Clinico-pathological Profile of Late Onset Neonatal Sepsis in a Tertiary Centre of Nepal

  • Deepak Mishra Kanti Children's Hospital, Maharajgunj, Kathmandu, Nepal
  • Ram Hari Chapagain National Academy of Medical Sciences, Kathmandu, Nepal
  • Susan Bhattarai Kanti Children’s Hospital, Kathmandu, Nepal
  • Nitu Kumari Jha Rasuwa District Hospital, Rasuwa. Nepal
  • Rakesh Mishra Sabaila PHC, Dhanusha, Nepal
Keywords: Antibiotic sensitivity, bacteriological profile, late onset neonatal sepsis

Abstract

Background: Neonatal sepsis is a major cause of neonatal morbidity and mortality. Late onset sepsis (LOS) is associated with community environment or postnatal exposure to hospital environment. Its incidence is rising due to greater survival of preterm neonates and very low birth weight babies. Because of difference in local epidemiology and possible variation with time, regular monitoring and updates on pathogen and their antimicrobial sensitivity pattern is important for prevention and treatment. The objective of this study was to identify the common symptoms and signs and determine the common bacterial isolates and  antibiotic susceptibility pattern of late onset neonatal sepsis.

Methods:  This was hospital based prospective observational study conducted among the neonates admitted with diagnosis of late onset neonatal sepsis in Kanti Children’s Hospital from July 2016 to June 2017.

Results:  Poor feeding (89.6%), fever/hypothermia (47.2%), excessive/ poor cry (40.8%) and irritability/lethargy (33.6) were the common symptoms. Staphylococcus aureus and Coagulase negative staphylococcus (CONS), the most predominant organisms, were isolated in 66.7%   and 18.5% of culture positive cases respectively. Most of the isolated organisms showed sensitivity to cloxacillin (16/27), amikacin (15/27), ciprofloxacin (14/27), cefotaxime (11/27), cotrimaxazole (6/27) and  amoxyclox (6/27).

Conclusion:  Poor feeding, fever/hypothermia, excessive/ poor cry and irritability/lethargy were the common symptoms. This study has indicated possible emergence of Staphylococcus aureus as the dominant cause of late onset neonatal sepsis. Cloxacillin, amikacin, ciprofloxacin and cefotaxime were more efficacious against the commonly isolated bacteria in late onset neonatal sepsis.

Downloads

Download data is not yet available.
Abstract
138
PDF
89

Author Biographies

Deepak Mishra, Kanti Children's Hospital, Maharajgunj, Kathmandu, Nepal

Pediatrician, Department of Pediatrics

Ram Hari Chapagain, National Academy of Medical Sciences, Kathmandu, Nepal

Department of Paediatrics

Susan Bhattarai, Kanti Children’s Hospital, Kathmandu, Nepal

Pediatrician, Department of Paediatrics

Nitu Kumari Jha, Rasuwa District Hospital, Rasuwa. Nepal

Medical Officer

Published
2019-07-12
How to Cite
Mishra, D., Chapagain, R., Bhattarai, S., Jha, N., & Mishra, R. (2019). Clinico-pathological Profile of Late Onset Neonatal Sepsis in a Tertiary Centre of Nepal. Medical Journal of Shree Birendra Hospital, 18(2), 2-6. https://doi.org/10.3126/mjsbh.v18i2.23517
Section
Original Articles