Clinical sepsis among patient delivered in FEU-NRMF Medical Center : a 3 year review / Catherine B. Perez.

Contributor(s):

Perez, Catherine B., MD [author]

Language: english Publication details: Fairview, Quezon City: Department of Child Health, FEU-NRMF, 2003.Description: illustrations, tables; (in folder)Content type:

text

Media type:

unmediated

Carrier type:

volume

Subject(s):

clinical sepsis

LOC classification:

CH 2003 0002

Summary: Abstract: The aim of the study was to determine the maternal risk factors, clinical signs and symptoms, course and outcome of neonates born in our institution with final diagnosis of clinical sepsis. This is a 3 year retrospective study covering from January 2000 to December 2003. The charts of subjects were reviewed and data as to sex, age of gestation, birthweight, Apgar score at 5 minutes and the common signs and symptoms of neonate were gathered. Maternal history was likewise noted. Statistical analysis used were T-test and Chi square test. 66 cases fulfilled the criteria for clinical sepsis. Of the 66 subjects majority were male, term weighed >2500 grams and had Apgar scores of >/= to 7 at 5 minutes. The presenting signs and symptoms were poor suck (56%) tachypnea (41%), alar flaring/retractions (38% ) and hypoglycemia (26%). Only one patient died and sixty five were discharged improved. Birthweight, Apgar score at 5 minutes were inversely proportional with the length of hospital stay and the more clinical signs and symptoms the longer the duration of hospital stay. Respiratory symptoms such as tachypnea, grunting and retractions were significantly associated with pre-term labor while poor suck, vomiting and jaundice were associated with thickly MSAF or UTI. The sickest infants were male and premature. Newborns with clinical sepsis have good outcome. The length of stay was affected by birthweight, Apgar score at 5 minutes, number of clinical signs and symptoms, presence of thrombocytopenia and duration of treatment. maternal risk factors associated with neonatal sepsis includes preterm labor, UTI and thickly MSAF.

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Item type	Current library	Call number	Status	Date due	Barcode
Room Use	Far Eastern University - Nicanor Reyes Medical Foundation Research	CH 2003 0002 (Browse shelf(Opens below))	Available		R000318

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Previous	CH ND 0003 Determining the validity of broselow tape in estimating the weight of pediatric patients /	CH 2001 0001 Irritation and stripping effects of adhesive tapes on the skin of term neonates at neonatal intensive care unit of FEU-NRMF Medical Center /	CH 2003 0001 Efficacy of baby powder with zinc oxide in the prevention of diaper dermatitis among infants 0-24 months old at FEU-NRMF Medical Center from June 2001 - March 2002 /	CH 2003 0002 Clinical sepsis among patient delivered in FEU-NRMF Medical Center : a 3 year review /	CH 2003 0003 Arterio-venous malformation : a case report /	CH 2005 0002 Precocious puberty : a case report.	CH 2006 0001 The Incidence of newborn screening and factors influence the decision of the mothers to do newborn screening among neonates born at FEU-NRMF Medical Center from January 2005 to December 2005.	Next

Includes bibliographical references.

Abstract: The aim of the study was to determine the maternal risk factors, clinical signs and symptoms, course and outcome of neonates born in our institution with final diagnosis of clinical sepsis. This is a 3 year retrospective study covering from January 2000 to December 2003. The charts of subjects were reviewed and data as to sex, age of gestation, birthweight, Apgar score at 5 minutes and the common signs and symptoms of neonate were gathered. Maternal history was likewise noted. Statistical analysis used were T-test and Chi square test. 66 cases fulfilled the criteria for clinical sepsis. Of the 66 subjects majority were male, term weighed >2500 grams and had Apgar scores of >/= to 7 at 5 minutes. The presenting signs and symptoms were poor suck (56%) tachypnea (41%), alar flaring/retractions (38% ) and hypoglycemia (26%). Only one patient died and sixty five were discharged improved. Birthweight, Apgar score at 5 minutes were inversely proportional with the length of hospital stay and the more clinical signs and symptoms the longer the duration of hospital stay. Respiratory symptoms such as tachypnea, grunting and retractions were significantly associated with pre-term labor while poor suck, vomiting and jaundice were associated with thickly MSAF or UTI. The sickest infants were male and premature. Newborns with clinical sepsis have good outcome. The length of stay was affected by birthweight, Apgar score at 5 minutes, number of clinical signs and symptoms, presence of thrombocytopenia and duration of treatment. maternal risk factors associated with neonatal sepsis includes preterm labor, UTI and thickly MSAF.

Research - Department of Child Health

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