6533b7ddfe1ef96bd1273fcb

RESEARCH PRODUCT

Neonatal sepsis caused by Ralstonia pickettii

M. Cristina MaggioCaterina MamminaVitaliti SmGiovanni CorselloD. Cipolla

subject

MaleMicrobiology (medical)medicine.medical_specialtyNeonatal intensive care unitSettore MED/42 - Igiene Generale E ApplicataSepsisPregnancySepsisAmpicillinHumansMedicineNosocomial infections NICU Ralstonia pickettiiCesarean deliveryRalstonia pickettiiPregnancyNeonatal sepsisbiologybusiness.industryRalstonia pickettiiInfant Newbornmedicine.diseasebiology.organism_classificationSurgeryInfectious DiseasesAnesthesiaPediatrics Perinatology and Child HealthFemaleApgar scoreGram-Negative Bacterial Infectionsbusinessmedicine.drug

description

e describe the clinical case of apremature newborn, born at 26weeks by cesarean delivery, followed inthe neonatal intensive care unit. Themother was diabetic with adequate con-trol during pregnancy.Neonatal weight was 930 g;APGAR score 3 at 1 minute and 8 at 5minutes. She received forced ventilationby endotracheal tube and parenteralnutrition by a central venous catheter.She was treated with ampicillin for thefirst 20 days of life. At 25 days, apneaand bradychardia episodes occurredwith a progressive increment in sever-ity and frequency. Leukocytes, C-re-active protein, cerebral echography,and echocardiogram were normal.Oralfeeding was transiently stopped and rani-tidine treatment was started for presumedgastroesophageal reflux. Mechanical ven-tilation, previously stopped, was reintro-duced.

10.1097/inf.0b013e31816454b7http://hdl.handle.net/10447/36475