Which specialist consultations are beneficial to patients with neonatal sepsis?

Updated: Jun 13, 2019
  • Author: Nathan S Gollehon, MD, FAAP; Chief Editor: Muhammad Aslam, MD  more...
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Answer

An infectious disease consultation may be useful, especially if the infant is not responding to treatment, is infected with an unusual organism, or has had a complicated clinical course such as concomitant meningitis. In such cases, neurology consult may also be helpful in the presence of seizures, and to ensure outpatient follow-up of neurologic sequelae.

Consultation with a pharmacist may be helpful for obtaining advice on the most appropriate antibiotic or dosage to use if changes in the drug regimen prove necessary because of inadequate or toxic drug levels obtained with therapeutic monitoring.

A pediatric surgical consultation may be necessary if sepsis is complicated by abscess, if the differential diagnosis includes necrotizing enterocolitis (NEC), or if central line placement is required.


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