To assess the clinical spectrum of neonatal fungal sepsis with a focus on cardiovascular alterations evaluated by functional echocardiography.
Approach:
Study Design: Retrospective observational study conducted over three years in a tertiary care neonatal intensive care unit.
Inclusion Criteria: Neonates younger than 28 days with culture-proven fungal sepsis.
Data Collection: Demographic, clinical, microbiological, and outcome variables were analyzed from electronic medical records.
Echocardiography Protocol: Functional echocardiography was performed during active infection and repeated after microbiological clearance.
Key Findings:
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Interpretation:
Neonatal fungal sepsis is associated with reversible hemodynamic changes, particularly affecting right ventricular performance and pulmonary circulation.
Limitations:
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Conclusion:
Functional echocardiography may provide useful physiological information for managing neonatal fungal sepsis.
This American Epilepsy Society (AES) practice guideline provides updated, evidence-based recommendations for the management of epilepsy in infants and children aged 1 month to <36 months.
Topical treatment numerically reduced progression to treatment-requiring retinopathy of prematurity in a randomized trial, although the primary endpoint was not met.