INCIDENCE OF BACTERIMIA AND SEPTICEMIA FOLLOWING BLOOD EXCHANGE TRANSFUSION IN SEVERE NEONATAL HYPERBILIRUBINEMA. AMIRKOLA CHILDREN HOSPITAL, BABOL- IRAN

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ZAHED PASHA Y.A.; AHMAD POUR M.; HAJI AHMADI M.; ALIZADEH M.

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Journal: Iranian Journal of Infectious Diseases and Tropical Medicine Year:2006 | Volume:11 | Issue:32 Page(s): 17-22

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Title

INCIDENCE OF BACTERIMIA AND SEPTICEMIA FOLLOWING BLOOD EXCHANGE TRANSFUSION IN SEVERE NEONATAL HYPERBILIRUBINEMA. AMIRKOLA CHILDREN HOSPITAL, BABOL- IRAN

Author(s)

ZAHED PASHA Y.A. | AHMAD POUR M. | HAJI AHMADI M. | ALIZADEH M. | Issue Writer Certificate

Keywords

BACTEREMIAQ4

SEPTICEMIAQ2

HYPERBILIRUBINEMIAQ3

BLOOD EXCHANGE TRANSFUSIONQ3

NEONATEQ2

Abstract

Background: BLOOD EXCHANGE TRANSFUSION (BET) via umbilical vein has an important role in treatment of neonatal HYPERBILIRUBINEMIA and prevention of kernicterus. The aim of this study was to determination of the incidence of bacterimia and SEPTICEMIA following BET.Material and Methods: This descriptive- analytic and cross sectional study was conducted from December 2001 up to February 2004 in Amirkola children hospital (Babol-Iran). The criteria of BET was in full term healthy and NEONATEs with body weight ≤2000 gr with serum total bilirubin level ≤20 mg/dl and in NEONATEs with body weight lower than 2000 gr with serum total bilirubin level of more than one percent of body weight per gr. Umbilical vein catherization was done by catheter of Vygon standard set of BET made in France. First 5ml of blood drown from catheter (before BET) and last 5ml of blood drown from catheter (after BET) were cultured on KFG media (made in Iran). Every positive blood cuture was follow up by another culture. Data were collected and analyzed by SPSS software. Results: Of all 1726 hyper bilirubinemic NEONATEs 314 NEONATEs needs BET (18.6%).85.7% need one BET and rest more than one BET.At the first BET 628 (before and after BET) blood specimen were cultured that bacteria grown on 11.8% of total specimen and 18.6 NEONATEs. Bacteria were grown on 13.3% before and 9.8% after BET specimen; there is no significant difference (p= 0.213).From 74 blood specimen before and after BET on 37 NEONATEs for 2nd BET, bacteria were grown on 28.3% total specimen in comparison to 1st BET (11.8) difference was significant (p<0.0001) In the 37 NEONATEs on 2nd ET bacteria were grown on 45.95% NEONATEs in comparison to 1st BET difference was significant (p<0.0001). In all follow up culture only 4.77% (15 from 314 NEONATEs) were blood culture positive with symptom of clinical sepsis.Coagolase positive staphylococcus 52.38%, Coagolase negative staphylococcus 19.04%, Ecoli 11.9% and rest 16.68% were enterobacter, pseudomonas, diphteroid and gram-positive cocci Were grown on culture media.Conclusion: Regarding to high rate of transient BACTEREMIA following BET, only 4.77% of hyperbilirubinemic NEONATEs need treatment after BET due to nasocomial sepsis.

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APA: Copy

ZAHED PASHA, Y.A., AHMAD POUR, M., HAJI AHMADI, M., & ALIZADEH, M.. (2006). INCIDENCE OF BACTERIMIA AND SEPTICEMIA FOLLOWING BLOOD EXCHANGE TRANSFUSION IN SEVERE NEONATAL HYPERBILIRUBINEMA. AMIRKOLA CHILDREN HOSPITAL, BABOL- IRAN. IRANIAN JOURNAL OF INFECTIOUS DISEASES AND TROPICAL MEDICINE, 11(32), 17-22. SID. https://sid.ir/paper/52888/en

Vancouver: Copy

ZAHED PASHA Y.A., AHMAD POUR M., HAJI AHMADI M., ALIZADEH M.. INCIDENCE OF BACTERIMIA AND SEPTICEMIA FOLLOWING BLOOD EXCHANGE TRANSFUSION IN SEVERE NEONATAL HYPERBILIRUBINEMA. AMIRKOLA CHILDREN HOSPITAL, BABOL- IRAN. IRANIAN JOURNAL OF INFECTIOUS DISEASES AND TROPICAL MEDICINE[Internet]. 2006;11(32):17-22. Available from: https://sid.ir/paper/52888/en

IEEE: Copy

Y.A. ZAHED PASHA, M. AHMAD POUR, M. HAJI AHMADI, and M. ALIZADEH, “INCIDENCE OF BACTERIMIA AND SEPTICEMIA FOLLOWING BLOOD EXCHANGE TRANSFUSION IN SEVERE NEONATAL HYPERBILIRUBINEMA. AMIRKOLA CHILDREN HOSPITAL, BABOL- IRAN,” IRANIAN JOURNAL OF INFECTIOUS DISEASES AND TROPICAL MEDICINE, vol. 11, no. 32, pp. 17–22, 2006, [Online]. Available: https://sid.ir/paper/52888/en

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