Newborns and Sepsis: An Overview of the Condition of Neonates Hospitalized with a Diagnosis of Sepsis in Iran in 2014-2015

Ghasemi, Seyedeh Fatemeh and Valizadeh, Fatemeh and Almasian, Mohammad and Firouzi, Majid and Heydari, Heshmatolah (2018) Newborns and Sepsis: An Overview of the Condition of Neonates Hospitalized with a Diagnosis of Sepsis in Iran in 2014-2015. WORLD FAMILY MEDICINE, 16 (2). pp. 95-105.

Preview

Text Newborns and Sepsis An Overview of the Condition of Neonates Hospitalized.pdf Download (1MB) | Preview

Abstract

Background: Sepsis is a serious neonatal infection and is one of the causes of mortality and complications during infanthood. Studies conducted to identify neonatal and maternal risk factors can indicate methods for prevention, better and faster diagnosis, and the selection of the most appropriate antibiotics. Objective: The Aim of this study was to determine the clinical symptoms, the results of laboratory tests, and maternal risk factors among neonates hospitalized with a diagnosis of sepsis. Material and Methods: In this descriptive and cross-sectional study, 78 infants who had been diagnosed with sepsis in the Madani Hospital of Khorrmabad in 2014-2015 were included in the study using tconvenience sampling method. Data were collected using a questionnaire, by studying the medical records of the infants, and by interviewing the mothers. Data were analyzed using the SPSS software and descriptive and interferential statistics. Results: Blood cultures were positive in 16 cases (21.9%). The most prevalent isolated pathogens included Acinetobacter (37.5%) and Staphylococcus epidermidis (37.5%). Urine cultures were positive in 20.3%, the most prevalent pathogens found being various species of E. coli (23%) and Enterobacter (23%). Significant relationships were found between a positive blood culture with mother's urinary tract infections during pregnancy (p = 0.05), the presence of maternal risk factors (p = 0.008), presentation with respiratory distress (p = 0.02), and a WBC higher than 11,000 (P = 0.036). Conclusion: The results of this study suggested the need for raising the level of hygiene of the maternity and neonatal wards and the training of mothers and the nursing staff in order to prevent its occurrence

Actions (login required)

View Item