Category Archives: Infection

Tip 3: Meningococcal B immunisation

In 2015 MenB vaccine was added to the UK immunisation schedule at 2 months, 4 months and 12 months of age. MenB vaccine should be accompanied by prophylactic paracetamol (3 doses from the time of vaccination unless contra-indicated) at 2 months … Continue reading

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Tip 242: acute liver failure 3

About 60% of deaths in acute liver failure have been attributed to sepsis. The most common organism is Staphylococcus aureus. Other organisms are: Streptococci, coliforms and Candida species. Reference: Dhawan, A., & Mieli-Vergani, G. (2005). Acute liver failure in neonates. Early Human … Continue reading

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Tip 234: chorioamnionitis

Chorioamnionitis is infection of the amniotic fluid, membranes, placenta, and/or decidua. It is a major risk factor for neonatal sepsis. Diagnosis is sometimes made by the presence of maternal fever alone, but for research purposes is defined by the presence of … Continue reading

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Tip 222: gonococcal conjunctivitis

This usually presents with bilateral, profuse, purulent discharge from the conjunctiva in the first 24 hours of life, though it can present later. The cornea can be severely damaged if treatment is not started quickly, therefore do not wait for … Continue reading

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Tip 220: chlamydia conjunctivitis

Chylamydia conjunctivitis develops 5 – 14 days after delivery, usually in one eye but affecting the other after another 2 – 7 days. Oedema and erythema of the eyelids is common, along with an eye discharge that may be watery … Continue reading

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Tip 219: neonatal chlamydia

Pregnant women infected with chlamydia are at increased risk of premature labour, premature rupture of membranes, low birthweight infants and still births. 50-70% of infants born to women with genital chlamydia infection will acquire chlamydia infection if no prophylaxis is given … Continue reading

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Tip 217: congenital syphilis

Congenital syphilis is caused by transplacental transmission of spirochetes. Transmission is highest (60-90%) in untreated maternal primary or secondary syphilis. In those infected, symptoms present either early (<2 years but mostly < 3 months) or late (>2 years). Reference: Long, S., Pickering, L. (2008). Principles … Continue reading

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