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Global Health Media Project: Sepsis

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Sepsis Infection is the leading cause of newborn deaths. It can enter the baby during the birth process; come through an unclean umbilical cord or skin pustules. Infection can spread fast and affect the whole baby’s body leading quickly to death. This generalized infection is called sepsis. There can be multiple signs of sepsis and they can be subtle. Pay close attention to a mother’s concerns; babies with serious illness often do not have specific signs. This video will show how to evaluate and treat the baby with sepsis. Before checking the baby, wash your hands and the thermometer. As you take the baby’s temperature, gather important background information: Has the mother herself been sick or had a fever? Did her waters break early? Did she have any problems with her labor or birth? Ask about key danger signs such as poor feeding, lethargy, and convulsions. Has the baby had vomiting or diarrhea? The mother reports he is very irritable and is not feeding as often as usual. The temperature is normal. Check the baby. Observe his irritability. His eyelids and hands are swollen. Check the baby from head to toe for other danger signs. Look for jaundice. Observe the chest for in-drawing and fast breathing; See the abdomen is very distended. Check the umbilicus and the skin. This baby has multiple signs that point to sepsis: irritability, swelling, poor feeding, and abdominal distension. Here are examples of other babies with danger signs that point to sepsis. This baby is lethargic. He cannot be aroused even with stimulation. This baby has a severe skin infection and poor feeding. Here is a baby with convulsions and lethargy. This baby is lethargic. He doesn’t react to stimulation. He also has poor feeding. This baby has severe jaundice and lethargy. Discuss the baby’s urgent condition with the mother and advise her to take the baby to a higher-level facility. Before the baby leaves, give the first doses of antibiotics. The baby will need intramuscular injections of ampicillin and gentamicin. Notify the facility, write a referral note and arrange transportation Make sure the baby has breast or cup fed and is warm through skin-to-skin contact throughout the trip. Every effort should be made to refer the baby. If referral is not possible, do your best to care for the baby in your clinic though realize that this care is not the same. Give intramuscular gentamicin plus ampicillin, or procaine penicillin. Procaine pencillin has the advantage of being given once daily If there is no improvement after 2 days, switch from ampicillin to ceftriaxone Keep the baby warm and fed every 2-to-3 hours. Treat the baby for 10 days. Discharge the baby when she is feeding well and there are no other problems. Remember: Signs of serious illness in a baby can be subtle. Know the key danger signs: breathing problems, lethargy, poor feeding, abnormal body temperature, jaundice, and convulsions. Take action and refer these babies urgently.

Video Details

Duration: 5 minutes and 39 seconds
Country: United States
Language: English
Producer: Global Health Media Project
Director: Global Health Media Project
Views: 60
Posted by: card3 on May 16, 2013

This film shows the baby with sepsis: what to look for to determine if the baby is sick and needs referral, or, in cases where there is no referral option, how to treat the baby. The film includes examples of several babies with other signs of sepsis such as lethargy, convulsions, and poor feeding.

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