Clinical outcome and risk factors of neonatal sepsis among neonates in Felege Hiwot referral Hospital, Bahir Dar, Amhara Regional State, North West Ethiopia 2016: a retrospective chart review
Abstract Background Sepsis remains a major cause of morbidity and mortality among neonates. The risk factors and clinical outcomes of sepsis are poorly understood. Most cases of sepsis occurred mostly within the first week of newborns life related to perinatal risk factors. Late onset sepsis is rela...
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| Format: | Article |
| Language: | English |
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BMC
2017-07-01
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| Series: | BMC Research Notes |
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| Online Access: | http://link.springer.com/article/10.1186/s13104-017-2573-1 |
| _version_ | 1819126301328408576 |
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| author | Tilahun Tewabe Seida Mohammed Yibeltal Tilahun Birhanie Melaku Mequanint Fenta Tsigiereda Dagnaw Amare Belachew Ashagre Molla Habte Belete |
| author_facet | Tilahun Tewabe Seida Mohammed Yibeltal Tilahun Birhanie Melaku Mequanint Fenta Tsigiereda Dagnaw Amare Belachew Ashagre Molla Habte Belete |
| author_sort | Tilahun Tewabe |
| collection | DOAJ |
| description | Abstract Background Sepsis remains a major cause of morbidity and mortality among neonates. The risk factors and clinical outcomes of sepsis are poorly understood. Most cases of sepsis occurred mostly within the first week of newborns life related to perinatal risk factors. Late onset sepsis is related to hospital acquired infections which is seen after seven days of age. The purpose of this study was to assess clinical outcome and risk factors of neonatal sepsis in Felege Hiwot referral hospital Bahir Dar, North West Ethiopia. Results Among the total 225 neonatal charts reviewed; 164 (72.9%) were age less than or equal to 7 days, and 144 (64%) were males. About 29 (12.9%) neonates were with irregular respiratory signs and 40 (17.8%) had meconium aspiration syndrome. Regarding the clinical outcome of neonatal sepsis: 189 (84%) were improved after treatment, 9 (4%) were died and 13 (5.8%) referred to other organizations for further treatment. Respiratory distress syndrome [AOR = 0.258 (0.072–0.930)] and meconium aspiration syndrome [AOR = 0.1989 (0.059–0.664)] were the determinant factors for poor outcome of neonatal sepsis. Conclusion The clinical outcome of neonatal sepsis in Felege Hiwot referral hospital was not satisfactory. The significant risk factors for poor outcome of neonatal sepsis were respiratory distress syndrome and meconium aspiration syndrome. Recommendations to improve neonatal outcome are: performing essential newborn care for all newborns and arranging appropriate follow up until the end of neonatal period, increasing antenatal care and early detection and management of neonatal infections or problems. |
| first_indexed | 2024-12-22T07:53:51Z |
| format | Article |
| id | doaj.art-dd8146442fc74eeab8ac304a57e4a585 |
| institution | Directory Open Access Journal |
| issn | 1756-0500 |
| language | English |
| last_indexed | 2024-12-22T07:53:51Z |
| publishDate | 2017-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Research Notes |
| spelling | doaj.art-dd8146442fc74eeab8ac304a57e4a5852022-12-21T18:33:25ZengBMCBMC Research Notes1756-05002017-07-011011710.1186/s13104-017-2573-1Clinical outcome and risk factors of neonatal sepsis among neonates in Felege Hiwot referral Hospital, Bahir Dar, Amhara Regional State, North West Ethiopia 2016: a retrospective chart reviewTilahun Tewabe0Seida Mohammed1Yibeltal Tilahun2Birhanie Melaku3Mequanint Fenta4Tsigiereda Dagnaw5Amare Belachew6Ashagre Molla7Habte Belete8College of Medicine and Health Sciences, Bahir Dar UniversityCollege of Medicine and Health Sciences, Bahir Dar UniversityCollege of Medicine and Health Sciences, Bahir Dar UniversityCollege of Medicine and Health Sciences, Bahir Dar UniversityCollege of Medicine and Health Sciences, Bahir Dar UniversityCollege of Medicine and Health Sciences, Bahir Dar UniversityCollege of Medicine and Health Sciences, Bahir Dar UniversityCollege of Medicine and Health Sciences, Bahir Dar UniversityCollege of Medicine and Health Sciences, Bahir Dar UniversityAbstract Background Sepsis remains a major cause of morbidity and mortality among neonates. The risk factors and clinical outcomes of sepsis are poorly understood. Most cases of sepsis occurred mostly within the first week of newborns life related to perinatal risk factors. Late onset sepsis is related to hospital acquired infections which is seen after seven days of age. The purpose of this study was to assess clinical outcome and risk factors of neonatal sepsis in Felege Hiwot referral hospital Bahir Dar, North West Ethiopia. Results Among the total 225 neonatal charts reviewed; 164 (72.9%) were age less than or equal to 7 days, and 144 (64%) were males. About 29 (12.9%) neonates were with irregular respiratory signs and 40 (17.8%) had meconium aspiration syndrome. Regarding the clinical outcome of neonatal sepsis: 189 (84%) were improved after treatment, 9 (4%) were died and 13 (5.8%) referred to other organizations for further treatment. Respiratory distress syndrome [AOR = 0.258 (0.072–0.930)] and meconium aspiration syndrome [AOR = 0.1989 (0.059–0.664)] were the determinant factors for poor outcome of neonatal sepsis. Conclusion The clinical outcome of neonatal sepsis in Felege Hiwot referral hospital was not satisfactory. The significant risk factors for poor outcome of neonatal sepsis were respiratory distress syndrome and meconium aspiration syndrome. Recommendations to improve neonatal outcome are: performing essential newborn care for all newborns and arranging appropriate follow up until the end of neonatal period, increasing antenatal care and early detection and management of neonatal infections or problems.http://link.springer.com/article/10.1186/s13104-017-2573-1Clinical outcomeRisk factorsNeonatal sepsisFelege Hiwot referral hospitalBahir DarNorth west Ethiopia |
| spellingShingle | Tilahun Tewabe Seida Mohammed Yibeltal Tilahun Birhanie Melaku Mequanint Fenta Tsigiereda Dagnaw Amare Belachew Ashagre Molla Habte Belete Clinical outcome and risk factors of neonatal sepsis among neonates in Felege Hiwot referral Hospital, Bahir Dar, Amhara Regional State, North West Ethiopia 2016: a retrospective chart review BMC Research Notes Clinical outcome Risk factors Neonatal sepsis Felege Hiwot referral hospital Bahir Dar North west Ethiopia |
| title | Clinical outcome and risk factors of neonatal sepsis among neonates in Felege Hiwot referral Hospital, Bahir Dar, Amhara Regional State, North West Ethiopia 2016: a retrospective chart review |
| title_full | Clinical outcome and risk factors of neonatal sepsis among neonates in Felege Hiwot referral Hospital, Bahir Dar, Amhara Regional State, North West Ethiopia 2016: a retrospective chart review |
| title_fullStr | Clinical outcome and risk factors of neonatal sepsis among neonates in Felege Hiwot referral Hospital, Bahir Dar, Amhara Regional State, North West Ethiopia 2016: a retrospective chart review |
| title_full_unstemmed | Clinical outcome and risk factors of neonatal sepsis among neonates in Felege Hiwot referral Hospital, Bahir Dar, Amhara Regional State, North West Ethiopia 2016: a retrospective chart review |
| title_short | Clinical outcome and risk factors of neonatal sepsis among neonates in Felege Hiwot referral Hospital, Bahir Dar, Amhara Regional State, North West Ethiopia 2016: a retrospective chart review |
| title_sort | clinical outcome and risk factors of neonatal sepsis among neonates in felege hiwot referral hospital bahir dar amhara regional state north west ethiopia 2016 a retrospective chart review |
| topic | Clinical outcome Risk factors Neonatal sepsis Felege Hiwot referral hospital Bahir Dar North west Ethiopia |
| url | http://link.springer.com/article/10.1186/s13104-017-2573-1 |
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