Antimicrobials in NICU. Prof Sourabh Dutta

[@dr.vamshikrishna1002]

Excellent information, thank you sir

[@SridharKs]

Prof Sourabh was my teacher at PGI

[@manishtiwari3486]

Excellent talk Will try to inculcate in my practice, however a long way to go. 1) What is the position of blood culture in settings with poor sensitivity of blood culture? Does the CRP and Procalcitonin also hold true in preterms? Should quantitative value of CRP guide Antibiotic choice? ( CRP of 192 vs 45)

[@SridharKs]

He is my teacher

[@manishtiwari3486]

You both are my teacher sir, have learnt alot after following your channel

[@SridharKs]

@@manishtiwari3486 I have forwarded your questions to Prof, will share the response

[@SridharKs]

Answering your questions-poor sensitivity of blood culture is related to lab setting. A good team and an open discussion can improve that. Procalcitonin and CRP are useful in preterm babies as well but you can’t rule out sepsis just because these are normal. As for the level of CRP, if clinically worsening along with very high CRP, you can escalate cover. But if clinically stable, we can wait for a couple of days to see if it trends down. A very high CRP is more likely gram negative or fungal sepsis/NEC than CONS sepsis

[@k.k908]

Sir, will you please upload the video on the topic of approach to bleeding neonates

[@SridharKs]

Approach to Neonatal bleeding disorders. Dr. Faisal Khanani, UAE kzbin.info/www/bejne/bmjRmmljbcuKe8U

[@k.k908]

@@SridharKs Thank you sir for your prompt reply

[@misterkhan9324]

Sir can we get this lecture in pdf??

[@SridharKs]

Hi, I will try to get it