Infection Screens and Antibiotics

Evidence 

https://dergipark.org.tr/tr/download/article-file/62054 

Jacqueline J Ho 

Antibiotics are a very important group of drugs for the sick neonate and have undoubtedly played a role in their improved survival. But they come with a set of risks which must be carefully considered and weighed against the benefits in any decision to commence antibiotics. For the neonatologist this is not an easy task. This article intends to discuss the potential risks of antibiotics to the sick newborn in the hope that it will aid clinicians to better balance the benefits and harms and use antibiotics in a rational way. 

Education 

When babies are born too early or unwell, their bodies are still learning how to protect themselves from germs that can cause infections. Infections can make a baby very sick, so the healthcare team in the neonatal unit act quickly to keep your baby safe. One important way they do this is through infection screens and antibiotics. 

What Is an Infection Screen? 
An infection screen is a group of tests that helps doctors check if your baby has an infection. These tests might include taking small samples of blood, urine, or spinal fluid. Doctors and nurses also look at your baby’s temperature, heart rate, and breathing to see if they show signs of infection. The tests are carefully done to keep your baby as comfortable as possible, and the team will explain what they’re doing every step of the way. 

Why Are Antibiotics Used? 
If doctors think your baby might have an infection, they may start antibiotics right away. Antibiotics are medicines that fight germs and help stop infections. Babies who are very small or sick can get infections quickly, so it’s important to begin treatment early, even before test results come back. Starting antibiotics early can protect your baby while doctors wait for test results to confirm if there is an infection. 

How Long Will My Baby Need Antibiotics? 
If the tests show there is no infection, the doctors will stop the antibiotics after a couple of days. If your baby does have an infection, they might need to stay on antibiotics for longer, sometimes a week or more, depending on the type of infection. The doctors will explain the plan to you and keep you updated. 

Is It Safe for My Baby? 
Antibiotics are used carefully in the neonatal unit. Doctors choose the right medicine and the right dose for your baby’s size and condition. They also monitor your baby closely to make sure the antibiotics are working and to watch for any side effects. If you have questions about the medicine your baby is getting, the care team is always there to explain. 

Empowerment 

It can feel overwhelming when your baby needs tests or treatments, but you play a big role in their care. Ask as many questions as you like and let the care team know how you’re feeling. Understanding why tests and medicines are needed can help you feel more confident. Remember, no question is too small, and the team is there to support you. 

Your baby might feel a little unsettled after having tests or starting antibiotics, but they are in good hands. You can comfort your baby with your voice or gentle touch. Once the infection is under control, you’ll often notice your baby starting to feel better and stronger. 

Infections can seem scary, but infection screens and antibiotics are powerful tools to help protect your baby and help them heal. You are an important part of your baby’s journey, and your love and care make a big difference. The neonatal team is always here to support both you and your baby every step of the way. 

Useful Links 

Mater Mothers Hospital, Brisbane 

https://brochures.mater.org.au/brochures/mater-mothers-hospital/antibiotics-for-newborn-babies 

Miracle Babies Foundation 

https://www.miraclebabies.org.au/content/hygiene-in-the-nicuscn/gk80h4 

https://www.miraclebabies.org.au/content/group-b-streptococcus/gmzkkw