TABLE 3

Infants With Positive Blood Culture Results

Variable Infant 1 Infant 2 Infant 3 Infant 4
Organism Escherichia coli GBSα-Hemolytic Streptococcus Streptococcus intermedius
Gestational age, wk39383940
Birth weight2800319039293905
GBS colonizationNoNoNoNo
ROM, h23172745
Criteria met for CAMFever 102.7°F, foul smelling amniotic fluidFever 103.4°F, fetal tachycardiaFever 102.3°F, fetal tachycardiaFever 101.4°F
Antepartum antibioticsAmpicillin/sulbactam 1 h PTDAmpicillin/sulbactam 1 h PTDAmpicillin/sulbactam 40 min PTDAmpicillin, gentamicin 3 h PTD
Apgar (1, 5 min)5,81, 61, 78, 9
SymptomsCPAP in DR for poor respiratory effort; well appearing at 6–8 hDepressed in DR; required intubation and PPV. Well appearing at 6–8 hDepressed at birth; required PPV via mask. Well appearing at 6–8 hRespiratory distress required mechanical ventilation for 2 d
IT ratio
 Birth0.380.360.340.35
 12 h0.130.360.360.34
CRP
 Birth0.24<0.1<0.2<0.2
 12 h7.62.05.01.2
CSF cultureNegativeNegativeNegativeNegative
Duration of antibiotics, d10777
  • CPAP, continuous positive airway pressure; DR, delivery room; GBS, group B streptococcus; PPV, positive pressure ventilation; PTD, preterm delivery; ROM, rupture of membranes.