Vol. 4, Issue 9 (2018)
Assessment of factors responsible for neonatal sepsis in ANMMCH Gaya, Bihar
Author(s): Sadhana Kumari, Ravindra Kumar
Abstract: Neonatal sepsis is invasive infection, usually bacterial, occurring during the neonatal period. Signs are multiple, nonspecific, and include diminished spontaneous activity, less vigorous sucking, apnea, bradycardia, temperature instability, respiratory distress, vomiting, diarrhea, abdominal distention, jitteriness, seizures, and jaundice. Hence based on above findings the present study was planned to evaluate the various factors and occurrence of neonatal septicemia in the children admitted to the Department of Paediatrics of Anugrah Narayan Magadh Medical College, Gaya, Bihar. The study was planned by enrolling 200 neonates admitted in Neonatal Intensive Care Unit of Department of Paediatrics of Anugrah Narayan Magadh Medical College, Gaya, Bihar. The 50 neonates diagnosed with the septicemia were enrolled in the present study. Neonatal septicemia was diagnosed as per the clinical criteria given by Vergnano et al. Blood sample( 0.5 to 2 ml ) was collected with all aseptic precaution and was inoculated into blood culture bottle BactT/Alert® PF (BIOMERIEUX, INC. Durhams, NC 27704) containing 20 ml of broth. The data from the present study revealed that there is need to undertake research to understand the pathogenesis of early-onset sepsis and to devise measures to prevent related morbidity and mortality. Also to improve the survival rate, better approach suggested is a risk approach with early initiation of appropriate antibiotics and aggressive supportive care based on local sensitivity pattern and fatal risk factors.