بررسی موارد سپتی سمی نوزادی در بیمارستان ولی عصر (عج) وابسته به دانشگاه علوم پزشکی بیرجند

Background and Aim: Septicemia is one of the important and prevalent diseases of neonatal period with a high rate of complications and mortality. Diagnosis of maternal and newborn risk factors is very helpful in the prevention of the disease. Materials and Method: This study was done on all the newborns suspected of having sepsis and admitted to the newborn ward and NICU of Valiy-e-Asr Hospital. Data were gathered through a structural questionnaire. Results: The subjects were 49 boys and 51 girls. Early and late cases of septicemia were equal. Most of the newborns were pre-term or low birth weight (LBW). The most prevalent finding was poor breast-feeding (80%), 42% of them suffered temperature fluctuation (hypothermia and hyperthermia). Anemia, positive CRP, and high ESR were diagnosed in 14, 11 and 13 percents of the patients, respectively. From 67 blood culture done, 6 cases (8.9%) were positive; the most prevalent germ was staphilococus coagulase negative. From 42 urine culture done, 6 cases (14.2%) were positive; the most common germ was E.coli. Mortality rate was 30%. Conclusion: Both pre-term and LBW are both risk factors for newborn septicemia. Preventive measures to reduce the birth of such newborns and after birth intensive care therapies are recommended.