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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Newborn Suspected Of Urinary Infection, On Netilmicin Sulfate Injection, Cefepime & Tazobactam Injection. Is This Correct ?

hi, our newborn grandson (10 days old) was suspected of urinary infection (only symptom was: he wasnt feeding roperly) and he has got these results from urine test (done on 6th february): 1. Bilirubin total = 12.45, 2. Bilirubin (direct) = 1.16, 3. CRP = 1: dilute positive, 4.8mg/dl He is on medication: Netilmicin sulfate injection USP 25mg/1ml (Netromax 25), 2. Cefepime & Tazobactam injection (250mg+31.25mg) (Scud XP 250mg), 3. Acetaminophen oral suspension USP (P125 drops). he is feeding properly now, though he is still irritable. so we were wondering if the diagnosis and the treatment he is receiving is proper one.
Sat, 16 Feb 2013
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Pediatrician 's  Response
hello

thanks for writing

any baby(neonate) who is not feeding and inactive should be suspected to have sepsis and should be investigated.....subjected to septic screen and blood culture

in your case i donot have the other components of sepsis screen........like total counts etc

what about the urinary investigation and culture...........

what about blood culture

CRP Positive could suggest infection or inflammation in the body

pl write to me with further details so that i can give you better information regarding

thanking you
take care
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Pediatrician Dr. E Venkata Ramana's  Response
Hi,
Thank you for your query,
The antibiotic are given for your newborn are proper for urinary tract infection.
The medication should be continued as per the Pediatrician advise.
The main symtoms of any infection in newborn is poor feeding and decreased activity.
As he is feeding properly child seems improving and responding to the treatment.
Hope I have answered your query.
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Newborn Suspected Of Urinary Infection, On Netilmicin Sulfate Injection, Cefepime & Tazobactam Injection. Is This Correct ?

hello thanks for writing any baby(neonate) who is not feeding and inactive should be suspected to have sepsis and should be investigated.....subjected to septic screen and blood culture in your case i donot have the other components of sepsis screen........like total counts etc what about the urinary investigation and culture........... what about blood culture CRP Positive could suggest infection or inflammation in the body pl write to me with further details so that i can give you better information regarding thanking you take care