Predictors of mortality outcome in neonatal sepsis
العناوين الأخرى
عوامل التنبؤية لمصير الوفاة عند الأطفال حديثي الولادة المصابين بعفن الدم
المؤلفون المشاركون
Hasan, Miad Kazim
Jumah, Duha Subayh
المصدر
The Medical Journal of Basrah University
العدد
المجلد 25، العدد 1 (30 يونيو/حزيران 2007)، ص ص. 11-19، 9ص.
الناشر
تاريخ النشر
2007-06-30
دولة النشر
العراق
عدد الصفحات
9
التخصصات الرئيسية
الموضوعات
الملخص EN
A prospective study was carried out to determine the predictors of outcome in neonates with sepsis admitted to neonatal care unit at Basrah Maternity and Children Hospital over six months (from the first of November 2004 till the end of April 2005).
One-hundred twenty neonates were studied, sepsis was confirmed by clinical and laboratory measures.
Seventy four (61.7%) neonates were males and 46 (38.3%) were females.
Thirty three (27.5%) were preterm and 87 (72.5%) were full term.
Sixty seven (55.8%) neonates were still alive during period of hospitalization and discharged home, while fifty three (44.2%) neonates died.
Early onset sepsis was detected in 35(29%) neonates while late onset sepsis was detected in 85(70.8%) neonates, however, the mortality rate was higher in early onset sepsis (62.9%) compared to late onset sepsis (36.5%).
The mean body weight was significantly lower in neonates who died (1.97±0.67), compared to those who survived (2.79±0.6).
A significantly higher mortality rates were among premature neonates (69.7%), and those with intrauterine growth retardation (70.8%).
In addition, the death rate was higher in neonates with maternal history of prolonged rupture of membrane ≥24 hours (61.5%) compared to (39.4%) in neonates with maternal history of rupture membrane of < 24 hours before labor.
The clinical signs that predict high mortality were sclermic skin (94.2%), signs of dehydration (82.8%) and prolonged capillary refilling time (68%).
Highest mortality was associated with positive blood culture for Pseudomonas aeruginosa and Staphylococcus aureus, where all neonates died (100%), followed by klebsiella spp and Escherichia coli (71.1%) and (48.5%) respectively in comparison with neonates who have positive blood culture for Proteus and Enterobacter aeruginosa where only 7.9% and 11.1% of neonates died respectively.
A statistically significant higher mortality was reported in neonates having thrombocytopenia, neutropenia and Creactive protein ≥10 mg / dl.
Regression analysis of different neonatal and maternal variables, hematological and microbiological tests, revealed that body weight, gestational age, thrombocytopenia, neutropenia, positive blood culture for klebsiella spp., prolonged capillary refilling time, sclerma and signs of dehydration are predictive factors of the outcome of death in neonatal sepsis.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Jumah, Duha Subayh& Hasan, Miad Kazim. 2007. Predictors of mortality outcome in neonatal sepsis. The Medical Journal of Basrah University،Vol. 25, no. 1, pp.11-19.
https://search.emarefa.net/detail/BIM-114921
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Jumah, Duha Subayh& Hasan, Miad Kazim. Predictors of mortality outcome in neonatal sepsis. The Medical Journal of Basrah University Vol. 25, no. 1 (2007), pp.11-19.
https://search.emarefa.net/detail/BIM-114921
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Jumah, Duha Subayh& Hasan, Miad Kazim. Predictors of mortality outcome in neonatal sepsis. The Medical Journal of Basrah University. 2007. Vol. 25, no. 1, pp.11-19.
https://search.emarefa.net/detail/BIM-114921
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 18
رقم السجل
BIM-114921
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر