Guidelines
Necrotizing Enterocolitis

Necrotizing Enterocolitis

Routine Practices

  • Abdominal Imaging

  • CBC, and blood culture

  • Consider CSF culture if systemically ill

Common Pathogens

Enteric Gram negative bacilli

Enterococcus spp.

Anaerobes

Treatment

PLUS

+/-

Add for perforation, peritonitis and rapidly advancing sepsis

OR

In patients who fail initial treatment or have intolerance to aminoglycosides

Duration of Therapy

7 days, but may extend for prolonged illness up to 14 days