Hot Topic Debates: Management of Infections in Hospitalized Neonates and Children

Chair(s)

• 

  Matthew Kronman, MD, MSCE (he/him/his)

  Professor, Pediatric Infectious Diseases
  Pediatrics, Division of Infectious Diseases
  University of Washington
  Seattle, Washington, United States

This session will involve 3 debates on clinically relevant hot topics relating to antimicrobial use for hospitalized neonates and children, including whether and when gentamicin is appropriate for the management of hospitalized neonates with fever or early onset sepsis; whether antibiotic therapy must be provided intravenously for children hospitalized with common infections such as community acquired pneumonia (CAP), skin and soft tissue infections (SSTI), and urinary tract infections (UTI); and whether use of metagenomic next generation pathogen sequencing should be unrestricted for use by inpatient providers. During this session, national leaders in Infectious Diseases will debate these topics. The format will involve three 30 minute debates, in which each speaker will review the scientific evidence for their position for 8-10 minutes (20 minutes total), respond to the other speaker for 2 minutes (4 minutes total), and then garner audience participation through live polling and questions for the remaining 6-10 minutes total. The presentation of the initial positions could be pre-recorded if needed, while the rebuttals and Q&A section would ideally be live. The overarching goal of the session is to highlight the evidence for and against the infection management strategies covered for these common situations in hospitalized neonates and children, and to provide a fun and interactive session reaching a broad multidisciplinary audience.

This engaging session will therefore be relevant to those who care for hospitalized neonates and children, including medical student and resident trainees, general pediatricians, hospitalists, and specialists in emergency medicine, neonatology, and infectious diseases.

Presentations:

• 9:15am – 9:30am HST

  Gentamicin Should Be Used as Part of Neonatal Fever / Early Onset Sepsis
  

  Speaker: Mariana M. Lanata, MD (she/her/hers) – Marshall University Joan C. Edwards School of Medicine
• 9:30am – 9:45am HST

  Gentamicin Should NOT Be Used as Part of Neonatal Fever / Early Onset Sepsis
  

  Speaker: Matthew Kronman, MD, MSCE (he/him/his) – University of Washington
• 9:45am – 10:00am HST

  Healthy Children Admitted for Routine Infections Such as CAP, SSTI, and UTI Should Only Be Treated IV While Hospitalized
  

  Speaker: Daniel J. Adams, M.D. – Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
• 10:00am – 10:15am HST

  Healthy Children Admitted for Routine Infections Such as CAP, SSTI, and UTI Should NOT Only Be Treated IV While Hospitalized
  

  Speaker: Joshua Herigon, MD, MPH, MBI – Children's Mercy Kansas City
• 10:15am – 10:30am HST

  Metagenomic Next Generation Sequencing Should Be Unrestricted for Provider Use
  

  Speaker: Rana E. El Feghaly, MD, MSCI (she/her/hers) – Children's Mercy Kansas City, UMKC
• 10:30am – 10:45am HST

  Metagenomic Next Generation Sequencing Should NOT Be Unrestricted for Provider Use
  

  Speaker: Maria Rueda Altez, MD, MSHS (she/her/hers) – University of Alabama at Birmingham