COVID-19 in a Preterm- Leading to Remodelling of Care
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SCIENTIFIC LETTER
COVID-19 in a Preterm- Leading to Remodelling of Care P. S. Siddhi 1 & G. Rayasandra 1 & A. J. Plant 1,2 & R. Krishnamurthy 1 & A. Bhaduri 1 & B. J. Muhammed 1 Received: 26 May 2020 / Accepted: 18 June 2020 # Dr. K C Chaudhuri Foundation 2020
To the Editor: COVID-19 has become the most significant pandemic of this era. Although adults and the elderly are most severely affected, children and neonates have been affected to a lesser extent [1]. Studies on pregnant mothers with COVID19 published until date have shown limited evidence supporting vertical transmission [2]. We would like to report our first case of COVID-19 in a preterm neonate who contracted the infection in the second week of life, that prompted us to strengthen infection control measures. A 33-wk-old neonate was born by emergency cesarean section due to maternal complications. He was born in poor condition. He was intubated, given surfactant and ventilated for 72 h. He was extubated on to humidified high flow until day 5 of life. On day 9 of life, he became unwell with poor feed tolerance and respiratory distress requiring non-invasive ventilation. Chest X-ray showed patchy consolidation of right mid-zone and left peri-hilar region suggestive of infection. Blood results showed a mild elevation of CRP to 14 mg/L (Normal
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