6 Tips! // GBS /E. Coli/ Listeria??// Best antibiotics to use?!
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- čas přidán 24. 07. 2024
- We are all TERRIFIED about bacterial infections = 'sepsis' in newborns. Here we cover the common causes of EARLY and LATE onset sepsis. And- how do babies get these bugs? Why can babies get SO SICK from them? This is PART I in a SIMPLE to understand three part series on NEONATAL sepsis.
IT'S ALL clinically relevant information you NEED to KNOW in the NICU
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Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
publications.aap.org/pediatri...
www.ncbi.nlm.nih.gov/pmc/arti...
citeseerx.ist.psu.edu/documen...
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**TIMESTAMPS**
00:48 Why do we care so much about sepsis in the NICU?
04:37 What is early onset sepsis?
06:13 What causes early onset sepsis in term babies?
08:27 Early onset sepsis in preterm infants
09:27 What other bacteria do we have to worry about?
10:40 What antibiotics do we start for early onset sepsis and why?
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Music: www.bensound.com (royalty free with credit)
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.
Dr. Tala you are an amazing teacher. You have made difficult NICU concepts so easy for me to understand. I just finished my NNP program back in Dec 2022 and your videos have helped me and my classmates understand various topics and concepts!! I am officially a Neonatal nurse practitioner now and I wanted to say thank you so much for sharing your knowledge with us and breaking it down, so that we all can understand and the information can stick with us forever!!!
Oh Kanesha! You absolute hero. First of all congratulations on becoming an NNP. We had zero doubts at all- you sent us such intelligent questions for our Q and A videos- obviously you have that natural curiosity and love for this. We've had a few bad days in the NICU- and we saw your comment this morning and it completely made our day. Thank YOU so much. So excited for you starting your role- you are literally going to love it!!! Looking forward to hear about your career moving forward XX
Who on earth complained that they are too long? Anyway am glad you split it up rather than shortening it. Please don't reduce the amount of information in the video. Thank you
Ha! Thanks for that! We've come to realize that everyone wants something slightly different- and we're trying so hard to listen to the viewers. Our plan was to split up the information and release more often- but that doesn't work great time-wise for us. What would you say is your ideal length for an educational video? (On youtube it's like "say what you need to say, and not a second more". But honestly I could probably talk for days on sepsis! ha!)
@@TalaTalksNICU dividing the videos in parts is okay that way everyone wins
Thank you so much for the video! This is such an important topic, and I’m learning so much from you. I don’t mind long videos by the way!
Hi Carmen! OK that's good to know! We're still learning these youtube details!!! So glad you're still finding these educational! Thanks again so much for being here :)
Sepsis is such an important topic and always a change in the NICU, thanks for breaking it down to important points, as always your videos are excellent makes learning so much fun, thanks to you and your wonderful team 😊
Thank you so much Dr. Singh. So happy you were able to see it! Babies so lucky to have you
Thank you DR Tala for all NICU information and tips. Kind regards Martina nurse at the NICU in Lund Sweden
So happy you’re watching from Sweden. Which antibiotics do you start with in your unit?
Dr. Tala, you have been doing an amazing job to simplify the complex nicu topics for us. Please also let us know if you know of any similar useful YT channel for general pediatrics. Will really appreciate your input.
Thank you so much for your lovely comment! Honestly I don’t watch a lot of pediatric stuff on CZcams- but open pediatrics seems really good- and Stanford always puts out a ton of great stuff- on their own page as well as CZcams channel. Maybe we should open that up to everyone else?!
Love your videos! I’m a NICU nurse from Texas. I would love to see a video on the auquadex and a a video that runs through a mock code! Thanks for all you do ❤
Hi Rebekah! So happy you're here in Texas too! Honestly we have not used aquadex in our unit (mostly used PD or CRRT- but even those are mostly run by nephrology). We will try to track down a pediatric nephrologist to give a talk! the mock code we can do!!! Hope all is good with you- thanks so much for watching and for your suggestions :)
I am an LDRP nurse and I have been binge watching your videos. So much information. I would love to see a video about Group B Strep infection. Thank you for your time and sharing your knowledge.
Thank you so much for watching- so glad they help! We'll be getting around to GBS soon we promise!!!!
As a labor and delivery nurse, I’d love to have more info on Group B Strep. Thank you for sharing this education!
Yes- we need to get a GBS talk out you're right. So happy that as an L and D nurse you're interested in this- tells a lot about the excellent type of nurse you are. Thank you :)
the longer the video, the better!! at least for me :) love your content
Oh good to know! Thanks so much for sharing with us :)
Such a great explanation! thank you ! would love to have more videos! maybe about more congenital defects of GIT, Respiratory or even skin manifestations can be diagnosed !it is such a helpful Great channel!!!
Thank you so much for your lovely words. We need to get to surgical defects- love talking about this! Thank you again!!
Amazing video Dr Tala!
Thank you so much! We LOVE your comments :)
Thank you so much! Could you please talk about Neonatal X-ray?
YES! We really need to do this- sooner rather than later! We promise!!
U are doing a great work Dr. Tala by simplifying such difficult subject like sepsis .. thank U very much for wonderful channel ☺️☺️☺️
Thank you so much. A lot of the simplifying comes from Arianna (who does the editing etc)- but we are ALL so happy that you find the channel helpful. THANK YOU!
Excellent talk
Thanks a lot
So glad you think so- YAY! Thanks!
Thank you so many Dr.Tala !!
Thank you so much for watching and for taking the time to write :)
Thank you dr tala, I love your explanation.!
So happy you find this helpful! Thanks so much for taking the time to write!
You are amazing, thank you so much!
As a group we’re trying but individually definitely not true -and I have several family members who could attest to that :) haha thank you so much Aine
wonderful , thank you
Thanks so much for watching and subscribing!
Thank you so much 🌷
Thank you so much for watching all these!!!!
Great explanation dr 🎉. Have studied sepsis many times. Only now understood the concepts behind what i studied. Thanks a lot for the efforts Dr. The GBS and staphylococcus mnemonic was super fun 😂
Thank you for your lovely comment! So happy that these videos have helped in any way!!! And love mnemonics!!!!
I can't find the next video for the rest of the tips... can you tell me it's name or put the links under my comment? These are fantastic videos. I have learned so much from these videos. Even as a seasoned nurse sometime the dots are connected. These videos have connected so many dots for me!
Oh JILL Thank you!!! What a lovely comment! Wanted to answer quickly so didn’t waste any more of your time- we’ve filmed next two but they’re not edited yet- so we’ll be putting them out over couple weeks. Sorry!!! I think the other two are actually more helpful- quite a bit of textbooky stuff in this first one!!! Thank you again for being here!
keep it up . Great lecture
Thanks so much for your positive comments Dr. Mame :)
I study with you on my drive to work every day.
Oh that's fantastic! Stay safe though and relaxed though! Thank you for being here :)
I’m not really sure what category this would fall under but I would love a lecture on “cardiac - ish” meds like milrinone, dopamine, dobutamine, etc. I have a hard time understanding when / why each is used.
Hi Haley! This is SUCH an important topic- I think we've stayed away because there is SO much controversy with when and how to use all these drugs. Every unit seems to use a little differently. But I think it's an excellent idea for a video- we'll get there soon!! Thanks so much for being here :)
Can you plz talk about congenital heart diseases and TORCH infections in your upcoming videos??Thanks.
Hello Ashish! Thank you for your great suggestions. We have already put out a couple of videos on heart disease (we have a cardiac playlist if you’re interested)- and we have a TORCH one in the works. These all take so much longer than we ever thought!!!
Love the tip of GBS is a chain!
YAY! Maybe we should collect more of these for another Anne Shields video special :)
@@TalaTalksNICU like you will see brain CALCIFICATION in "C" T scan
Yes! Please keep them coming!!!
Thank you so much Dr Tala,really you are amaz5,please I need to know for GBS protocol and how many doses enough for IAP
Hello! We will plan on a GBS talk following these sepsis talks- and we'll cover that. Generally one- two doses antibiotic is enough. we can talk more about this!!!
@@TalaTalksNICU thanks a lot with my best wishes
Can you please do a talk on HFJV?
YES! I'm feeling bad about this one- we've been asked many times- and it's mostly written- we have to film it!!! Thank you so much!
Im on orientation as a new grad on my second week in a level 3 NICU. Tala what could it mean if the baby ive been assigned is starting to have bright green regurgitation? He's on EBM OG feeds 28 week premie admitted for both prematurity and early onset sepsis. I ask but I get vague responses. Do you have any videos on this? Is it relevant? Or anywhere I can look? Thank you!!!
Hello! Green vomit is always abnormal - but it could be bad abnormal (NEC, volvulus, sepsis, obstruction etc) or it could be benign (transient decreased peristalsis for whatever reason). But always needs further work up. We are planning on starting a symptoms and work up series- so we’ll cover that! Thank you!
@@TalaTalksNICU Thank you so much!
Hi my baby had early onset sepsis in the uk caused by acinetobacter. Is this from me this bacteria or from the hospital. If I have another baby should I get myself checked before giving birth again for this bacteria. In uk we didn’t have any tests like this but I am talking 6 years ago now. My baby is now 6 years old, was so scary!
Oh I'm so sorry about your baby. I'm so glad you have a healthy 6 year old now. Generally this is not a bacteria we carry- it's more likely to have originated in the hospital (and unfortunately this happens not infrequently, and with the tiny babies it's really hard to avoid infection). So there isn't really anything different to be done. Good luck and we wish you and your family health. XX
There's something i can't understand u've siad the in infant if we suspect there's an infection we'll start antibiotics,, but then u said that we should get a blood culture before giving antibiotics because we don't know whether it traveled onto the blood or not
?
Whoops- sorry- I didn’t make that more clear. Always always try to get a blood culture before starting antibiotics (otherwise you won’t know if it is negative because it was truly negative or if it was already treated). This usually isn’t an issue because we give IV antibiotics- and normally it’s harder getting blood than putting in an IV (and can sometimes we done at same time).
Hi I'm a UK nursing student hoping to become a NICU nurse but work in America....was wondering how you was able to do it?
And I survived sepsis as a 26 weeker neonate
Wow that’s amazing!!! Unfortunately we can’t help with logistics- I did my MD elsewhere and Arianna and Justin are trained here. I would recommend joining a Facebook group and asking (eg nicu professionals?) good luck!!! You beat sepsis and being a 26 weeker so you can do this too!
👏👏👏👏👏👏❤❤
Thank you so much!!!!!
The way we keep changing antibiotics (like cefotaxime and amikacin to vancomycin and meropenem) does this lead to antibiotics resistance in the future?
THIS IS SUCH an important question- and I didn't cover it enough in the three sepsis videos. Generally the more broad spectrum antibiotics we use, the more resistant bugs we will find. It's so important to always use the most narrow spectrum antibiotics that we can for this reason- and often the narrow spectrum antibiotics are better at 'killing' the bacteria. Obviously though our hands are tied. Maybe we should do a video on resistance?!
@@TalaTalksNICU yes please! I'd love that, thank you so much!
I don't mind watching a long video. 🇿🇲
Oh thank you for your input! We’ve been pushing to longer videos recently too- we figured at least some people want it all!! Thanks for being here!
@@TalaTalksNICU the more learning the better plus i enjoy your teaching style. I'm a student Dr from Lusaka Apex Medical University in Zambia. I'm currently finishing my two weeks rotation in NICU and thus far your videos have helped me gain interest in neonatology.
قال الله تعالى : ( اللَّهُ الَّذِي خَلَقَ سَبْعَ سَمَاوَاتٍ وَمِنَ الْأَرْضِ مِثْلَهُنَّ يَتَنَزَّلُ الْأَمْرُ بَيْنَهُنَّ لِتَعْلَمُوا أَنَّ اللَّهَ عَلَى كُلِّ شَيْءٍ قَدِيرٌ وَأَنَّ اللَّهَ قَدْ أَحَاطَ بِكُلِّ شَيْءٍ عِلْمًا ) الطلاق/ 12
Thank you for sharing