PedsNP2007
New member
Hi,
I tell parents that they should really limit contact the first month of life... Sick contacts especially.
The American Academy of Pediatrics has guidelines for mandatory septic (infection) work-up. For those babies 0-30 days old, if they have a fever, they are essentially given the full work-up (including a lumbar puncture to rule out meningitis). For babies 31-60 days, it is up to the ER staff to decide if they will do the full septic work-up (depending on how the baby looks/acts). From 60 days on, it is a limited work-up unless the history or physical exam is concerning for meningitis.
I know it is difficult with a new baby and having the CF news, but I would rather err on the side of caution. There are simple things that can cause fever in a baby, but given the significant impairment that meningitis can cause, it is a mandatory to do a full septic work-up as meningitis still is a high risk. I've seen what meningitis can do to babies untreated and I'd take a month isolated indoors with my baby than the other outcome.
My family has been helpful for my sister and brother in law in that, when they have wanted to go out, we have sat for the baby who is finally 7 weeks old. She most recently took him to a quiet mall to walk around. It's still a concern for infection. I know you can't protect them from everything, but the first 2 months, I would seriously keep out of crowds, maintain a "no-sick" contact protocol, and practice good hygeine (washing hands, etc)!!
Jenn
30 yo cf, critical care ped nurse practitioner
I tell parents that they should really limit contact the first month of life... Sick contacts especially.
The American Academy of Pediatrics has guidelines for mandatory septic (infection) work-up. For those babies 0-30 days old, if they have a fever, they are essentially given the full work-up (including a lumbar puncture to rule out meningitis). For babies 31-60 days, it is up to the ER staff to decide if they will do the full septic work-up (depending on how the baby looks/acts). From 60 days on, it is a limited work-up unless the history or physical exam is concerning for meningitis.
I know it is difficult with a new baby and having the CF news, but I would rather err on the side of caution. There are simple things that can cause fever in a baby, but given the significant impairment that meningitis can cause, it is a mandatory to do a full septic work-up as meningitis still is a high risk. I've seen what meningitis can do to babies untreated and I'd take a month isolated indoors with my baby than the other outcome.
My family has been helpful for my sister and brother in law in that, when they have wanted to go out, we have sat for the baby who is finally 7 weeks old. She most recently took him to a quiet mall to walk around. It's still a concern for infection. I know you can't protect them from everything, but the first 2 months, I would seriously keep out of crowds, maintain a "no-sick" contact protocol, and practice good hygeine (washing hands, etc)!!
Jenn
30 yo cf, critical care ped nurse practitioner