NICU Copilot

Neonatal Sepsis Workup

Early (<72h) vs late-onset. Low threshold for empiric antibiotics in unstable neonate.

All references

Key points

  • EOS: ampicillin + gentamicin. LOS: vancomycin + gentamicin (or per unit antibiogram).
  • CBC, CRP, blood culture; LP if meningitis suspected and stable.
  • Reassess at 36–48h based on cultures and clinical course.

Pitfalls

  • Negative blood culture does not rule out sepsis in clinically ill neonate.
  • Avoid prolonged empiric antibiotics — increases NEC and mortality risk.

Ask the Copilot

  • EOS risk calculator?
  • When to stop empiric antibiotics?

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