Antimicrobials in NICU. Prof Sourabh Dutta

This video is a recording from the webinar and launch of the South asian edition of the very popular 'Cloherty and Stark Manual of Neonatology'. Hearty congratulations to my good friend, Dr Naveen Jain who is the chief editor of this edition. Many thanks to him as well as the organising team from Wolters Kluwer, the publishers of this manual for the kind permission to share this excellent presentation by my respected teacher, Prof Sourabh Dutta. He is professor of Neonatology at PGIMER Chandigarh, and both myself and Dr Naveen Jain were his students at the same time. I am very proud to be a student of this prestigious institute, with Prof Anil Narang, Prof Praveen Kumar, Prof Sourabh Dutta, Prof Kanya as my teachers in the neonatal unit there.
Discussion part here Discussion after talk on Antimicrobials in NICU-Prof Sourabh Dutta
• Discussion after talk ...
#sepsis #neonatalsepsis #antibiotics #antibioticstewardship

[@dr.vamshikrishna1002]

Excellent information, thank you sir

[@SridharKs]

Prof Sourabh was my teacher at PGI

[@manishtiwari3486]

Excellent talk Will try to inculcate in my practice, however a long way to go.
1) What is the position of blood culture in settings with poor sensitivity of blood culture?
Does the CRP and Procalcitonin also hold true in preterms?
Should quantitative value of CRP guide Antibiotic choice? ( CRP of 192 vs 45)

[@SridharKs]

He is my teacher

[@manishtiwari3486]

You both are my teacher sir, have learnt alot after following your channel

[@SridharKs]

@@manishtiwari3486 I have forwarded your questions to Prof, will share the response

[@SridharKs]

Answering your questions-poor sensitivity of blood culture is related to lab setting. A good team and an open discussion can improve that. Procalcitonin and CRP are useful in preterm babies as well but you can’t rule out sepsis just because these are normal. As for the level of CRP, if clinically worsening along with very high CRP, you can escalate cover. But if clinically stable, we can wait for a couple of days to see if it trends down. A very high CRP is more likely gram negative or fungal sepsis/NEC than CONS sepsis

[@k.k908]

Sir, will you please upload the video on the topic of approach to bleeding neonates

[@SridharKs]

Approach to Neonatal bleeding disorders. Dr. Faisal Khanani, UAE
ua-cam.com/video/87ni6-8fWEc/v-deo.html

[@k.k908]

@@SridharKs Thank you sir for your prompt reply

[@misterkhan9324]

Sir can we get this lecture in pdf??

[@SridharKs]

Hi, I will try to get it