The type of microorganisms in early-onset neonatal sepsis in the infant care unit

Abstract

Background. Based on health research in 2007 found that infections were the cause of death of newborn number 3 (12%). Diagnosis Early-Onset neonatal sepsis (EO) was not easy to get prove of kind of microorganism, if only based on clinical symtomps due to systemic respons. Objective. Knowing the type of microorganisms (MO) in EO with gram staining and from ear-swab cultures. Methods. We collected the data of neonates who were born in three hospitals; General Hospital of South Tangerang City, Women & Children Hospital Permata Sarana Husada, and Hospital of Syarif Hidayatullah with diagnosis EO. We do gram staining and ear-swab cultures. Results. Out of 20 babies, 55% were females, gestational age similar between less of 37 weeks and more than 37 weeks, majority of birth weight were ≤ 2500 grams (60%), and majority of babies deliver through sectio caesaria (60%), and babies went home alive were 85%. Type of MO found was Staphylococcus haemophylus (gram positive). The ears-swab cultures positive found were 16 of 20 samples, and MO found were 18 of 20 samples. Conclusions. EO was found majority in low birth weight babies. Culture of ears swab majority was found MO gram positive, which normal flora in the skin. Blood culture as a gold standard to take a MO to diagnosed EO rather than culture of ears swab.