Treatment of infantile sepsis requires timely administration of antibiotics and supportive therapy; early diagnosis and intervention are crucial. Antibiotic treatment should be selected based on bacterial culture and drug sensitivity testing. Supportive therapy includes maintaining respiratory and circulatory stability and nutritional support.
1. Antibiotic treatment is the primary measure for infantile sepsis. In the early stages, broad-spectrum antibiotics such as ceftriaxone, ampicillin and penicillin are usually used empirically. The treatment is then adjusted according to the results of bacterial culture and drug sensitivity tests.
2. In supportive therapy, respiratory support can maintain the infant's oxygen supply through oxygen therapy or mechanical ventilation, while circulatory support can maintain blood pressure and circulatory stability through fluid replacement and vasoactive drugs such as dopamine and adrenaline.
3. Nutritional support is crucial for promoting infant recovery. Sufficient calories and protein can be provided through nasogastric tube or intravenous nutrition, while monitoring blood glucose and electrolyte levels to prevent metabolic disorders.
4. Immunoglobulin therapy can enhance an infant's immune response in some cases by neutralizing pathogens and reducing inflammation through intravenous administration of immunoglobulin IVIG.
5. In terms of nursing care, strictly implement aseptic procedures to avoid cross-infection, regularly monitor body temperature, heart rate, blood pressure and blood oxygen saturation, and promptly detect and treat complications.
Early identification and comprehensive treatment of infantile sepsis are key to improving survival rates and reducing sequelae. Parents should closely observe their infants for abnormal symptoms such as fever, rapid breathing, and cyanosis, and seek medical attention promptly.