© 2004 Archives of Disease in Childhood Fetal and Neonatal Edition
Fantoms
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Nosocomial infection is far too common in infants admitted to the Newborn Intensive Care Unit (NICU), especially in the smallest babies. Mandel et al reported that in 46 infants with nosocomial sepsis, 10 (22%) also developed cutaneous abscesses, mostly on the limbs at previous intravenous infusion sites. The lesions—first noted at days 12 to 32 of age—were single or multiple, and developed after the bacteremia (which was persistent in seven infants despite appropriate antibiotics). Increased awareness of this complication should reinforce the need for aseptic technique as well as prompt recognition by vigilant examination of the skin in infants who develop bacteremia.
See page 161
The assumption of hypothalamic-pituitary-adrenal immaturity has influenced clinical practice, perhaps out of proportion to the available evidence. Ng and colleagues have added to our understanding of what they term transient adrenocortical insufficiency of prematurity (TAP) by performing human corticotrophin releasing hormone stimulation tests at 7
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