Bacteriological profile of neonatal and pediatrics sepsis in intensive care unit at a tertiary care hospital in western India

Abstract

Background: Neonatal and pediatrics sepsis are one of the main causes of mortality in neonatal and pediatric intensive care units of developing countries. This study was conducted to determine bacteriological profile of neonatal and pediatrics sepsis in the intensive care unit. Methods: A prospective cross-sectional study was conducted in the neonatal and pediatric intensive care unit, for the period of two years. All 400 neonates and pediatrics patients admitted with suspected clinical sepsis were included. Sepsis screens and cultures were sent under aseptic conditions. Isolation of microorganisms and their identification was done according to standard microbiological techniques bacteriological profile was analyzed with descriptive statistics.Results: Incidence of septicemia is 35.34% in neonates, 9.83% in post neonates and 22.95% in older children. Most common associated factor in neonates were preterm 41.46% in neonates, fever of unknown origin 50% and 78.57% in post neonates and children respectively. Out of 232 suspected cases on neonates in 36.07% cases bacterial pathogen were isolated, 62 suspected cases on post neonates in 9.83% cases bacterial were isolated and 106 suspected cases of older children in 22.95% cases bacterial pathogen were isolated. Common bacterial species isolated were Klebsiella sp. 39.02% in neonates, S. aureus 50% and 35.71% in post neonates and older children respectively.Conclusions: There is entail prevention of infection control measures and rational antibiotic strategy to decrease the economic burden of hospital and community.

Bacterial Spectrum and Associated Sociodemographic Factors in Pediatric Blood Stream Infections at Tertiary Care Hospital

“…Most of the blood culture positive samples in our study were of children belonging to urban areas and this finding has highlighted the fact that access to tertiary care health facility in rural areas is not available or limited. In the current study, the increased prevalence of sepsis in male gender is comparable to a few other previous studies [17][18][19] . This finding can be explained by a genderbias and preference for male children in our society and thus their early presentation at tertiary health care facilities.…”