Neonatal Sepsis; Incidence and Microbiological Profile along with Antibiotic Sensitivity of Causative Microorganisms

Autor: Muhammad Ashraf Hussain, Sumera Akram, Muhammad Ahmed Khan, Sadaf Nawaz, Shamshad Ali, Mumtaz Amir
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Life and Science, Vol 4, Iss 1, Pp 6-6 (2023)
Druh dokumentu: article
ISSN: 2521-0475
2708-2970
DOI: 10.37185/248
Popis: Objective: To find the incidence of neonatal sepsis, microorganisms involved and their antibiotic sensitivity among neonates admitted with neonatal sepsis during the study period. Study Design: Prospective observational study. Place and Duration of Study: The study was carried out at neonatal intensive care unit (NICU) of combined military Hospital (CMH), Kharian, Pakistan from January 2019 to December 2020. Materials and Methods: After getting permission from Ethical Review Board of hospital, all the neonates who were admitted in neonatal intensive care unit (NICU) of hospital with neonatal sepsis were included in subject study. All the neonates with fever, irritability, difficulty in feeding, respiratory distress, fits, bulging fontanels, jaundice, bleeding etc. were suspected as case of "Neonatal sepsis". Venous blood sample of neonates was drawn under aseptic technique and collected in sterile BacT/ALERT (PF) blood collecting culture bottles and sent to laboratory immediately for culture, sensitivity procedure and reporting. Results: A total of 4892 neonates were admitted in neonatal intensive care unit from January 2019 to December 2020. Out of these, 342 neonates were clinically diagnosed as cases of neonatal sepsis. Incidence of neonatal sepsis was 6.99%, comprising 185 males (54.1%) and 157 females (45.9%). The age range was from 2 days to 88 days with a mean age 35.47+23.40 days. Staphylococcus aureus was found to be the most commonly infectious microorganism (33.9%) followed by Candida species (18.5%), Klebsiella pneumoniae (14.5%) and Coagulase negative Staphylococci (12.3%). Non-fermenting Gram negative bacteria were found to be infecting 26 (11.5%) out of the total positive cases (Acinetobacter baumannii complex 8.4%, Stenotrophomonas maltophilia 3.1% and Pseudomonas aeruginosa 2.6%). Conclusion: Staphylococcus aureus was the most prevalent organism found to be responsible for neonatal sepsis with majority being resistant to Methicillin. Methicillin-resistant Staphylococcus aureus (MRSA) is a 100% percent sensitive to vancomycin and Teicoplanin. On the other hand, Gram Negative organisms have shown promising sensitivity to Colistin.
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