Bacteriological spectrum and immediate outcome of neonatal sepsis in tertiary care centre in South India
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2017, Vol 4, Issue 6
Abstract
Introduction: Neonatal septicemia is diagnosed when generalized systemic features of sepsis are associated with pure growth of bacteria from one or more sites. It refers to systemic infection of neonates including Septicemia, Pneumonia, Meningitis, Arthritis, Osteomyelitis and UTI. Objective: To study the bacteriological profile and antibiotic sensitivity of neonatal sepsis and correlating to outcome. Materials and Methods: This is a prospective hospital based study in NICU of ASRAM medical college, Eluru. Period of study: January, 2014 to July, 2015 Selection of cases: 74 Neonates below the age of 28 days with clinical suspicion of neonatal septicemia were included in this study. Results: Early onset septicemia was present in 49 cases (66%), Late onset septicemia was present in 25 cases (34%). E-coli, Klebsiella and CONS were the most common organisms isolated. Present study shows Gram negative organisms show maximum sensitivity to Imipenem (87.5%). Gram negative organisms show least sensitivity to cefotaxime (25%). Conclusion: Early-onset septicemia is more common than late-onset septicemia. Gram-negative septicemia is more common than Gram-positive septicemia. Gram-negative organisms are common cause of early-onset septicemia. Mortality is higher in early-onset septicemia and Gram-negative septicemia.
Authors and Affiliations
Manas Ranjan Sahoo, Vasundhara Arigela, A SirishaA
Keywords
Related Articles
- EP ID EP281912
- DOI 10.17511/ijpr.2017.06.09.
- Views 142
- Downloads 0
A comparative study of serum electrolytes in newborns with birth asphyxia and non-asphyxiated newborns
Background: Birth asphyxia is a common neonatal problem and contributes significantly to neonatal morbidity and mortality. HIE is the foremost concern in asphyxiated neonate because contrary to other system derangements...
Antibiotic stewardship in pediatrics: global heath priority
Multidisciplinary antibiotic stewardship (AS) programs targeting both inpatient and outpatient antibiotic prescription to children need to be urgently developed in every country and implemented to tackle this global anti...
Child health Care delivery system in Rewa District: A critical analysis
Background : In developing countries like India, a very high proportion of the population especially in rural areas of Madhya Pradesh does not have ready access to neonatal and child health care services. There is an urg...
Effect of dengue fever on the total leucocyte count and neutrophil count in children in early febrile period
Introduction: Dengue is an arboviral disease caused by flavivirus. In India, the incidence of dengue fever is on a rise every year. The course of illness is different for each patient. Therefore early measurement of labo...
To study the effectiveness of indigenous bubble CPAP in management of respiratory distress in newborns
Background: CPAP has become a useful in management of respiratory distress, especially in preterms. CPAP delivers a continuous distending pressure via the neonates pharynx to the upper and lower airways. The main indicat...