Serious Neonatal Bacterial Infections Caused by Enterobacteriaceae (Including Septicemia and Meningitis)
-
Published:2021
2021. "Serious Neonatal Bacterial Infections Caused by Enterobacteriaceae (Including Septicemia and Meningitis)", Red Book: 2021–2024 Report of the Committee on Infectious Diseases, Committee on Infectious Diseases, American Academy of Pediatrics, David W. Kimberlin, MD, FAAP, Elizabeth D. Barnett, MD, FAAP, Ruth Lynfield, MD, FAAP, Mark H. Sawyer, MD, FAAP
Download citation file:
Neonatal septicemia or meningitis caused by Escherichia coli and other gram-negative bacilli cannot be differentiated clinically from septicemia or meningitis caused by other organisms. The early signs of sepsis can be subtle and similar to signs observed in noninfectious processes. Signs of septicemia include fever, temperature instability, heart rate abnormalities, grunting respirations, apnea, cyanosis, lethargy, irritability, anorexia, vomiting, jaundice, abdominal distention, cellulitis, and diarrhea. Meningitis, especially early in the course, can occur without overt signs suggesting central nervous system involvement. Some gram-negative bacilli, such as Citrobacter koseri, Cronobacter (formerly Enterobacter) sakazakii, Serratia marcescens, and Salmonella species, are...