6 more tips you need to know about sepsis: Treatment length? MRSA? Meningitis?!!!

PART III on Bacterial Sepsis in infants. How do we choose which antibiotics to use for late onset sepsis? How long do we treat infections for? What is a RULE OUT? When do we switch antibiotics? If CSF is pretreated how do we diagnose meningitis? You have a positive blood culture: NOW WHAT??
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Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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**TIMESTAMPS**
00:22 Antibiotics for Late-Onset Sepsis?
05:43 How long do we treat infections?
07:40 What about Rule-Out sepsis?
09:50 When should you decrease to more narrow-spectrum
antibiotics?
11:55 How do we diagnose meningitis?
14:33 Next steps when you have a positive blood culture?
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Music: www.bensound.com (royalty free with credit)
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.

[@AlllYouNeedIsLovee]

You made 4 years worth of learning so simple and easy to understand in less than an hour. I am so thankful for all of your videos.

[@TalaTalksNICU]

Ha! I'm sure that's not true- but I appreciate the lovely compliments! Comments like yours really eep us going! Are you in med school? Hope you're enjoying your studies!

[@Anjel733]

Thank you for making these videos. The way you teach these topics make it easy to understand and you make very interesting points about them too. The visuals you have in your videos are very helpful too ❤

[@TalaTalksNICU]

Oh thank you so much Angelica! For watching and for taking the time to write to us. Arianna is all about the visuals- wish I could take credit for that!!!

[@goecmj]

Another great video! So relevant. Thanks so much

[@TalaTalksNICU]

THANK you so much JH! We're loving your encouraging comments!

[@decembergirl748]

Viewing from Canada! 🇨🇦 you’re so amazing Dr. Tala! Thank you so much! 🤩🤩🤩

[@TalaTalksNICU]

Thank you so much for watching and letting us know where you’re from! Love your comment :)

[@martiniko7197]

Incredibly important and succinct medical vedios from Dr.Tala,thank you very much for taking your precious time to make these for other medical professionals.

[@TalaTalksNICU]

Thank you so much for your lovely words! We love making them because we get to read comments such as yours!!! So thank you!!

[@mekawwi]

Excellent work. Thank you

[@TalaTalksNICU]

THANK YOU so much Miro!!!

[@saraq6233]

u r my first choice if I want to learn something in neonates very great-full ❤

[@TalaTalksNICU]

That makes us so happy! Thank you for being here

[@naitramsingh6942]

Hi guys another amazing video and so easy to understand, you have the gift of teaching, thanks again so much for you and your team and all the hard work you do for these videos, loving this series on sepsis and all the info you have so nicely condensed. 😊

[@TalaTalksNICU]

OH THANK YOU SO MUCH Dr. Singh. Thank you so much for watching all of these :)

[@dulcejuguilon2079]

Thank you so much Dr.Tala.Viewing from the Philippines!!!!❤

[@TalaTalksNICU]

Hello! So happy you’re watching from Philippines- thanks so much for being here!

[@ayasakr764]

Thanks a lot Dr Tala from Egypt ❤

[@TalaTalksNICU]

Hello!!! So happy you're watching from Egypt- thanks for letting us know!

[@TS-kl8zg]

Hi Dr. Tala. Thank you so much for these amazing videos. Fun. Concise& up to date. I'd love to learn more on IUGR and NAS. We have a lot of them lately in the unit. Thanks again. Viewing from Canada:)

[@TalaTalksNICU]

Hello!!! Thank you so much for watching- so glad you’re enjoying them!!!! Urgh we’ve been planning both those videos for ages and somehow haven’t gotten around to them! Thanks for the reminder and thanks for being here :)

[@khairyelwerfeli]

Thanks a lot So easy and to the point mind storming info From Egypt 🇪🇬

[@TalaTalksNICU]

SO happy you find it helpful and to the point! Literally our goals!!! Thank you!

[@AllCatholicParishes-song-fd3bc]

Thank you, insightful presentation. From Zambia

[@TalaTalksNICU]

Thank you so much- what a lovely compliment. We hope you have a peaceful Christmas and new years!

[@PROFKASPER]

Thank you so much 😊

[@TalaTalksNICU]

Thank you for watching all of these! Such a loyal viewer!!

[@neoneo-cz7zh]

Super video as usual Dr.Tala

[@TalaTalksNICU]

Thank you so much- we love your support!

[@user-xc4to8uq6c]

I love the lecture following from Zambia

[@TalaTalksNICU]

Love that you’re in Zambia!! Thanks for letting us know!!!

[@abelitasousa6053]

Thank you dr tala, hug from East Timor

[@TalaTalksNICU]

Love it!!! Thank you!!

[@mariemolloy2443]

Brilliant videos. So easy to understand. I'd love to see one on nCPAP please

[@TalaTalksNICU]

Thank you so much Marie! We've written the video on CPAP, we need to film and edit it soon! We have a couple of videos on xrays first, then we're going to get back to respiratory support. Sorry! all very fluid!!!

[@joyc.6893]

AMAZING

[@TalaTalksNICU]

Thank you!!!

[@naveed887]

Nice video,your presentation is really good ,it’s really interesting to watch it even for hours.I am from pakistan.Thanks

[@TalaTalksNICU]

Thank you SO much! We try to hard to make them interesting- sometimes that’s more difficult because the material can be super dry! We’re so happy you’re finding them helpful and that you’re watching from Pakistan :)

[@johnmason736]

Thanks, great video. Another topic suggestion would be neonatal resusitation including moments after a set algorithm. Thanks again. P.s. I'm watching from Toronto Canada.

[@TalaTalksNICU]

That is a great suggestion- like the resuscitation and then debriefing? Maybe we should do this separately? Love Toronto- such a great city! Thank you for taking the time to comment :)

[@David123p51]

Hey Dr.Tala, I love your video, I am a respiratory therapist that just started orientation in my hospital's NICU. I was wondering if you could possibly made a future video on respiratory therapist role in the NICU and your expectations for them?

[@TalaTalksNICU]

Hello! Congratulations on your new role :) I was chatting to a friend of mine- an RT in the NICU, and I'm trying to convince him to do a video with me covering this. It's a fantastic idea, and so helpful I think!

[@user-zu5xi2xx3b]

Great lecture as always!! Can you kindly make a quick video on IUGR / SGA - symmterical vs asymmetrical and TORCH infection

[@TalaTalksNICU]

Yes! Def need to do this soon- IUGR and SGA v straight forward- and really need to cover TORCH infections- such a big part of practice!

[@neoneo-cz7zh]

you promised me for GBS protocol before and please also for role of CRP and procalcitonin

[@TalaTalksNICU]

SORRY! we got side-tracked! So many videos we want to put out and so little time! We'll get to it soon- we promise!

[@Imrann752]

Please do a video on herpes screening, sypilis and hep b etc . Some of the labs all mothers get and treatment guidelines

[@TalaTalksNICU]

This is a great plan for a video. Actually, I (Tala) just did a clinical study with a few people on congenital syphilis, so would love to cover some of those results too!!! Thanks for being here!

[@pranayk5588]

Could you give a list of all the books in your library thankyou

[@TalaTalksNICU]

Hahah! Great question! Honestly- I read a lot- medicine and fiction and non-fiction. So a lot of the books out of view are non medical. We're thinking od doing a video on helpful NICU books though!

[@olanrewajuadegoke174]

Thanks Tala for you educative videos. Please What youtube channel would you recommend for Paediatric cases. Regards Dr O.K Adegoke From South Africa

[@TalaTalksNICU]

Hello Dr. Adegoke- so happy you're here! Honestly the three of us don't really watch pediatric youtube channels- let me ask other viewers! Thank you for being here!!

[@user-wj8ec7mf1c]

Thanks dr tala very helpful I have aquestion what if csf cells and sugar normal only elevated protein like 250 what could be the explanation

[@TalaTalksNICU]

Great question- if the RBCs are elevated then the protein will also go up significantly (1.1 for every 1000 RBCs). Sometimes we see and inflammatory response in the CSF- so even though there isn’t an infection- the whole body has increased proteins. Generally though the younger the neonate, the higher the proteins we accept (even up to 150-200). Hope this is in any way helpful?

[@andromedastrain9701]

Hello Dr Tala, thanks for teaching ❤❤, just want to know why need to repeat blood culture ASAP if results are positive?

[@neoneo-cz7zh]

Usually we repeat blood culture after 48h from start of treatment or we decide to change selected antibiotics

[@TalaTalksNICU]

Great question Andromeda- I guess the answer is that you need to repeat culture at SOME point if it is positive. When exactly may depend on the antibiotics you're on. So if you're on none- and you think it's a contaminant- you'd repeat before starting antibiotics. If it's positive and you're on a set of antibiotics, you may want to repeat before you add additional antibiotics. If baby is getting better, then maybe you don't want to repeat immediately. Does this make sense?

[@TalaTalksNICU]

yes! Really depends on the situation!

[@kebedealemu8859]

Hello doctor,would you share me resources on TTN, I have seminar presentation, am RI in Ethiopia

[@TalaTalksNICU]

This is a great review- if you can get access to it. We also filmed a video on TTN if you want to check it out?publications.aap.org/neoreviews/article-abstract/18/3/e141/88456/Transient-Tachypnea-of-the-Newborn?redirectedFrom=fulltext

[@pajyeebvajchannel1202]

👍👍👍👍👍like6

[@TalaTalksNICU]

thank you! haha!

[@katricewilliams8181]

How can parents of babies with blood sepsis and meningitis caused by E. Coli receive more information to understand this?

[@TalaTalksNICU]

Use pubmed as a medical google and search for review articles. Wishing you lots of luck XX

[@Blue-gs5gg]

Indiaa

[@TalaTalksNICU]

Hello! Thanks so much for letting us know!