Symptoms include: Fever (present in only 10–15% of cases) Lethargy Irritability Jaundice Vomiting Diarrhea Abdominal distention Respiratory distress Neurologic findings like seizures or jitteriness Neonatal sepsis can be categorized as early-onset or late-onset: Early-onset Occurs within the first week of life, usually within 24–48 hours. The most common causes are group B streptococcus (GBS) and Escherichia coli (E coli). Late-onset Occurs after the first week of life, up to 3 months of age. The most common causes are GBS, E coli, other Gram-negative aerobes, or L monocytogenes. Treatment for neonatal sepsis includes: Intravenous (IV) fluids, IV antibiotics, Antiviral medication, Heart and/or blood pressure medications, and Extra oxygen and other forms of respiratory support. Neonatal sepsis can have serious consequences, even for survivors. Survivors may have an increased risk of cerebral palsy, hearing loss, visual impairment, and cognitive delays.