Future Perspectives On The Diagnosis And Management Of Neonatal Bacterial Sepsis: Overcoming Current Challenges In Clinical Practice: Review

Maged Naser, Mohamed M. Nasr, Lamia H. Shehata

Abstract


Sepsis remains the2ndcause of death amongst neonatesafterthepathological consequences of extreme prematurity. Onthis assessment we summarized knowledge approximately pathogens causing early onset sepsis (EOS) and Late-onset sepsis(LOS),the role of perinatal risk factors in determining the EOS danger, and the tools used to reduce unnecessary antibiotics. New molecular assays should enhance the accuracy of standards bloodcultures, providing the opportunity foraquick and sensitive method. Exceptional sepsis standards and biomarkers are available to date, but further research is needed to guide use of antibiotics in line with these tools. beyond the historic antibiotic regimens in EOS and LOS episodes, antibiotics should be based totally at the local flora and promptly modulated if precise pathogens are recognized.The possibility ofanantibioticlock therapy for central venouscatheters hasto be similly investigated. Artificial intelligence could help usto personalize remedies andreduce the increasing trend of multidrug-resistant bacteria.

Keywords


early-onset sepsis, late-onset sepsis, sepsis calculator, blood culture, PCR assays, biomarkers, c-reactive protein, procalcitonin, presepsin, antibiotic lock remedy

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References


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DOI: http://dx.doi.org/10.52155/ijpsat.v51.1.7260

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