Diagnosis of newborn infections in children

Newborn infection is one of the dangerous diseases that can cause death for the child. It is very important to make an early diagnosis to give appropriate treatment in a timely manner. Diagnosis of newborn infections should be based on clinical symptoms, subclinical test results such as blood formula, blood cultures, urine transplants, gastric juice implants …

1. Clinical diagnosis

The clinical manifestations of newborn infection are not always clear. Typical symptoms of a newborn infection include:

  • Sudden high fever or decreased body temperature, which may be accompanied by convulsions.
  • Often present with arrhythmias (usually shallow rapid breathing, moaning), chest shrinkage.
  • Tachycardia, lowered blood pressure, puffiness.
  • Babies cry, breastfeed or can't feed, vomiting accompanied by diarrhea.
  • The skin of the face is cyanosis, blue skin, may be accompanied by hemorrhagic nodules or skin rashes.
  • There may be inflammatory manifestations of infection in the umbilical region, skin or other outbreaks of infection.

2. Subclinical diagnosis

2.1.Blood formula tests

The complete blood formula reflects the condition of the bone marrow response to infections in the body. The first reaction to all types of infection is an increase in the number of leukocytics. The leukocycye index rises above 25,000/mm3 or falls below 5000/mm3. Leukocycaemia usually occurs in the early stages of the disease. If the neut leukocytosis index decreases, it usually suggests a serious bacterial infection. The number of tinglets usually decreases below 100,000 /mm3. CRP is an early increase in active substance in quantity and is the leading sensitive active substance in the chain of proteins involved in the reaction at an early stage of acute inflammation. Usually after stimulating the inflammatory process about 3-6 hours, the CRP will begin to increase and peak between 36-48 hours after inflammation. CRP is a component that does not move through the placenta. CRP (+) when increased above 10mg/liter and does not increase in chronic diseases.

Diagnosis of newborn infections in children

Blood tests in children

CRP allows:

  • Exclusion of newborn infections.
  • Or, it is allowed to stop using antibiotics early on for the child.
  • Or, monitor the response of antibiotics to cases of newborn infections with increased CRP.
  • Note, the single CRP has no diagnostic value that determines the infection status.

2.2.Laboratory implantation

Culture is called the key diagnostic method in the diagnosis of infectious diseases in general and in infant infections in particular.

Blood cultures or transplants of water to determine the presence of bacteria in these cases of pathology. The minimum volume of implantation requires 1ml of water or blood.

If the implant tested positive on two different samples, it has a bacterial orientation value.

  • Blood cultures:

Blood cultures (+) are the gold standard in the diagnosis of newborn infections, especially sepsis.

  • Urine culture: to determine urinary tract infections.
  • Purulent implantation: in the skin or in the navel

The product can be obtained in all locations with pus, isolated to determine the exact cause of the disease. Pus can be a thick liquid or mucous form of red or yellow, blue, foul-smelling color.

Be aware of purulent implantation before receiving treatment to get the most accurate results.

  • Stool implantation:

Taking the product as a stool for transplantation can help diagnose inflammatory conditions in the gastrointestinal tract such as diarrhea, gastrointestinal disorders, purulent stools or blood mucus …

Stool implantation should be taken at an early stage, as soon as possible, and taken before giving the patient antibiotic treatment.

  • Gastric juice implantation: Determination of digestive infections in general, stomach in particular. Especially note in cases of HP bacterial infections.

2.3.Vaginal translation tests

Take the mother's vaginal translation for testing because the child may be infected during childbirth. Vaginal translation testing will help to isolate viruses or bacteria or determine the cause of the fungus that causes the disease so that there is a better treatment direction.

2.4.Lumbar puncture

Aim to assess whether the patient has any inflammation of the membrane.

Lumbar fluid test:

  • If there is an increased lymphocyte index the diagnosis to viral infections.
  • If there is an increased neutral white head index: Diagnosis of bacterial infections.

2.5.Other diagnostic support tests

  • X-ray of the lungs.
  • Do a blood clot test.
  • Test for renal liver function.
  • Electrolys.

3. Diagnosis of newborn infection

Diagnosis of newborn infection should be based both on clinical manifestations with subclinical results and risk factors. If the clinical manifestation is clear, it has been confirmed that the newborn infection is certain, whether the subclinical result is negative or positive, it is treated in the same direction as the treatment of newborn bacterial infections. In case of clinical manifestations of suspected infection:

  • If the test is positive: treatment of infection.
  • If the test result is negative: Add follow-up and re-test for diagnosis.

Diagnosis of newborn infections in children

Diagnosis of newborn infection

If the patient has a clinical manifestation that is not directed at all, whether the subclinical test is positive or negative, further monitoring is recommended before proceeding with treatment.

Diagnosis of severeness when a newborn infection is accompanied by some of the following manifestations:

  • Respiratory failure.
  • Bilit failure.
  • Impaired function from 2 different bodies in the body or more.

For timely treatment and effective treatment, early diagnosis of the manifestations of post-birth infection is required. Monitor your baby regularly for timely detection of abnormal symptoms and take him to see a doctor immediately for the earliest examination and treatment to minimize complications.

As a key area of Share99 Health System, Pediatrics always brings satisfaction to customers and is highly appreciated by industry experts with:

  • Gathering a team of leading doctors in Pediatrics:including leading experts, highly specialized (professors, associate professors, doctors, masters), experienced, used to work at large hospitals such as Bach Mai, 108.. The doctors are well-trained, professional, mind-centered, knowledgeable about the child's psychology. In addition to domestic pediatricians, pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) always pioneering the application of the latest and most effective treatment regimens.
  • Comprehensive services:In the field of Pediatrics, Share99 provides a chain of continuous medical examination and treatment services from Newborn to Pediatrics and Vaccines,… according to international standards to take care of your baby's health with parents from birth to adulthood
  • Intensive techniques:Share99 has successfully implemented many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery – skull, hematoma stem cell transplantation in cancer treatment.
  • Professional care:In addition to understanding the young psychology, Share99 also pay special attention to the children's play space, help them play comfortably and get acquainted with the hospital environment, cooperate in treatment, improve the efficiency of medical examination and treatment.

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About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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