NEONATAL SEPSIS- ORGANISMS RESPONSIBLE AS DETECTED BY BLOOD CULTURE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 58
Abstract
BACKGROUND Neonatal sepsis refers to bacteraemia and clinical symptoms of infection caused by microorganisms and their toxic products in the first four weeks of life. It is the major cause of mortality and morbidity in neonates and accounts for 30% - 50% of neonatal deaths in developing countries. In India incidence reported as 30 per 1000 live births for the year 2002 - 2003. Blood culture is the gold standard for diagnosis of neonatal sepsis apart from utility of routine haematological, biochemical and radiological tests. Now BacT/ALERT 3D microbial detection system are being used for blood culture. This study will enable us to have important data regarding bacteriological spectrum associated with neonatal sepsis in suspected sepsis cases admitted in our rural hospital in Bihar. MATERIALS AND METHODS Our study included suspected cases of sepsis among all neonates delivered at this hospital and also included cases of neonatal sepsis referred from outside. We included 341 cases of neonates, which were suspected to have sepsis and in whom blood cultures were done. RESULTS Out of total 341 cases of suspected sepsis, 146 (42.8%) showed positive isolates confirmed by blood culture. We had total 62 (42.3%) Gram positive, 70 (48.1%) Gram negative and 14 (9.6%) fungal isolates out of total 146 positive blood culture isolates. CONCLUSION Our study showed that gram negative bacteria was the predominant cause of infection among neonates in our hospital. Coagulase negative Staphylococcus and Klebsiella were commonly isolated organisms among outborn and inborn neonates respectively
Authors and Affiliations
Shyamali Datta, Panchanan Ghosh
Keywords
Related Articles
- EP ID EP226215
- DOI 10.14260/Jemds/2017/935
- Views 85
- Downloads 0
COMPARISON OF RADIATION-INDUCED TOXICITIES, TREATMENT FEASIBILITY IN CONVENTIONAL VERSUS HYPO-FRACTIONATED PROTOCOLS OF POST MASTECTOMY RADIOTHERAPY
BACKGROUND Breast cancer is the most common cancer in women worldwide and has overtaken cervical cancer to become the leading cause of cancer-related mortality among women living in metropolitan cities in India with an i...
EVALUATION OF SYMPATHETIC DOMINANCE BY AUTONOMIC FUNCTION TESTS IN CHILDREN OF HYPERTENSIVE PARENTS
BACKGROUND Hypertension is a global problem. Positive family history of hypertension is one of the risk factors for being hypertensive in future life for their children. Hyperactive sympathetic nervous system is reported...
PROTEUS SYNDROME
BACKGROUND Proteus syndrome is a rare disorder of patchy/mosaic postnatal overgrowth. Case Characteristics Patient presented with hemihypertrophy, hyperpigmented vascular and epidermal nevi, kyphoscoliosis, macr...
ELECTROCARDIOGRAPHIC AND ECHOCARDIOGRAPHIC EVALUATION OF LEFT VENTRICULAR HYPERTROPHY IN HYPERTENSIVE PATIENTS- A HOSPITAL-BASED STUDY
BACKGROUND Left ventricular hypertrophy is associated with increased risk of cardiovascular morbidity and mortality, so its early detection is of major importance for initiation of treatment and its reversal by certain a...
A CLINICO-AETIOLOGICAL STUDY OF CASES OF ERYTHRODERMA ATTENDING TERTIARY CARE HOSPITAL IN NORTH-EAST INDIA
BACKGROUND Erythroderma is the term used for any inflammatory skin disease that affects more than 90% of the body surface area.1 It has many underlying causes and finding the aetiology helps in proper management of cases...