Diferencia entre revisiones de «Neonatal HSV»
| Línea 27: | Línea 27: | ||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Peds]] | |||
[[Category:ID]] | |||
Revisión del 04:22 6 jun 2015
Background
- Causative agent: HSV-1 or HSV-2
- Risk greatest under 3 weeks of age. Greatest risk factors is primary maternal HSV at delivery.
Conjunctival disease may be manifestation of SEM disease.
Risk Factors in Neonatal Fever
^Acyclovir if:
Clinical Features
Differential Diagnosis
Diagnosis
Management
- Acyclovir 20 mg/kg IV every 8 hours (duration depends on classification)
- If ocular involvement:
- 1% trifluridine, 0.1% iododeoxyuridine, or 3% vidarabine
- Optho consult
- As for any febrile neonate SBI evaluation:
- Ampicillin + gentamycin
- May substitute gentamycin with cefotaxime/ceftazidime
- Ampicillin + gentamycin