From: Effect of case management on neonatal mortality due to sepsis and pneumonia
Oral antibiotic therapy alone • Administration of oral antibiotics in the community for neonatal sepsis, meningitis, or pneumonia |
Injection therapy alone • Administration of intramuscular antibiotics, at home or in first-level facilities, for neonatal sepsis, meningitis, or pneumonia |
Hospital-based management as an inpatient with supportive care • Administration of intravenous antibiotics ○ Wider choice of antibiotics including broad spectrum antibiotics ○ Option of using frequent/higher dosage if needed to maintain high blood antibiotic levels or coverage for meningitis, ○ Access to second-line antibiotic therapy for neonates with treatment failure on first line antibiotics • Intravenous access and administration of intravenous fluids if needed • Oxygen supplementation if required • Access to appropriate diagnostic procedures, such as monitoring of pulse, blood pressure, and oximetry reading, as well as monitoring/correction of hypoglycemia if required |