Browsing by Author "Shrestha, Nipun"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Nepal Paediatric Society Guideline for use of Antibiotics in Critically ill Children in the Pediatric Intensive Care Unit(Nepal Paediatric Society (JNPS), 2021) Shrestha, Dhruba; Amatya, Puja; Sharma, Arun; Shrestha, Shrijana; Sharma, Yograj; Pathak, Santosh; Pokharel, Prakash Jyoti; Shrestha, Nipun; Pokhrel, Santosh; Dongol, Srijana; Raya, Ganendra Bhakta; Ghimire, Amrit; Koirala, Janak; Basnet, SangitaAbstract: Justification: Overuse and administration of unnecessary and inappropriate antibiotics are the leading causes for the increased antimicrobial resistance worldwide. Judicious use of antimicrobials can prevent this phenomenon. Objective: Create a collaborative outline for the use of antibiotics in the paediatric intensive care unit for various infections, based on evidence, taking into consideration local antimicrobial susceptibility patterns. Process / Methods: Under the aegis of Nepal Paediatric Society, this guideline has been developed after several meetings of paediatricians working in various hospitals in different parts of Nepal, looking into the prevalent diseases and local sensitivity patterns of antibiotics. Recommendations: This guideline will help standardize the treatment protocol in paediatric intensive care units in Nepal and help paediatricians decide the appropriate use of antibiotics promptly while managing critically ill children. Keywords: Antibiotics; antibiotic sensitivity; antimicrobial resistance; critically ill child; Paediatric Intensive Care UnitPublication Salmonella Sepsis presenting as Early Onset Neonatal Sepsis(Nepal Paediatric Society (JNPS), 2018) Shrestha, Nipun; Shrestha, DhrubaAbstract: Neonatal sepsis is one of the feared cause of neonatal death in both term and preterm infants, leading up to 30% of neonatal death in developing countries. Salmonella sepsis is one of the uncommon causes of early onset neonatal sepsis. Here we present a case of early onset neonatal sepsis due to Salmonella species. Baby was delivered vaginally with good Apgar score. Within few hours of birth, baby developed respiratory distress and was admitted with empirical antibiotics. The blood culture showed the growth of Salmonella species. Child was treated with IV antibiotics and responded well to it and was discharged home without complication.