Dr Simon Drysdale Consultant in paediatric infectious diseases and immunology, St George’s University Hospitals NHS Foundation Trust, London, is providing specialist training on the use of antibiotics in the neonatal intensive care nurseries for doctors from four major hospitals in Vietnam. This week neonatologists and microbiologists are working with Dr Drysdale to plan a safer regime for the use of antibiotics for sick babies.
Infection is a major cause of newborn deaths. Most of these deaths can be averted by preventive measures, early diagnosis, treatment with judicious use of appropriate antibiotics. Doctors are learning to differentiate between infection and other causes and to select an antibiotic that works for the bacteria causing the problem. Why is this so important? – every year, neonatal infections account for approximately 550,000 deaths globally. Antibiotic-resistant bacteria in the neonatal units is an increasing threat to the well-being of our smallest and most vulnerable infants. As resistance increases, there are less and less drugs that work, scaling up to a big gun, is not the answer.