antibiotic therapy and early onset sepsis

ANTIBIOTIC THERAPY AND EARLY ONSET SEPSIS. Neoreviews 2012;13;e86

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ANTIBIOTIC THERAPY AND EARLY ONSET SEPSIS.

Neoreviews 2012;13;e86

SEPSIS NEONATALS R I S + H E M O C U LT I V O O L C R .

Muy temprana

Temprana.

Tardía.

Page 3: Antibiotic therapy and early onset sepsis

RN A TÉRMINO

E.U.A.

GBS.

Page 4: Antibiotic therapy and early onset sepsis

RN PRETERMINÓ.

Primeras 72 horas.

Page 5: Antibiotic therapy and early onset sepsis

LATINOAMÉRICA, ASIA, ÁFRICA.

Gram negativos. Klebsiella 35%.

Gram positivos. S. aureus. 25%.

Page 6: Antibiotic therapy and early onset sepsis

PROFILAXIS INTRAPARTO.

AMPIC IL INA VS S .G .B . INTRAPARTO.

E . COL I RES ISTENTE .

S .G .B . RES ISTENTE A AMPIC IL INA.

NO SE CREAN RES IS ITENCIAS .ESTABLES .

Page 7: Antibiotic therapy and early onset sepsis

TERAPIA EMPÍRICA VS DEFINITIVA EN S.N. TEMPRANA.

A M P I C I L I N A + G E N TA M I C I N A .

E . C O L I 7 8 % R E S I S T E N C I A A M P I C I L I N A .

4 % R E S I S T E N C I A G E N TA M I C I N A .

Page 8: Antibiotic therapy and early onset sepsis

TERAPIA EMPÍRICA.

Ampicilina + Cefotaxima.

Carbapenem o meropenem.

Page 9: Antibiotic therapy and early onset sepsis

GRACIAS.

Carlos Arturo Ayala Palacios.

R1 PM.

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