ABSTRACT
Enterovirus infections in neonates have the potential to cause a cascade of devastating clinical complications that can lead to death. Because of vague maternal symptom presentations, the diagnosis may not be obvious to antepartum adult providers. Clinicians evaluating infants in the newborn nursery and following initial hospital discharge must be alert for this potential infection. Common newborn issues, such as hyperbilirubinemia and weight loss, may be early signs of a more life-threatening diagnosis. Enterovirus infections may be responsible for a continuum of critical diagnoses in the neonate. Utilization of viral panels during the initial rule-out sepsis evaluation may provide rapid diagnosis and, ultimately, earlier response times to devastating clinical symptoms. Antepartum history and presenting features of enteroviral infections warrant rapid diagnosis with viral polymerase chain reaction detection panels to potentially reduce antibiotic usage and inpatient length of stay. The purpose of this case report is to review risk factors, presentation, and management of neonatal enterovirus infections. As this infant was born in a remote setting and required air evacuation, the logistics of this transport are also discussed.
Subject(s)
Enterovirus Infections/complications , Enterovirus Infections/diagnosis , Enterovirus Infections/nursing , Infant, Newborn, Diseases/nursing , Neonatal Nursing/standards , Sepsis/etiology , Sepsis/nursing , Air Ambulances , Female , Humans , Infant, Newborn , Infant, Newborn, Diseases/virology , Male , Practice Guidelines as Topic , Risk FactorsABSTRACT
This polio-like illness typically affects children.
Subject(s)
Enterovirus Infections/diagnostic imaging , Enterovirus Infections/virology , Myelitis/diagnosis , Myelitis/virology , Child , Child, Preschool , Enterovirus D, Human/isolation & purification , Enterovirus Infections/nursing , Humans , Myelitis/nursing , Spinal Cord/diagnostic imagingABSTRACT
Enterovirus is commonly seen in children. Its morbidity and mortality rate is about 18% (Department of Health, the Executive Yuan, 2003). This paper documents the use of Watson's theory in the care of a child aged two years and seven months and his primary caregiver. During the nursing process, the application of care and concern for the child and primary caregiver provided confidence, comfort, and relief of fear and anxiety caused by hospitalization, enabling the patient, during his time in hospital, to make physical and psychological progress. The caregiver was also able to gain an understanding of how to care for a child with enterovirus, which diminished some of the pressure caused by his admission to hospital and placed him and his family at the center of the nursing care.
