A study of fever in new born and association with sepsis

Dr. Panchshila M. Parmar; Dr. Hetal D. Vora; Dr. Khushboo R. Patel; Dr. Nehakumari N. Patel; Dr. Rishi J. Patel

Volume : IX, Issue : VII, July - 2019

A study of fever in new born and association with sepsis

Dr. Panchshila M. Parmar, Dr. Hetal D. Vora, Dr. Khushboo R. Patel, Dr. Nehakumari N. Patel, Dr. Rishi J. Patel

Abstract :

Sepsis is a clinical syndrome characterised by sign and symptoms of infection with accompanying bacteraemia. Many new born present with complain of fever in daily OPD. The aims and objective of present study was to evaluate fever in new born and its association with sepsis. Methods: This is a prospective observational study conducted in the neonatology department of Smt. Shardaben Municipal General Hospital during the period of January 2009 to November 2010. Total 44 neonates from 1st hour of life to 28th day of life were included in this study. Results: 44 neonates were enrolled in the study group who had an axillary temperature of more than or equal to 100.4℉, out of which 26 (59.09%) were male and 18 (40.90%) were female. From 44 neonates 18 (40.90%) had sepsis out of which 10 (22.72%) neonates had proven sepsis with positive blood culture. According to present study most common presentation of neonatal sepsis in neonates along with fever is refusal to feed (45.8%). Out of 44 neonates, 10 (55.5%) have blood culture positive and 8(44.44%) have blood culture negative. C reactive protein is positive in 17 (38.63%) neonates and negative in 27 (61.37%) neonates. Out of 44 neonates 6 (13.63%) have total count <5000 and 2 (4.54%) have total count >15000. I:T ratio is <0.2 in 16 (36.36%) neonates and >0.2 in 18 (63.63%) neonates. Conclusions: Fever is commonly associated with sepsis. All effort should be made to rule out sepsis in new born who present with fever, maintain the warmth chain, detect fever early and take prompt measure to correct it.