[unzen]

I believe the CRP results can be elevated due to stress of delivery and can be elevated in a neonate less than 72hrs (I think) if the mom's immunity was stressed before delivery. (i.e. had infection such as this particular mother had.). This elevation can give a false indication of infection. At our hospital, the docs don't order or want a CRP drawn unless a infant was otherwise healthy and then started to look/ act sick. I don't think the doc ignoring a very high, out of parameter CRP was the wrong thing to do on a newly delivered infant whose CBC was normal. The fact that a follow up CRP was ordered shows the doc wasn't ignoring it completly. Not starting ABX on the baby makes me wonder though, unless the maternal Hx showed adequate treatment before delivery.

[Mimi2RN]

Reading this thread again, it made me wonder about the lab parameters. If normal is less than 6 and the baby was 129, what would it be if it should be <1. Maybe dividing it by 6, it would be 21.5, which would still be high to not treat, but sounds a little better. Then it came down to 8, which we would still treat. Do you look at band counts on your diffs, too?

To me it's worth treating a baby for three days, than having it deathly ill at home.
We had one admitted to peds at 4 days with B-strep meningitis, had 25 days of abx. We rarely hear the f/u, though.

That ped was pushing his luck not treating the baby!