Frederick J. Suchy

Publisher: Cambridge University Press

Published: 2021-03-18

Total Pages: 875

ISBN-13: 1108911374

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Liver disease in children is increasing in prevalence, placing a huge burden on healthcare systems and often requiring long-term management. Offering an integrative approach to the science and clinical practice of pediatric hepatology, this is the definitive reference text for improved diagnosis and treatment strategies. In the new edition of this authoritative text, chapters have been thoroughly revised in line with major advances in the field, such as recognizing the increased frequency of fatty liver disease, and how genetic testing has the potential to establish earlier diagnoses for a variety of diseases. Disorders covered include cholestasis, metabolic disorders and hepatitis, with their presentation across the spectrum of infancy, childhood and adolescence discussed. The indications and surgical aspects of liver transplant are explained and post-transplant care is described in detail. This is a valuable resource for pediatricians, hepatologists, gastroenterologists and all clinicians involved in the care of children with liver diseases.

Red Book
Red Book

Author: Larry K. Pickering

Publisher:

Published: 2012

Total Pages: 0

ISBN-13: 9781581107036

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Developed by the AAP (American Academy of Pediatrics) Committee on Infectious Diseases in conjunction with the CDC (Centers for disease control), the FDA (Food and drug administration), and other leading institutions with contributions from hundreds of physicians nationwide, the newly revised and updated 2012 Red Book continues the tradition of excellence with the latest findings and clinical recommendations on the manifestations, etiology, epidemiology, diagnosis, and treatment of more than 200 childhood conditions. [Ed.].

Handbook of Sepsis
Handbook of Sepsis

Author: W. Joost Wiersinga

Publisher: Springer

Published: 2018-04-13

Total Pages: 264

ISBN-13: 3319735063

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This practically oriented book provides an up-to-date overview of all significant aspects of the pathogenesis of sepsis and its management, including within the intensive care unit. Readers will find information on the involvement of the coagulation and endocrine systems during sepsis and on the use of biomarkers to diagnose sepsis and allow early intervention. International clinical practice guidelines for the management of sepsis are presented, and individual chapters focus on aspects such as fluid resuscitation, vasopressor therapy, response to multiorgan failure, antimicrobial therapy, and adjunctive immunotherapy. The closing section looks forward to the coming decade, discussing novel trial designs, sepsis in low- and middle-income countries, and emerging management approaches. The book is internatio nal in scope, with contributions from leading experts worldwide. It will be of value to residents and professionals/practitioners in the fields of infectious diseases and internal medicine, as well as to GPs and medical students.

Infectious Disease and Pharmacology
Infectious Disease and Pharmacology

Author: William E. Benitz

Publisher: Elsevier Health Sciences

Published: 2018-06-25

Total Pages: 345

ISBN-13: 0323568564

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Dr. Richard Polin’s Neonatology Questions and Controversies series highlights the most challenging aspects of neonatal care, offering trustworthy guidance on up-to-date diagnostic and treatment options in the field. In each volume, renowned experts address the clinical problems of greatest concern to today’s practitioners, helping you handle difficult practice issues and provide optimal, evidence-based care to every patient. Stay fully up to date in this fast-changing field with Infectious Disease and Pharmacology, an all-new volume in the series. Thorough, up-to-date content on the epidemiology, clinical manifestations, treatment, and outcomes for neonatal-perinatal infections, including necrotizing enterocolitis, neonatal HSV, and congenital Zika virus infection. The latest information on dosing of antibiotics, antivirals, and antifungals. Current coverage of therapies for neonatal gastroesophageal reflux, seizures, neuroprotection, and neonatal abstinence syndrome, as well as pharmacokinetic and pharmacogenetic considerations in neonatal care. Consistent chapter organization to help you find information quickly and easily. The most authoritative advice available from world-class neonatologists who share their knowledge of new trends and developments in neonatal care. Purchase each volume individually, or get the entire 7-volume set! Gastroenterology and Nutrition Hematology, Immunology and Genetics Hemodynamics and Cardiology Infectious Disease and Pharmacology New Volume! Nephrology and Fluid/Electrolyte Physiology Neurology The Newborn Lung