Please can I make a new Freedom of Information request, which concerns the care of newborn babies you look after on the neonatal side of care (neonatal unit/post-natal ward/transitional care etc):
For each of the hospitals in your trust that treat newborn babies, please can you provide any information you hold (such as protocol, local guidelines/advice etc), on when a newborn baby would normally receive a lumbar puncture when you are worried about an infection or sepsis. I am particularly interested if there is a local CRP (C-reactive protein) blood level at which a lumbar puncture is usually done.
Royal Surrey County Hospital NHS Foundation Trust follows NICE guidelines for Neonatal sepsis. Royal Surrey County Hospital NHS Foundation Trust performs a lumber puncture for the following:
- Strong clinical suspicion of meningitis
Royal Surrey County Hospital NHS Foundation Trust consider a lumber puncture for the following:
- CRP over 10, (however in practice usually consider over 20 if everything else is OK i.e. observations stable, feeding well, clinically handles well)
- Positive blood culture
- If the baby fails to respond to treatment, (or shows other neurological signs such as jitteriness, tremors etc.)