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My personal contention, as a neonatologist, is that any primary care practitioner involved in newborn care should be well enough versed in neonatal problems to be able to use standard neonatology references. Putting that bias aside, I would like to establish whether this guide is usable for the primary care physician.
The text is organized in four parts; however, the unique problem-oriented approach with emphasis on initial signs and symptoms does not appear until part 3.
Infections in the newborn are highlighted as special problems in part 1; however, the coverage is disappointing. Since I encounter infants who are referred to our tertiary center with a diagnosis of sepsis and for whom treatment was critically delayed far too often, I concur that infections, and particularly sepsis, deserve special attention. The urgency to perform diagnostic studies and initiate antibiotic and other adjunctive treatment in the infant suspected to have bacterial sepsis
MILSTEIN JM. Assessment of the Newborn. Am J Dis Child. 1985;139(4):337. doi:10.1001/archpedi.1985.02140060019015
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