Neonatal septicemia in high risk babies in South-Eastern Nigeria

Journal of Perinatal Medicine
Juliana U OjukwuIkechukwu K Orji

Abstract

Septicemia is one of the major causes of morbidity and mortality in the neonatal period and it often has a rapid and fulminant course. To determine the incidence, predisposing factors, clinical features, bacteriologic pattern and antibiotic sensitivity of neonatal septicemia. A prospective study was undertaken over a 1(1/2)-year period in the neonatal unit of Ebonyi State University Teaching Hospital, Abakaliki, Southeastern Nigeria. All newborns (age 0-28 days) admitted with clinical features and/or risk factors suggestive of neonatal septicemia were selected and screened for septicemia. The study identified 33 septicemic neonates of the 138 neonates (23.9%) screened, 19/92 (20.7%) for inborns and 14/46 (30.4%) for outborns, representing an incidence of 7.98/1000 live births. Prolonged/obstructed labor, severe birth asphyxia, maternal pre-partum/peripartum pyrexia and home/traditional birth attendant deliveries were the main predisposing perinatal factors. Respiratory distress, fever and jaundice were the predominant presenting clinical findings. Gram-positive organisms were cultured from 18 neonates with Staphylococcus aureus accounting for 45.5% of the cases, while Escherichia coli was the predominant Gram-negative organism ...Continue Reading

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Citations

Oct 27, 2010·Journal of Paediatrics and Child Health·Tinuade A OgunlesiDurotoye M Olanrewaju
Dec 21, 2012·Future Microbiology·Mathias HerrmannMartin P Grobusch
Apr 12, 2011·African Journal of Paediatric Surgery : AJPS·Osarumwense David Osifo, Sylvester E Aghahowa
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