Approach

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DDx & Investigation

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!Red Flag (must not miss)

Specific Aetiologies

Category Disease Abx Abx Duration
Ealry Onset (<72hr) (GBS, E. coli, other GN, Listeria) Ampicillin + Gentamicin
*7–14 days
***Negative Culture: Stop after 48h
Late Onset (CoNS, S. aureus, GN, Candida) Vancomycin + Gentamicin 7–14 days
Lung Neonatal pneumonia (GBS, E. coli, other GNs, Listeria Ampicillin + Gentamicin 7–14 days
Gram-positive meningitis (GBS), Listeria monocytogenes Ampicillin + Cefotaxime 21 days
Gram-negative meningitis (E. coli, Klebsiella) ≥21 days
Medical NEC (E. coli, Staph, Kleb, Proteus, C.diff) Pip/Tazo or Ampicillin + Gentamicin + Metronidazole 5–7 days
Surgical/severe NEC 10–14 days
UTI UTI (E. coli) Ampicillin + Gentamicin 7–14 days
HSV (SEM) IV Acyclovir 14 days
HSV (CNS/disseminated) 21 days
Bacteria Causes
NEC, UTI, Meningitis, Sepsis, Pneumonia
Meningitis, Sepsis, Pneumonia