Abstract
Objective: The burden of neonatal sepsis is huge in India ,a hospital based study suggest neonatal sepsis rate 30 per 1000 live births whereas a community based study indicates 2.7-17% of all live births. A retrospective study of hospital records was planned with the objective to study the culture proven neonatal sepsis rate, to identify the causative organism and their antibiotic susceptibility pattern.
Setting: blood culture record of NICU of a rural medical college and hospital over a period of one year 1 jan 2016 to 31 dec 2016.
Results: total 405 blood culture were send with 67 came positive with positivity rate of 16.5%,candida spp is the most common organism isolated 28(41.7%),gm negative bacteria klebsiella 34(50.7%)is second most predominant in early and late onset sepsis. isolates were highly resistant to third generation cephalosporin and amikacin.
Conclusion: Candida and drug resistant gm negative klebsiella were most common isolates, similar to other NICU across country. There is an urgent need for designing nationwide strategies to overcome increasing prevalence of antibiotic resistant organisms.
Keywords: Antibiotic resistant, neonatal sepsis, klebsiella,newborn.
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Corresponding Author
Dhiraj Parihar
Associate Professor, Pediatric Surgery,
BPS GMC for Women, Sonepat