Late Onset Sepsis (LOS)

Reinforce infection prevention and control procedures

  • Prematurity/low birth weight

  • NICU Admission

  • Invasive Procedures/Endotracheal Intubation

  • Prolonged IV line

  • Prolonged hospital stay

  • Frequent use of broad spectrum antibiotics

  • Contact from caregivers with bacterial colonization

  • Poor cord care/Poor hygiene/Formula feeding

Duration

  • If culture negative, consider stopping therapy

  • Continue therapy if sepsis is very likely even though culture comes back as negative

Situation Duration
Clinical course and laboratory findings do not verify the suspected infection 48 hours (max.)
Infection is confirmed (evidence of pathogens + laboratory studies and/or clinical presentation) 7 days
Blood culture is positive and/or severe illness 10 days
Meningitis (some guidelines recommend treatment for an additional week after the last negative CSF) 14-21 days
Osteomyelitis ≥3 weeks