Treatment of Granuloma Inguinale in a Newborn Born to a Mother with Donovanosis

Overview

Newborns delivered to a mother with donovanosis represent a distinct clinical scenario. Guidelines address this population directly, recommending active prophylactic management at the time of birth rather than a watch-and-wait approach.

Clinical Scenario

The infant is born to a mother with donovanosis (granuloma inguinale). This maternal infection history places the neonate in a defined risk category for which a specific, evidence-graded prophylactic protocol exists.

Approach

Prophylaxis with azithromycin is recommended for these newborns. The complete regimen — including the dosing schedule and duration — is set out in the full structured protocol.

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References

Children born to mothers with donovanosis should receive prophylaxis with a 3-day course of azithromycin 20mg/kg once daily (Grade C, Level IV).

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