TY  - BOOK
AU  - Perez, Catherine B., MD.
TI  - Clinical sepsis among patient delivered in FEU-NRMF Medical Center : : a 3 year review / 
AV  - CH 2003 0002 
PY  - 2003///
CY  - Fairview, Quezon City
PB  - Department of Child Health, FEU-NRMF
KW  - clinical sepsis
N1  - Includes bibliographical references; RESDCH
N2  - 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
ER  -