BACTERIOLOGICAL PROFILE AND OUTCOME OF NEONATAL SEPSIS IN PRETERM BABIES OF TERTIARY MEDICAL COLLEGE AND HOSPITAL

Dr. Md. Shafiqul Islam*, Dr. Mohammad Shawkat Hossain Khan, Dr. Md. Jamshed Alam, Dr. Shah Muhammad Masuduzzaman, Dr. Mohammad Forhad Hossain Dr. Mohammad Jahangir Alarm and Dr. Nazmul Hossain

ABSTRACT

Objective: In this study our main goal is to evaluate bacteriological profile and outcome of neonatal sepsis in preterm babies of tertiary medical college and hospital. Method: this prospective observationaland experimental study was carried out at Sir Salimullah Medical College and Mitford Hospital, Dhakafrom July 2010 to October 2011among 80 preterm babies. Results: most of the patients belong to „up to 24 hours‟, 50(62.5%), followed by 21(26.30%)belong to 24-48 hours age group, 9(11.30%) belong to 48-72 hours age group. During the study, E.coli was found in 3(42.86%) and Coagulase Negative Staphylococcus (CONS) found in 1(14.28%) casesat follow up before discharge.Among the babies 31(38.8%) babies were discharged with advice (DA), another 31(38.8%) were discharged on risk bond (DORB), 3(3.8%) babies were discharged on request (DOR) and 15(18.8%) expired. Conclusion: From our study we can conclude that,the originality of this study resides in dealing with all aspects of culture proven neonatal sepsis- the causative organisms, used antibiotics, the outcome of mortality and morbidity. Collection of up-to-date & site-specific data is needed for further study.

Keywords: Bacteriological profile, neonatal sepsis, preterm babies.