Interventions for Neonatal sepsis and infections

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Age Cohort: Pregnancy and newborn
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Educate mothers/fathers and caregivers on signs and symptoms of neonatal infection using job aides
  • Educate mothers/fathers and community on importance of facility delivery, exclusive breastfeeding good hygienic practices, care of the umbilical cord and avoidance of harmful traditional birth practices
  • Early initiation and exclusive breastfeeding of neonates
  • Appropriate cord care
  • Emphasis on the need for early referral to health facility for every sick young infant
  • Recognition of Neonatal sepsis signs and symptoms
  • Early Referral to the next level for neonates suspected with neonatal sepsis
  • Keeping baby warm all times including on the way to hospital
  • Psychological support from the community to parents of babies with birth-related complications
Primary Care
  • Educate mothers/fathers and caregivers on signs and symptoms of neonatal infection using job aides
  • Educate mothers/fathers and community on importance of facility delivery, exclusive breastfeeding good hygienic practices, care of the umbilical cord and avoidance of harmful traditional birth practices
  • Clean delivery practices and handwashing during delivery
  • Appropriate cord care
  • Clean cord with chlorhexidine antiseptics
  • Refer to hospital if neonate is not improving
  • Psychological support to parents of babies with birth-related complications
Referral Facility: General
  • Education of mothers and other care givers about signs and symptoms of neonatal infection
  • Education of mothers on improtance of exclusive breastfeeding
  • Education of mothers and other care givers and good hygienic practices
  • Education of mothers and other care givers on umbilical cord care
  • Clean delivery practices and handwashing during delivery
  • Appropriate cord care
  • History
  • Physical examination
  • Complete blood count
  • Blood culture
  • CSF analysis
  • Chest radiography
  • Antibiotics
  • IV hydration
  • Oxygen support
  • Appropriate feeding including breast feeding
  • Blood products transfusion
  • Vasopressor agents
  • Physical therapy for children with neurological complications
  • Psychological support to parents of babies with birth-related complications
Referral Facility: Specialist
  • Education of mothers and other care givers about signs and symptoms of neonatal infection
  • Education of mothers on improtance of exclusive breastfeeding
  • Education of mothers and other care givers and good hygienic practices
  • Education of mothers and other care givers on umbilical cord care
  • Start neonates with foul smelling amniotic fluid at birth with antibiotics for anaerobic infections (Clindamycin or Metronidazole)
  • Full blood count, Blood urine and CSF cultures for all neonates with suspicion of sepsis ¬†
  • Refer neonates with suspicion of sepsis to next level if facilities for full investigations are not available¬†
  • History
  • Physical examination
  • Complete blood count
  • Blood culture
  • CSF analysis
  • Chest radiography
  • Computed tomography (CT)
  • Magnetic resonance imaging (MRI)
  • Start treatment with ampicillin or penicillin G plus an aminoglycoside Add Cefotaxime if meningitis is suspected
  • Treat with appropriate antibiotics based on culture resultsLaboratory services that include but are not limited to Blood
  • Nutritional support.
  • Early initiation and exclusive breastfeeding.
  • Neonatal High dependency unit services
  • Neonatal ICU services
 
Age Cohort: < 5 years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Educate mothers/fathers and caregivers on signs and symptoms of neonatal infection using job aides
  • Educate mothers/fathers and community on importance of facility delivery, exclusive breastfeeding, good hygienic practices, care of the umbilical cord and avoidance of harmful traditional birth practices
  • Early initiation and exclusive breastfeeding of neonates
  • Appropriate cord care
  • Emphasis on the need for early referral to health facility for every sick young infant
  • Recognition of Neonatal sepsis signs and symptoms
  • Early Referral to the next level for neonates suspected with neonatal sepsis
  • Keeping baby warm all times including on the way to hospital
  • Physical therapy for children with neurological complications
  • Psychological support from the community to parents of babies with birth-related complications
Primary Care
  • Educate mothers/fathers and caregivers on signs and symptoms of neonatal infection using job aides
  • Educate mothers/fathers and community on importance of facility delivery, exclusive breastfeeding good hygienic practices, care of the umbilical cord and avoidance of harmful traditional birth practices
  • Clean delivery practices and handwashing during delivery
  • Appropriate cord care
  • History Physical examination
  • Clean cord with chlorhexidine antiseptics
  • Refer to hospital if neonate is not improving
  • Physical therapy for children with neurological complications
  • Psychological and social support to parents of babies with birth-related complications
  • Psychological and social support to parents of babies with birth-related complications
Referral Facility: General
  • Education of mothers and other caregivers about signs and symptoms of neonatal infection using job aides * Education of mothers on importance of facility delivery, exclusive breastfeeding, good hygienic practices, care of the umbilical cord.
  • Clean delivery practices and handwashing during delivery
  • Appropriate cord care
  • History
  • Physical examination
  • Complete blood count
  • Blood culture
  • CSF analysis
  • Chest radiography
  • Antibiotics
  • IV hydration
  • Oxygen support
  • Appropriate feeding including breast feeding
  • Blood products transfusion
  • Vasopressor agents
  • Physical therapy for children with neurological complications
  • Psychological and social support to parents of babies with birth-related complications
Referral Facility: Specialist
  • Education of mothers and other caregivers about signs and symptoms of neonatal infection using job aides
  • Education of mothers on importance of facility delivery, exclusive breastfeeding, good hygienic practices, care of the umbilical cord.
  • Training of health workers on the nine steps on essential newborn care to prevent neonatal sepsis
  • History
  • Physical examination
  • Complete blood count
  • Blood culture
  • CSF analysis
  • Chest radiography
  • CT scan
  • MRI
  • Antibiotics
  • IV hydration
  • Oxygen support
  • Blood products transfusion
  • Vasopressor agents
  • Psychological and social support to parents of babies with birth-related complications