Early onset neonatal sepsis in relation to prolonged rupture of membranes of more than 18 hours - A prospective study
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 6, Issue 3
Abstract
Background: Sepsis is the commonest cause of neonatal mortality globally and is responsible for about 3–50% of the total neonatal deaths in the developing countries. In India, sepsis contributes up to 52% of neonatal deaths in the community and 36% of deaths in hospital newborns. Prolonged rupture of membranes (PROM) is a common and significant cause of early onset sepsis and preterm labour. The evaluation of neonatal sepsis is important and there is an urgent need to know whether the baby has sepsis so as to institute treatment as quickly as possible. Objective: To determine the number of neonates with early onset sepsis in relation to PROM of more than 18 hours. Materials and Methods: Prospective hospital based study conducted at Paediatric Department, KIMS Hospital, Hubli from December 2011 to November 2012. Neonates born to mothers in KIMS hospital, Hubli with history of PROM of more than 18 hours were evaluated clinically and a set of investigations in relation to sepsis done immediately. Statistical Analysis: Data was analyzed using SPSS software for Windows version 20.0, categorical tables, Chi-square values, Fischer extract test and the results correlated. Results: In newborns with PROM >18 hours, the septic screen was positive in 68 cases. Blood culture was positive in 21 neonates; the most common organism grown was Klebsiella. Conclusion: Culture proven sepsis was seen in 21 neonates with PROM >18 hours; the most common organism being Klebsiella. Probable sepsis was detected in 68 neonates. Longer duration of PROM was associated with higher incidence of sepsis
Authors and Affiliations
Remya R Pai, Kala Raman(Kala Raghu), Rajendra V Naidu
Keywords
Related Articles
- EP ID EP360148
- DOI -
- Views 159
- Downloads 0
Screening the new born for hearing loss - An experience at tertiary care hospital
Background: If the hearing loss in new born is identified at a very early period of life before plasticity sets in, proper rehabilitation can be done so that child will have a good and prosperous adult life. The screenin...
A study various endoscopic findings of patients undergoing upper GI endoscopy at tertiary health care centre
Background: Gastrointestinal diseases are an important healthcare problem worldwide, especially in pediatric age group Aims and Objectives: to Study various Endoscopic findings of patients undergoing upper GI endoscopy a...
A study on effect of nutritional variables in children with iron deficiency anemia in south Indian population
Background:Iron Deficiency (ID) is the most prevalent nutritional disorder in the world. The prevalence of Iron Deficiency Anemia (IDA) is about 9% in toddlers, 9-11% in adolescent girls and less than 1% in teenage boys....
Peritoneal dialysis in on malarial AKI children in a tertiary care centre hospital
Background: Peritoneal dialysis (PD) is the main stream of treatment as renal replacement therapy in pediatric patients with AKI in developing countries. Acute kidney injury (AKI) is a well-recognized complication of sev...
A study ofrole of serum Zn and hemoglobin in the patients of simple febrile seizures at tertiary health care centre
Background: Seizure disorder is one of the most common neurological diseases in children and occurs at least one time in 4-10% of children in the first 16 years of life Aims and Objectives: to Study of Role of Serum Zn a...