Incidence, Risk Factors and Outcome of Septicemia in Preterm Very Low Birth Weight Neonates in a Tertiary Care Hospital
Abstract
Small preterm babies have greater risk of developing illness in the neonatal period than the mature well-grown babies because of immaturity of structures and functions of various organs. The present study was an exploratory prospective cohort study to find out the incidence, the risk factors and outcome of septicemia in preterm VLBW neonates. The incidence of septicemia among the
preterm VLBW neonates was found 62% (57/92). Male sex, delayed admission (>24 hours) in hospital, gestational age (<29.3 weeks), birth weight (<1265grams), rural residence and obstetrical problems (APH, PROM) were found to be associated with increased risk of developing septicemia in preterm VLBW neonates but income status, maternal illness (HTN, DM, Fever), mode
of delivery (NVD, CS) and place of delivery (Home, Hospital) were not associated with increased risk. The mean duration of hospital stay of the septic preterm VLBW neonates were 13.57± 5.39days but non septic cases it was 10.88±4.02 days. Sixty (65.3%) preterm VLBW neonates were improved and discharged with advice from hospital, 3(3.3%) took DORB and unfortunately 29(32.4%) expired
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Published 20-09-2021
Keywords
- VLBW,
- Incidence,
- Risk factor,
- Outcome
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