Bacterial Isolates and Resistance Patterns in Preterm Infants with Sepsis in Selected Hospitals in Ethiopia: A Longitudinal Observational Study

Background: Neonatal sepsis is the third leading cause of neonatal mortality, behind prematurity and intrapartum-related complications. The main objectives of this study are to assess the proportion of sepsis in preterm newborns and identify the etiologic agents and their antibiotic sensitivity patt...

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Bibliographic Details
Main Authors: Beza Eshetu MD, Mulatu Gashaw MSc, Semaria Solomon MSc, Melkamu Berhane MD, Kassie Molla BSc, Tamrat Abebe PhD, Solomon Gizaw MSc, Alemseged Abdissa PhD, Mahlet Abayneh MD, Robert L. Goldenberg MD, PhD, Zemene Tigabu MD, Amha Mekasha MD, Bogale Worku MD, Elizabeth M. McClure PhD, Assaye K. Nigusse MD, Lulu M. Muhe MD, PhD
Format: Article
Language:English
Published: SAGE Publishing 2020-10-01
Series:Global Pediatric Health
Online Access:https://doi.org/10.1177/2333794X20953318
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Summary:Background: Neonatal sepsis is the third leading cause of neonatal mortality, behind prematurity and intrapartum-related complications. The main objectives of this study are to assess the proportion of sepsis in preterm newborns and identify the etiologic agents and their antibiotic sensitivity patterns. Methods: A longitudinal observational study was done from July 2016 to May 2018. Whenever clinical diagnosis of sepsis was made, blood cultures and antibiotic susceptibility tests were done. Result: We did 690 blood cultures, 255 (36.9%) showing bacterial growth. The most commonly isolated bacteria were Klebsiella species 78 (36.6%), Coagulase negative Staphylococcus 42 (19.7%) and Staphylococcus aureus 39 (18.3%). Gram-positive bacteria showed high resistance to penicillin (98.9%) and ceftriaxone (91.3%) whereas Gram-negative bacteria were highly resistant to gentamicin (83.2%) and ceftriaxone (83.2%). Conclusion: Resistance to the more commonly used antibiotics such as ampicillin and gentamycin was very high, necessitating reconsideration of the empiric use of these antibiotics.
ISSN:2333-794X