When I took the risk of not giving antibiotics to this newborn ... 

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Sunday, February 19, 2017
when i took the risk of not giving antibiotics to this newborn ... 

We had been working on ways to reduce the use of antibiotics in the neonatal ICU for a long time when I took the decision to attempt it with the next baby under our care.

The baby was premature, born in 28th week of pregnancy. She was 730 grams, her lungs were not fully developed. She needed ventilator support and intravenous nutrition. Generally, in such babies we start antibiotics as a defensive medicine as they may have a co-existing infection. 

If we go by statistics, 15 percent of babies who weigh less than 1500 grams may acquire some form of infection during their hospital stay and need antibiotics. But ideally, these babies don't need antibiotics till there is an evidence of an infection.

In order to treat this baby without antibiotics, we needed to build a robust infection control system. I appointed two dedicated nurses to look after this baby, they were not allowed to touch any other baby in the neonatal ICU. We replaced all re-usable with disposables--bed sheet, syringes, canula, etc. We placed a strict hand-washing protocols-- we sanitised our hands each time we touched the babies or something else. 

I increased my rounds to ICU from two a day to four. For four days, everything went as planned.

I was very nervous. I came back home for lunch but my mind was in the ICU. I wanted to rest a bit but sleep eluded me. Being a paediatrician and a father, I knew how devastating losing a child could be for parents

But on the 5th day, her blood count and platelet fell. It could be because of number of reasons, including infection. Pulmonary, blood stream and urinary tract infections are common in such babies. And these babies are so delicate that we have to respond fast.

It was a critical moment.

As her CRP (c-reactive protein) test was normal, we decided to wait till blood culture report confirmed infection.

I was very nervous. I came back home for lunch but my mind was in the ICU. I wanted to rest a bit but sleep eluded me. Being a paediatrician and a father, I knew how devastating losing a child could be for parents. The memories of a case flashed through my mind.

Around a year back, I had this baby in my ICU. Till evening, he was stable. I took my evening round and thereafter went home. At night, I called up the ICU in-charge to check on all the babies. Everything was alright.

But my phone rang at 3 in the morning. It was my nursing-in-charge on the other side, she told me that the baby looked sick. I rushed to the hospital. The baby had blood infection which had spread to his other organs as well. We tried our best but we couldn't save the baby. 

His mother was inconsolable. I felt terrible.

It is difficult to put in words what a neonatologist feels  like when an infant dies. It is traumatic, devastating  to see little lifeless body of a baby that was a bundle of joy for his /her parents.

Our is a profession where we often encounter human tragedy and we  all have to develop our own defence mechanisms to deal with it. But it is not always easy—particular when you lose infants under your care. Those little eyes closing forever before they could open properly, those little hands and flailing legs going immobile is a trauma difficult to tackle. The cries and grief of her  mother haunted me for a long time.
 
Now, the thought of losing the baby I had decided to treat without antibiotics almost paralysed me. I asked myself if I was doing the right thing, or I am being adventurous. I had to weigh the risk against benefits. But I knew that use of antibiotics when not needed have many harmful effects on the baby. I knew that we are losing the battle against resistant bugs and again decided to suppress my temptation to start antibiotics.

I could barely sleep and would call the ICU several times every night to know  how the baby was doing.

Fifteen days passed and the baby sailed through all ups and downs. I felt confident when she was stable. But every little fluctuation in her parameters meant that I again fought a bitter battle with myself.

I often asked myself: should I change course? 

But every time I thought of life- long benefits of not using antibiotics and decided to stay the course  I had chosen.

She stayed with us for 63 days before I finally signed her discharge papers. Her parents has named her Mannat and she comes to me for her routine check-ups. She will turn 2 the coming September. She doesn't know but she is an inspiration for me. She infuses a new confidence in me--confidence to not use antibiotics when not needed.

She taught me to have faith in  laboratory findings, she taught me to follow set protocols, she taught me to use antibiotics rationally.   
 

The writer is head of the department, neonatology, Fortis Hospital, Mohali

Comment

It requires a lot of patience too Lets all stand up against irrational a.b use

dr ashish marwah    2017/02/22 07:42:04

Thanks for sharing Sunil! Great to see your victory over the super bugs and getting babies out stronger from the NICU..Keep up ur great work

Dr Isani Mishra    2017/02/21 11:56:07

Well written article Sunil. I know what it feels like to get decisions right. Excuse me my ignorance but can you please enlighten me with all the life long benefits in your statement "But every time I thought of life- long benefits of not using antibiotics and decided to stay the course I had chosen." Many thanks Jas

Jas    2017/02/21 05:24:25

Keep going mate. Bravo

Firasat    2017/02/21 01:23:09

Feel so inspired and appreciate the doctors in India after shifting to Canada when I heard a story of a 3 year old child death just because of doctors negligence

Avneet sidhu    2017/02/20 06:34:22

Simply great dear brother

Dr arun naik    2017/02/20 05:32:19

Commendable Sunil. You have written a really touchy piece of article. And your efforts and sincerity must be lauded. Being a critical care person myself, I can understand how difficult it is to withhold antibiotics on a ventilated patient...but looking for signs of infection,going by numbers and having a really reliable lab n microbiology...helps. This is still ok for adults but if a neonate that too a premature baby..it's a far more jittery decision.Hats off to you.

Dr Pooja Rastogi    2017/02/20 01:24:18

We are proud of you

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