A Cross Sectional Study to Assess the Blood Stream Infection Amongst the Neonates, Infants And Children in A Tertiary Care Set Up of Eastern India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Blood culture remains the mainstay of laboratory diagnosis of bloodstream infections in infants and children and neonatal septicaemia. The cross sectional study was performed with 96 cases over a period of three months from 15th October to 14th December, 2017 in a tertiary care set up. Aerobic and anaerobic blood culture for clinically suspected cases was performed by automation (BACTEC). Blood volume and number samples were decided as per standard protocols. Blood culture bottles with positive growth indicated by automation were subcultures on Mac conkey’s agar media, blood agar media and chocolate agar media. Antibiotic susceptibility testing was done as per standard microbiological guidelines by Kirby Bauer’s technique. A total of 96 blood culture (88 aerobic and 8 anaerobic) was performed out of which, in 25 cases, bacterial growth was obtained (26.04%). Out of these 25 cases, in one case, anaerobic culture indicated presence of bacterial growth. Amongst 24 aerobic growth, 13 cases were due to Staphylococcus aureus, 5 cases were due to Salmonella Typhi, 3 was Escherichia coli, Klebsiella pneumoniae was isolated in 2cases and in one case, blood stream infection was caused by Staphylococcus haemolyticus. Streptococcus pneumonia was isolated in the case where blood culture showed growth in anaerobic condition. Escherichia coli was found to be the major Gram negative pathogen to cause neonatal septicaemia (28%). Isolated Streptococcus pneumoniae was sensitive to Penicillin, Ampicillin, Amoxycillin- Clavulanic acid, Erythromycin, all four generations of Cephalosporins, Vancomycin, Linezolid and Teicoplanin. 18 of the isolated 24 aerobic bacteria were resistant to fluoroquinolones (75%).
Authors and Affiliations
Dr. Sanjeev Das, Dr. Jayashree Konar, Mr. Asim Kumar Pahari
Keywords
Related Articles
- EP ID EP251499
- DOI 10.9790/0853-1612104648
- Views 43
- Downloads 0
“Breast feeding practice immediately after birth: A study in a tertiary care hospital, Dhaka, Bangladesh”
Human milk is a bioactive fluid that evolves from colostrum to mature milk as the infant matures. Breast milk is the unique source of nutrition that plays an important role in the growth, development and survival of infa...
A Comparative Study of Halothane versus Sevoflurane for Induction of Anaesthesia and Tracheal Intubation in Children
Inhalational anaesthesia is the most commonly employed technique in paediatric age group since it is associated with rapid induction and emergence. Halothane has been very popular as it is non-irritant and well tolerated...
A Prospective Study of Functional Outcome of Intertrochanteric Fracture of Femur Treated With Proximal Femoral Nail Fixation
Introduction: Intertrochanteric femur fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to trivial trauma. Age of patient, osteoporosis, general health...
Non-Nutritive Oral Habits, Age, Sex, Socioeconomic Status And Infant Feeding Practices In Children In Sub-Urban Nigeria
Background: Non-nutritive oral habits (NNOH) have been associated with infant feeding practices. Various factors have been implicated in the development of these habits. This study tried to identify if age, sex, socioeco...
Spot Urine Albumin Creatinine Ratio- A Reliable And More Convenient Test For Diagnosis Of Nephrotic Syndrome In Children
Aim and objective - Nephrotic syndrome is a nonspecific disorder in which the kidneys are damaged, causing them to leak large amounts of protein (proteinuria at least 3.5 grams per day per 1.73m2 body surface area) from...