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Paper Information

Journal:   ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ)   Spring 2001 , Volume 4 , Number 1 (14); Page(s) 37 To 42.
 
Paper: 

EVALUATION OF NEONATAL SEPSIS IN NEONATAL WARDS OF AMIR-KABIR AND TALEGHANI HOSPITALS OF ARAK CITY IN 1999

 
 
Author(s):  HASHEMIEH M., FATAHI BAYAT GH.A.
 
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Abstract: 

Neonatal sepsis is one of the most important diseases in the newborn period that can lead to many complications and even death. This study is a descriptive study which was done on neonates who admitted in neonatal and NICU wards of Amir-kabir and Taleghani Hospitals in Arak City from March 1999 to March 2000. The number of cases in this study was 500 and all of them were evaluated and sepsis work up was done. The frequency of neonatal sepsis in male neonates was more than female neonates and M/F ratio was 1.4. The ratio of neonatal sepsis in premature neonates to term neonates was 1.5. The ratio of sepsis neonatarum in L.B.W neonates to normal neonates was 1.4. The most common clinical manifestation of neonatal sepsis in this study was poor feeding. 75% of patients had early-onset sepsis and 25% of patients had late-onset sepsis. In our study from 474 neonates, blood culture in 25 cases was positive. The most common microorganisms were non fermentative gram negative bacilli (32%) and Klebsiella (28%). 24 neonates had positive urine culture and the most common etiologic agent was Klebsiella. Leukocytosis and anemia were detected in 31.2% and 17.95% of our patients. The mortality rate in these neonates was 18.4%.

 
Keyword(s): SEPTECEMIA, NEONATAL, BLOOD CULTURE, URINE CULTURE
 
References: 
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