Bacterial neonatal sepsis and outcome in kirkuk city 2021 | ||
Kirkuk Journal of Medical Sciences | ||
Article 5, Volume 9, Issue 1, April 2021, Pages 84-100 PDF (916.9 K) | ||
Document Type: Original research | ||
DOI: 10.32894/kjms.2021.169937 | ||
Author | ||
Jameel Azeez* | ||
azadi teaching hospital in kirkuk city | ||
Abstract | ||
Background Sepsis is the commonest cause of neonatal mortality, it is responsible for about (30 - 50% ) of neonatal deaths every year in developing countries. Results Two hundred neonates were studied, sepsis was confirmed in 175 neonates (87.5%) by positive blood culture. Preterm neonates in this study were118 (59%), Prolonged rupture of amniotic membranes( > 18-hrs), was reported in 123 (61.5%), history of maternal fever was reported in 130 (65%). incidence in males was 120 (60%) while in females was 80 (40%). Early-onset disease (0-7 days) had occurred in 69 (34.5%), while 131 (65.5%) was the percentage of late-onset disease(8-30 days) . most of the late-onset disease was nosocomial infections 60 (53.57%). The predominant isolates in both early and late-onset diseases were Gram-negative bacteria 138 (78.8%) . the common organism in early-onset sepsis was E.coli 31 (49.20%), while the common organism in late-onset sepsis was Klebsiella 50 (44.64%). The total mortality rate was 82 (41%), in the early neonatal onset was 26 (42.02%) and while in the late neonatal-onset disease was 56 (42.7%) was. Candida albicans and Pseudomonas aeroginosa have high mortality (100%), but there is no death was recorded in pneumococcal sepsis. Conclusion Neonatal septicemia generally is present in developing countries more common than in developed countries. | ||
Keywords | ||
neonate; Bacterial; sepsis; Kirkuk | ||
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