“Risk Factors of Neonatal Sepsis: A Study in a Tertiary Care Paediatric Hospital, Dhaka, Bangladesh”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Neonatal sepsis is invasive infection, usually bacterial, occurring during the neonatal period. Signs are multiple, nonspecific, and include diminished spontaneous activity, less vigorous sucking, apnea, bradycardia, temperature instability, respiratory distress, vomiting, diarrhoea, abdominal distention, jitteriness, seizures, and jaundice. Hence based on above findings the present study was planned to evaluate the various factors and occurrence of neonatal septicemia in the children admitted to the Department of Paediatrics of Dhaka Shishu(children) Hospital, Dhaka, Bangladesh.The study was planned by enrolling 176 neonates admitted in the selected hospital. Forty (40) neonates diagnosed with the septicemia were enrolled .In the present study; most of the mothers were 20-30 years age group, representing 45%. Most of them were completed higher secondary education, representing 52.50%. Socio-economic classes lower representing 55% of the study participants. Regarding parity; 67.50% of the study participants were parity one (1). Only 32.50% mothers taken antenatal care more than 3 times. Predisposing factors were negative more than 80% 0f mothers and modes of delivery were cesarean 60% of mothers. Late Onset Sepsis was 65% of neonates and Gram positive were 25% of the neonates. In this study, the most common bacteria found associated with neonatal sepsis in the inborn unit was Klebsiella (45%) followed by Acinetobacter 17.50%, Citrobacter 7.50% and Pseudomonas 2.50%. The data from the present study revealed that there is need to undertake research to understand the pathogenesis of early-onset sepsis and to devise measures to prevent related morbidity and mortality. Improving the survival rate, better approach suggested is a risk approach with early initiation of appropriate antibiotics and aggressive supportive care based on local sensitivity pattern and fatal risk factors.
Authors and Affiliations
Dr. Ferdousi Begum, Dr. Salina Shaheen Parul, Dr. Md. Tazul Islam
Keywords
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- EP ID EP574477
- DOI 10.9790/0853-1804117983.
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