STUDY OF ETIOLOGY, RISK FACTORS, CLINICAL FEATURES AND OUTCOME IN BLOOD CULTURE PROVEN LATE ONSET SEPTICEMIA

Dr. Khushbu Chaudhari; Dr. Bela Shah; Dr. Dhara Gosai

Volume : IV, Issue : XII, December - 2015

STUDY OF ETIOLOGY, RISK FACTORS, CLINICAL FEATURES AND OUTCOME IN BLOOD CULTURE PROVEN LATE ONSET SEPTICEMIA

Dr. Khushbu Chaudhari, Dr. Bela Shah, Dr. Dhara Gosai

Abstract :

Objectives: To find out incidence, etiology, risk factors, clinical profile and outcome in blood culture proven late onset septicemia patients. Study Design: Retrospective observational study Setting: NICU of a tertiary care centre Ahmedabad Subjects: Out born patients of blood culture proven late onset septicemia Study Period: 1st April 2015 to 30th September 2015 Results: Total 84 patients included in study. Preterm neonates are more affected. Meningitis is the commonest mode of clinical presentation. Gram negative Klebsiella pneumoniae is the most common organism isolated. 59.5 % were discharged, 8.3 % had taken DAMA and 32.14 % were expired. Bacteremia without focus due to multi–organ failure was the commonest cause of death. Mortality was highest amongst sepsis with gram negative organisms. Conclusion: Neonatal septicemia is important cause of neonatal mortality; hence all the efforts should be targeted towards controlling infection in the ailing neonate.