(Dobutamine is less effective in infants and may actually cause
hypotension , blood culture and start of antibiotics : ampicillin
gentamicin for 7-10d (Anaerobic coverage is usually not necessary unless
infant is several weeks old , follow CBC , platelets , PT , PTT ,
fibrinogen replace clotting factors products prn , frequent measurements
of arterial pH and blood gas tensions , correct metabolic acidosis ,
frequent measurements of electrolytes...