system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A neonate born at 33 weeks is transferred to the NICU after a complicated pregnancy and C-section. A week after being admitted, he developed a fever and become lethargic and minimally responsive to stimuli. A lumbar puncture is performed that reveals the following:
Appearance  Cloudy
Protein 64 mg/dL
Glucose 22 mg/dL
Pressure 330 mm H20
Cells 295 cells/mm³ (> 90% PMN)
A specimen is sent to microbiology and reveals gram-negative rods. Which of the following is the next appropriate step in management?
assistant
Start the patient on IV cefotaxime