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The etiology of neonatal sepsis and patterns of antibiotic resistance.
Author(s):
1. Maryam Waheed: Department of Neonatology, The Children’s Hospital and the Institute of Child Health, Lahore, Pakistan
2. Akmal Laeeq: Department of Neonatology, The Children’s Hospital and the Institute of Child Health, Lahore, Pakistan
3. Sajid Maqbool: Department of Paediatric Medicine, The Children’s Hospital and the Institute of Child Health, Lahore, Pakistan
Abstract:
To study the patterns of causative bacteria and antibiotic resistance in neonatal sepsis. Descriptive study. Department of Neonatology, The Children’s Hospital and the Institute of Child Health, Lahore from July 2000 to December 2000. Two Hundred and twenty-eight neonates (age 0-28 days) with clinical sepsis and positive blood cultures were selected. Blood cultures were taken before antibiotics (intravenous cefotaxime and amikacin) administration. The clinical and birth records were thoroughly analyzed. Blood culture reports (n=233) were analyzed for bacterial isolates and pattern of resistance to cefotaxime, ceftazidime, amikacin and ciprofloxacin were compared as percentage of reports showing resistance to the above antibiotics. Among 228 cases included in the study, the male to female ratio was 2.1 to 1. The gestational age was less than 36 weeks in 68 (30%) cases and low birth weight babies were 143 (62.6%). Hostory of birth asphayxia was present in 103 (45%) cases. There were 142 (62.3%) cases of early onset (7 days). Out of 233 positive blood cultures Escherichia coli was found to be commonest (47.8%, n=111, p
Page(s): 449-452
DOI: DOI not available
Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 13, Issue: 8, Year: 2003
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