Parameters Predicting Clinical Sepsis In Neonates

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Date
2015-12
Authors
Ahlam Abulqasem, Aldelimi
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Publisher
Universiti Sains Malaysia
Abstract
Introduction: Neonatal sepsis is a major health problem worldwide. The definition of sepsis remains an extremely difficult issue. This study aimed to determine the most useful parameters to predict confirmed sepsis or clinical sepsis. Methods: This was a cross sectional study conducted in NICUs at Hospital USM and HRPZ II between July 2012 and July 2013 involving all newborns who were started on antibiotics. A special sticker and the folders of enrolled neonates were reviewed for each episode of suspected infection. Based on blood culture results and duration of antibiotics, babies were divided into: confirmed sepsis, clinical sepsis and no sepsis. Thirty four sepsis related parameters were checked for their association with positive blood cultures in each group using Chi-square and Fisher’s exact tests. The sensitivity and specificity of individual parameters were determined using 2x2 tables and for the predictive model were determined using Stata software.
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Keywords
Parameters Predicting , Clinical Sepsis In Neonates
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