MENINGITIS AMONG NEONATES WITH SUSPECTED SEPSIS PRESENTING TO PEDIATRIC EMERGENCY.
Prakash Kumar SoniJogender KumarArchana AngrupPraveen KumarShiv Sajan SainiVenkataseshan SundaramKanya MukhopadhyaySourabh DuttaPublished in: The Pediatric infectious disease journal (2022)
We aimed to assess the risk factors, clinical features and microbial profiles of meningitis in neonates with suspected sepsis referred to a pediatric emergency. Over 13 months, 191 neonates were enrolled, of whom 64 (33.5%) had meningitis. There were no significant differences in risk factors or clinical features between infants with and without meningitis. Ninety-three neonates (49%) had culture-positive sepsis (109 isolates). Candida spp. (n = 29), coagulase-negative staphylococci (n = 28) and Klebsiella pneumoniae (n = 23) were the most common pathogens. Forty-one (53%) bacteria were multidrug resistant.
Keyphrases
- multidrug resistant
- klebsiella pneumoniae
- risk factors
- low birth weight
- cerebrospinal fluid
- gram negative
- acute kidney injury
- septic shock
- intensive care unit
- public health
- emergency department
- escherichia coli
- drug resistant
- acinetobacter baumannii
- healthcare
- pulmonary embolism
- preterm infants
- antimicrobial resistance
- candida albicans
- young adults
- cystic fibrosis
- staphylococcus aureus
- biofilm formation