COAGULASE NEGATIVE STAPHYLOCOCCUS, THE MOST COMMON CAUSE OF NEONATAL SEPTICEMIA IN URMIA, IRAN

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GHEYBI SH.; FAKOUR Z.; KARAMYAR M.; KHASHABI J.; ILKHANIZADEH B.; ASGHARI SANA F.; MAHMOUDZADEH HASHEM; MAJLESI A.H.

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Journal: Iranian Journal of Pediatrics Year:2008 | Volume:18 | Issue:3 Page(s): 237-243

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Title

COAGULASE NEGATIVE STAPHYLOCOCCUS, THE MOST COMMON CAUSE OF NEONATAL SEPTICEMIA IN URMIA, IRAN

Author(s)

Keywords

SEPTICEMIAQ3

NEONATAL SEPSISQ2

ANTIBIOTIC SENSITIVITYQ3

COAGULASENEGATIVE STAPHYLOCOCCUSQ2

Abstract

Objective: A prospective study to determine the prevalent bacterial agents of NEONATAL SEPSIS and their antimicrobial susceptibility in lmam Khomeini teaching hospital, Urmia, from act 2002 to Nov 2006.Methods: Newborns with clinical signs of SEPTICEMIA and positive blood culture during fifty months were prospectively studied. Samples for blood cultures, complete blood count, erythrocyte sedimentation rate, C-reactive protein, sugar, electrolytes, cerebrospinal fluid and urine analysis/culture were obtained; ampicillin and gentamycin were started empirically.Results were analyzed by SPSS13package and cross tabulation was done.Findings: Two thousand three hundred twenty five newborns from 4827 neonatal admissions were screened for SEPTICEMIA. Two hundred twenty seven episodes of sepsis occurred in 209 newborns. The boys/girls ratio was 1.67:1 and 63.9% of patients were premature. There were 164 (72.2%) cases of EONS and 63 (27.7%) cases of LONS. Coagulase negative staphylococcus (CONS) was the most common (54%) cause of both early and late onset NEONATAL SEPSIS and showed high degree of resistance to commonly used antibiotics, ampicillin (100%), ceftriaxon (65%), cefotaxim (67%) and gentamicin (51%), but comparatively low resistance to vancomycine (10%), imipenem (19%), and ciprofloxacine (23%).Conclusion: NEONATAL SEPSIS in our ward is mainly caused by gram-positive organisms, which are developing resistance to commonly used antibiotics. The initial empirical choice of ampicillin and gentamycin appears to be unreasonable for our environment.

Cites

STUDY ON BACTERIAL STRAINS CAUSING BLOOD AND URINARY TRACT INFECTIONS IN THE NEONATAL INTENSIVE CARE UNIT AND DETERMINATION OF THEIR ANTIBIOTIC RESISTANCE PATTERN

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APA: Copy

GHEYBI, SH., FAKOUR, Z., KARAMYAR, M., KHASHABI, J., ILKHANIZADEH, B., ASGHARI SANA, F., MAHMOUDZADEH, HASHEM, & MAJLESI, A.H.. (2008). COAGULASE NEGATIVE STAPHYLOCOCCUS, THE MOST COMMON CAUSE OF NEONATAL SEPTICEMIA IN URMIA, IRAN. IRANIAN JOURNAL OF PEDIATRICS, 18(3), 237-243. SID. https://sid.ir/paper/76189/en

Vancouver: Copy

GHEYBI SH., FAKOUR Z., KARAMYAR M., KHASHABI J., ILKHANIZADEH B., ASGHARI SANA F., MAHMOUDZADEH HASHEM, MAJLESI A.H.. COAGULASE NEGATIVE STAPHYLOCOCCUS, THE MOST COMMON CAUSE OF NEONATAL SEPTICEMIA IN URMIA, IRAN. IRANIAN JOURNAL OF PEDIATRICS[Internet]. 2008;18(3):237-243. Available from: https://sid.ir/paper/76189/en

IEEE: Copy

SH. GHEYBI, Z. FAKOUR, M. KARAMYAR, J. KHASHABI, B. ILKHANIZADEH, F. ASGHARI SANA, HASHEM MAHMOUDZADEH, and A.H. MAJLESI, “COAGULASE NEGATIVE STAPHYLOCOCCUS, THE MOST COMMON CAUSE OF NEONATAL SEPTICEMIA IN URMIA, IRAN,” IRANIAN JOURNAL OF PEDIATRICS, vol. 18, no. 3, pp. 237–243, 2008, [Online]. Available: https://sid.ir/paper/76189/en

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