Clinical manifestation and laboratory findings in positive blood culture in neonatal septicemia

Khademi, Gholamreza and Shah Farhat, Ahmad and Mohammadzadeh, Ashraf and Naderi Nasab, Mahbobeh and Mirzaie, Farid (2014) Clinical manifestation and laboratory findings in positive blood culture in neonatal septicemia. Iranian Journal of Neonatology IJN, 5 (3). pp. 13-17.

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Abstract

Background/objective: Neonatal septicemia is one of the major causes of mortality in newborns. The aim of this study is to evaluate the clinical manifestations and laboratory findings in positive blood culture in neonatal septicemia. Methods: In this retrospective study, we allocated 100 records positive blood culture of neonates suffering from septicemia. A questionnaire was completed for each patient consisting the age at admission, gender, weight at birth, admission time, type of delivery, pre- or post-term delivery and the clinical symptoms. Types of organism causing sepsis, and their resistance to antibiotics were evaluated and method for empirical treatment was recommended. Results: Respiratory distress, cyanosis and lethargy were more common in the patients. The antibiogram showed Ampicillin resistance in 86 and Gentamycin resistance in 66 of studied records. Also, 36 cases of positive blood culture with gram-negative and 64 with gram-positive bacteria were observed. The most common bacteria in blood cultures were negative-coagulase Staphylococcus (35), Staphylococcus Aureus (24), Klebsiella (18), respectively. Other bacteria were Enterobacter, Escherichia coli and Enterococcus (5), Acinetobacter (3), Pseudomonas aeruginosa and Negative-Gram Bacilli (2) and Ceratia (1). The most common effective antibiotics against bacterial growth in Antibiograms were Vancomycin, Cephalosporin, Amikacin, Co-trimoxazole and Gentamycin. Conclusion: Since the most common bacteria in neonatal septicemia cases were negative-coagulase Staphylococcus, Staphylococcus Aureus, Klebsiella, the pediatricians must select the regiments that cover gram-negative bacteria for empirical antibiotic treatments.

Item Type: Article
Subjects: WS Pediatrics
Divisions: Journals > Iranian J Neonatology
Depositing User: ijn ijn
Date Deposited: 24 Sep 2017 14:05
Last Modified: 24 Sep 2017 14:05
URI: http://eprints.mums.ac.ir/id/eprint/3267

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