TO STUDY THE CLINICAL PATTERN OF EARLY ONSET SEPTICEMIA IN HOSPITAL DELIVERED BABIES

Abstract

Background & Method: The present study was carried out in nursery of Amaltas Institute of Medical Sciences, Dewas (M.P.) 300 newborns born out of consecutive deliveries in AIMS, Dewas were taken and they were assessed for the total score.

Result: 78% cases had vomiting/ regurgitation and 61.5% out them proved to be septic. Tachypnea or grunting was present in 72% and only 36% of them were blood culture positive. 60% cases presented with poor feeding and out of them 36% were septic. Hypothermia was present in 16% cases and 87.5% cases out of them proved to be septic. Hyperthermia was present in 3.3% cases and out of which 60% cases became septic. Irritability and skin mottling were present in 10% cases with incidence of infection in 60% and 80% respectively. 8% cases presented with icterus and 75% had septicemia. Pallor and cyanosis was the presenting feature in 12% of newborns with incidence of infection in 83.3% and 50%.

Conclusion: We concluded that when both hematological scoring and sepsis scoring are clubbed the sensitivity and positive predictive value increases and sensitivity and negative predictive value remains almost same. The sensitivity, specificity, positive and negative predictive value increases when we take the sepsis screen positive when either HSS or clinical scoring system is positive.

Keywords: Clinical, Septicemia, Babies & Early onset.

Study Designed: Observational Study