Epidemiology of Neonatal Sepsis and Implicated Pathogens: A Study from Egypt.

Prospective analytic study was conducted in NICUs of three Egyptian Neonatal Network (EGNN) participants in Mansoura Hospitals in Egypt over a period of 18 months from March 2011 to August 2012. By using EGNN 28-day discharge form, all demographic, clinical, and laboratory data were recorded and stu...

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Publicado en:BioMed Research International Vol. 2015; pp. 1 - 12
Autores principales: Shehab El-Din, Eman M. Rabie, El-Sokkary, Mohamed M. Adel, Bassiouny, Mohamed Reda, Hassan, Ramadan
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 6/4/2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 6/4/2015
      vid: 2015
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2015/509484
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        atl: Epidemiology of Neonatal Sepsis and Implicated Pathogens: A Study from Egypt.
      aug:
        au:
          Shehab El-Din, Eman M. Rabie
          El-Sokkary, Mohamed M. Adel
          Bassiouny, Mohamed Reda
          Hassan, Ramadan
        affil: Unit of Drug Analysis, Mansoura University, Mansoura 35516, Egypt
      sug:
        subj:
          Neonatal Sepsis Epidemiology
          Intensive Care Units, Neonatal
          Cross Infection
          Human
          Egypt
          Prospective Studies
          Incidence
          Descriptive Statistics
          Chi Square Test
          Data Analysis Software
          Male
          Female
          Infant, Newborn
          Drug Resistance, Microbial
          Infant, Newborn: birth-1 month
          Male
          Female
      ab: Prospective analytic study was conducted in NICUs of three Egyptian Neonatal Network (EGNN) participants in Mansoura Hospitals in Egypt over a period of 18 months from March 2011 to August 2012. By using EGNN 28-day discharge form, all demographic, clinical, and laboratory data were recorded and studied. During the study period, 357 neonates were diagnosed as suspected sepsis with an incidence of 45.9% (357/778) among the admitted neonates at the three neonatal intensive care units. 344 neonates (sex ratio = 1.3:1) were enrolled in the study in which 152 (44.2%) were classified as early onset sepsis EOS (≤72 hr) and 192 (55.8%) as late onset sepsis LOS (>72 hr). Among the LOS cases, 33.9% (65/192) were caused by nosocomial infections. In 40.7% (140/344), sepsis was confirmed by positive blood culture. The total mortality rate for the proven neonatal sepsis was 51% (25/49) and 42.9% (39/91) for EOS and LOS, respectively. Coagulase negative staphylococci were predominant isolates in both EOS and LOS, followed by Klebsiella pneumoniae. Most of the bacterial isolates had low sensitivity to the commonly used empiric antibiotics. However, 70.1% (89/127) exhibited multidrug resistance. Best sensitivities among Gram-positive isolates were found against imipenem, ciprofloxacin, vancomycin, and amikacin.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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