Audit of sepsis in neonatal surgeries at tertiary-care level hospital in India
Journal Title: International Journal of Medical Science and Public Health - Year 2015, Vol 4, Issue 12
Abstract
Background: Postoperative sepsis, which has high morbidity and mortality, is a major problem affecting the outcome of neonatal surgeries. Adequate treatment and preventive measures for sepsis can decrease the morbidity and mortality in neonatal surgeries. Objective: (1) To study the incidence of sepsis in neonatal surgical patients and (2) To study the causative organisms and their sensitivity to antibiotics in such sepsis. Materials and Methods: A prospective, observational study was carried out in the tertiary-care level neonatal intensive care unit of SSG Hospital, Vadodara, Gujarat. Eighty newborns having a major surgery within the first 30 days of life were included in the study. Baseline data of the study participants were collected including antenatal and perinatal histories and evidence of postoperative sepsis. Complete examination and investigations including quantitative C-reactive protein (QCRP), WBC counts, blood culture, and treatment were also included. Conclusion: Incidence of postoperative sepsis in neonates was found to be 73.75%. We found coagulase-negative Staphylococcus aureus to be the most common organism (38%) cultured from blood, followed by Klebsiella (19%) and Acinetobactor (18.2%), which was sensitive to cefotaxime, amikacin, and piperacillin/tazobactam.
Authors and Affiliations
Shwetal Bhatt, Payal Agrawal, Ankitkumar Patel, Dhaval Tamboli
Keywords
Related Articles
- EP ID EP138318
- DOI 10.5455/ijmsph.2015.01052015354
- Views 90
- Downloads 0
Perceptions and outlook towards HIV/AIDS among reproductive age group of urban slum population
Background: Acquired Immunodeficiency Disease Syndrome (AIDS) has evolved into a pandemic affecting millions of people worldwide. The global HIV/AIDS epidemic has had a major detrimental impact on high risk group...
Health-care utilization pattern among elderly population: A cross-sectional study
Background: Graying of the population is a major cause of concern especially for developing countries like India. Elderly population is susceptible to various diseases. Health-care utilization is an important element of...
Comparison of the efficacy and safety of intracervical dinoprostone gel and intravaginal misoprostol tablet as a cervical ripening agent
Background: Cervical ripening is an important prerequisite for successful induction of labor, a procedure that is frequently necessary because of medical or obstetrical complications. Of several methods of ripening, in...
Hepatitis E virus: Seroprevalence and associated factors in acute viral hepatitis during pregnancy
Background: Acute viral hepatitis (AVH) is defined as those cases which have acute self-limited disease and a serum aspartate aminotransferase elevation of at least 5-fold or clinical jaundice or both. Hepatitis E virus...
Magnitude of depression problem among primary care consumers in Saudi Arabia
Background: Depression is one of the leading causes of disability worldwide. It is estimated that 5 – 10% of the population at any given time is suffering from identi fi able depression needing psychiatric or psych...