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thank you very much for this excellent
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overview next update on the vertical
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infections are there any questions from
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the audience and maybe I start out with
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a question what people are thinking I
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really enjoyed your talk about CMB
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because there's a lot of problems we
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face them we don't know what to do
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is there something you see on the on the
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horizon when we think like 5 10 20 years
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ahead we can be as successful with CMB
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as we are with other infectious diseases
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there are several things at the horizon
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but I'm not so successful to be honest
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because there are different difficult
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things there is a vaccine i didn't talk
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about two weeks explanation and the
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vaccine progress is the problem is that
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the the vaccination would primarily
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address the prevention of primary
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infection but we have probably more
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reactivations or infection whether it
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could help there too is an open question
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if yes then magazine the vaccine would
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become very relevant the other things
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about the car the universal and touch it
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screening and not yet convinced i think
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we should just be a ver in the clinical
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situation dented the neonatologists and
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then test and have in mind if you fail
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the hearing test also to think on
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individual basis on what to do next
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including cmp because if you did we do
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universal zmb testing ninety percent of
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the infected are asymptomatic and ten to
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fifteen percent available symptoms and
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the other ninety five percent have that
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you have a family that have a sick child
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that is asymptomatic or do you tell them
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I told you I don't mind oh no no no and
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I have a silly question
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maybe because your outline that vertical
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trend infections are bad dangerous they
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trigger secretly or even kill fetuses
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are children could we imagine on the
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country that there are good vertically
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transmitted infections that could maybe
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not kill the features of the chart and
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confer some kind of protection in in the
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life later on by any rearrangement of
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the immune system or by giving the child
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some RNA bits or DNA because that could
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protect protect against I don't know
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what aging or anything just imagine that
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something could be good
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that's a very attractive idea but I
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think you play the fire because there
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are many things you have to and to take
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into consideration from maternal
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immunity fetal development persistence
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and their education and very nice
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hypotheses but i think very theoretical
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yeah but I think it's really a way to
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follow because it is separate infectious
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why microbes that may be dangerous but
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as a whole we know that the fetal
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microbiome got a neonatal microbiome
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comes from the mother and these are
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billions of microbes that are beneficial
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to their to the unit and are very
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important and we also know much less
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will not know little about microbiome
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transfer but we know much less but we
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know that there are many retro viruses
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that are integrated into our genome and
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that passed from mother to child and
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they're probably most probably there are
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many basic beneficials about them
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because we still have them
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so do you still like me are still there
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so we might piece have surprises and
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think in this way I agree and I think I
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completely agree
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but I think that's personal and
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perception that nature is very well
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balanced and we have to be very sure and
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very cautious in if we intervene there
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ok don't see any more questions on this
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one okay stood virtually for the
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overview
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I've got a very very less sophisticated
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but very practical question if you say
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if we cannot measure the otoacoustic
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emissions which happens quite often you
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measure it usually a good day 23
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depending on when the children go home
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in a delivery department and it's quite
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often can't measure them doesn't mean
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that we have to search see me for all
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these children or can you wait like very
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often we repeat after a while or we send
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them to the oral department here and get
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back very nice result of perfect hearing
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so do we scare the parents if we go and
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feel like maybe C&B or do we do it
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routinely once we don't see your
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commission
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this is a difficult than an open
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question and i have not the definite
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answer you have just to read these jama
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pediatrics they recommend now just the
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touch screen is exactly that in all of
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them you do see MVPs your i would not
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recommend that in general but if you
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have in addition to the failed a.m.
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screening you have other symptoms that
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would maybe fit to CMV then i will go
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over that and first of all i would try
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to repeat it and if you have other
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things then yes send it to the ENT if no
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maybe not
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I this is not black and white but this
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is your clinical feeling that he's asked
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there and today I think it's too early
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but if there are suspicions if you're
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concerned if the parents are concerned
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yes to eat but we cannot do the pair are
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in all of them because we need to make
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an anesthesia on things like this and
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then we would know
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ok then I thank the speaker again and to
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thank the audience for the interest
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thing discussion and I like to close
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the session I think we meet again here
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at 2212 for the next session thank you

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Conference Program

Welcome Words
M. Roth-Kleiner, R. Arlettaz Mieth
Jan. 10, 2017 · 9:33 a.m.
659 views
Short Reports Introduction
E. Giannoni, T. Karen, Resp. Lausanne, Zürich
Jan. 10, 2017 · 9:38 a.m.
138 views
Association of Axonal Injury and Preeclampsia
Katrina Evers, Neonatology UKBB
Jan. 10, 2017 · 9:39 a.m.
307 views
Q&A - Association of Axonal Injury and Preeclampsia
Katrina Evers, Neonatology UKBB
Jan. 10, 2017 · 9:44 a.m.
158 views
Retinopathy of Prematurity
Roland Gerull, Bern
Jan. 10, 2017 · 9:47 a.m.
293 views
Q&A - Retinopathy of Prematurity
Roland Gerull, Bern
Jan. 10, 2017 · 9:54 a.m.
138 views
Parechovirus Infection: A Rare Cause of Neonatal Encephalitis (in French)
Dr Truant AS, Cheffe de clinique, Néonatologie, CHUV, Lausanne
Jan. 10, 2017 · 9:59 a.m.
549 views
Q&A - Parechovirus Infection: A Rare Cause of Neonatal Encephalitis
Dr Truant AS, Cheffe de clinique, Néonatologie, CHUV, Lausanne
Jan. 10, 2017 · 10:04 a.m.
126 views
Genetic Susceptibility to Neonatal Group B Streptococcal Disease
Alessandro Borghesi, Fellay lab, EPFL
Jan. 10, 2017 · 10:17 a.m.
174 views
Q&A - Genetic Susceptibility to Neonatal Group B Streptococcal Disease
Alessandro Borghesi, Fellay lab, EPFL
Jan. 10, 2017 · 10:25 a.m.
Psychomotor Development in Children Prenatally Exposed to Methadone
G. Grand-Guillaume-Perrenoud, Pediatrics, Children's University Hospital Geneva
Jan. 10, 2017 · 10:27 a.m.
170 views
Q&A - Psychomotor Development in Children Prenatally Exposed to Methadone
G. Grand-Guillaume-Perrenoud, Pediatrics, Children's University Hospital Geneva
Jan. 10, 2017 · 10:34 a.m.
Introduction to Christoph Berger's Presentation
C. Kind, R. Gerull, Resp. St.Gallen, Bern
Jan. 10, 2017 · 10:37 a.m.
Vertical Infections: An Update
Christoph Berger, Zürich
Jan. 10, 2017 · 10:40 a.m.
439 views
Q&A - Vertical Infections: An Update
Christoph Berger, Zürich
Jan. 10, 2017 · 11:15 a.m.
Introduction to Eric Giannoni's Presentation
R. Pfister, S. Kämpfen, Resp. Geneva, Basel
Jan. 10, 2017 · 11:44 a.m.
147 views
Sepsis, Antibiotics and Resistances: Where Are We?
Christoph Bührer, Berlin
Jan. 10, 2017 · 2:21 p.m.
271 views
Use and Abuse of Antibiotics in Neonatology
Martin Stocker, Lucerne
Jan. 10, 2017 · 2:50 p.m.
467 views
Panel Discussion : Controversies on Use of Antibiotics in Neonatology
Martin Stocker, Christoph Berger, Eric Giannoni, Christoph Bührer
Jan. 10, 2017 · 3:10 p.m.
202 views
Introduction to Christoph Bührer's Presentation
Romaine Arlettaz Mieth , Neonatologist, Zürich, President of the Organizing Committee
Jan. 10, 2017 · 3:47 p.m.
120 views
Evidence-Based Haemodynamic Management in Neonatal Sepsis
Christoph Bührer, Berlin
Jan. 10, 2017 · 3:48 p.m.
638 views
Q&A - Evidence-Based Haemodynamic Management in Neonatal Sepsis
Christoph Bührer, Berlin
Jan. 10, 2017 · 4:16 p.m.
SwissNeoDose Project
Marc Pfister, Ped Pharmacology, UKBB
Jan. 10, 2017 · 4:20 p.m.
271 views

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