Prevalence and presentation of neonatal sepsis at a paediatric emergency department in Johannesburg, South Africa
BackgroundDespite a significant reduction in the prevalence of neonatal sepsis over the past three decades, the prevalence still remains high, especially in low- and middle-income countries. The aim of this study was to determine the prevalence and presenting features of neonatal sepsis at a paediat...
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Veröffentlicht in: | African Journal of Emergency Medicine 2022-12, Vol.12 (4), p.362-365 |
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Sprache: | eng |
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Zusammenfassung: | BackgroundDespite a significant reduction in the prevalence of neonatal sepsis over the past three decades, the prevalence still remains high, especially in low- and middle-income countries. The aim of this study was to determine the prevalence and presenting features of neonatal sepsis at a paediatric emergency centre (PEC). MethodsMedical records of all neonates presenting to an academic hospital PEC over a six-month period were analysed. Data was compared between neonates with and without sepsis. The odds ratio was calculated to determine factors associated with neonatal sepsis. ResultsOf the 210 neonates who were included, 43 (20.5%) were diagnosed with neonatal sepsis. Of these, 19 (44.2%) presented within the first 72 hours of life (early-onset neonatal sepsis) and 4 (9.3%) died prior to hospital discharge. A history of maternal employment (odds ratio (OR) 2.38, p=0.021), preterm birth (OR 3.24, p=0.019), low birth weight ( |
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ISSN: | 2211-419X 2211-4203 |
DOI: | 10.1016/j.afjem.2022.07.013 |