Abstract
The various organisms responsible for septicaemia and their changing sensitivity patterns were studied. The incidence of neonatal septicaemia was 26·3%. Group I comprised of 242 cases in 1981–1982 and group II 150 cases in 1984. Gram negative organisms were isolated in the majority of blood cultures, 52·5% and 43·4% in group I and II respectively. Klebsiella though showing a fall in incidence, still remained the commonest Gram negative organism isolated. The incidence of E. coli, pseudomonas and staphylococcal infections also doubled in group II as compared to group I. An alarming trend was the increasing resistance of the isolates to commonly used penicillins and aminoglycosides. The incidence of organisms resistant to all commonly used antibiotics has also increased from 13% to about 40%. This problem could be combated by rotating the commonly used antibiotic combinations, as well as discouraging the unnecessary use of antibiotics.
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References
Cruicshank K, Duguio JP, Marnion BP, Suryain RA. Test for sensitivity to antimicrobial agents.medical Microbiology, 12th ed. Churchill Livingstone 1980;2: 196
Choudhary P, Shrivastava DS, Agarwal L. Bacteriological study of neonatal infections.Indian Pediatr 1975;12: 459–463
Guha DK, Jaspal D, Krishna Das, MS. Outcome of neonatal septicaemia, clinical and bacteriological profile.Indian Pediatr 1978;15: 423–427
merchant SM. Infection in newborn.Indian J Child Health 1957;6: 75–79
Saxena S, Shrivastava JR, Goswami P. Bacterial infection of newborns.Pediatr Clin India 1971; 6: 63–67
Somu N, Vasanthkumar Shetty M, Moser, CG. A critical analysis of septicaemia in newborn.Indian Pediatr 1976;13: 443–447
Squire E, Panara R, Todd J. Diagnosis of neonatal bacterial infections, haematologic and pathologic findings in fatal and nonfatal cases.Pediatrics 1979;64: 60–64
Bhargava SK, Gupta A. Bacterial infections in newborns. O.P. Ghai ed. Newer developments in pediatric research 1977; I
Basset DC, Thompson AS. Page B.-Neonatal infection due toPseudomonas aeruginosa associated with contaminated resuscitation equipment.Lancet 1965;1: 781–784
Becker AH. Infections due toProteus mirabilis in a newborn nursery.Amer J Dis Child 1962;104: 355–359
Franco JA, Eitzman DV, Baer N. Antibiotic usage and microbial resistance in an intensive care nursery.Amer J Dis Child 1973;126: 318–322
Markowitz SM, Veazery MJ, Maerinal F. Sequential outbreak of infection withKlebsiella in an ICU, implication of a conjugativeK. plasmid.J Inf Dis 1980;142: 106–112
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Monga, K., Fernandez, A. & Deodhar, L. Changing bacteriological patterns in neonatal septicaemia. Indian J Pediatr 53, 505–508 (1986). https://doi.org/10.1007/BF02749536
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DOI: https://doi.org/10.1007/BF02749536