RESUMO
Neonates are highly susceptible to infections owing to their immature cellular and humoral immune functions, as well the need for invasive devices. There is a wide practice variation in the choice and duration of antimicrobial treatment, even for relatively common conditions in the NICU, attributed to the lack of evidence-based guidelines. Early decisive treatment with broad-spectrum antimicrobials is the preferred clinical choice for treating sick infants with possible bacterial infection. Prolonged antimicrobial exposure among infants without clear indications has been associated with adverse neonatal outcomes and increased drug resistance. Herein, we review and summarize the best practices from the existing literature regarding antimicrobial use in commonly encountered conditions in neonates.
RESUMO
In polyelectrolyte complex coacervates, changes in salt concentration and changes in polymer concentration are typically strongly coupled, complicating interpretation of the salt- and polymer-concentration-dependent dynamics of these materials. To address this problem, we developed a "salt addition" method for preparation of complex coacervates that allows the salt concentration of a coacervate sample to be varied without changing its polymer concentration. This method was used to prepare coacervates of poly(styrene sulfonate) (PSS) with poly(diallyldimethylammonium chloride) (PDADMAC) with salt concentrations between 1.2 and 2 M and volume fractions of polymer between 0.1 and 0.25. Characterization of these samples by small-amplitude oscillatory shear rheology revealed that the relaxation times scale significantly more strongly with polymer volume fraction than has been previously assumed, highlighting the need to account for both salt and polymer-dependent contributions to the dynamics of these complex materials.
