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10.1097/ANC.0000000000000701

http://scihub22266oqcxt.onion/10.1097/ANC.0000000000000701
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31996563!ä!31996563

suck abstract from ncbi


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pmid31996563      Adv+Neonatal+Care 2020 ; 20 (4): E59-E69
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  • A Cross-sectional Study of Group B Streptococcus-Associated Sepsis, Coinfections, and Antibiotic Susceptibility Profile in Neonates in Pakistan #MMPMID31996563
  • Asghar S; Khan JA; Mahmood MS; Arshad MI
  • Adv Neonatal Care 2020[Aug]; 20 (4): E59-E69 PMID31996563show ga
  • BACKGROUND: Neonatal sepsis is a leading cause of morbidity and early-life mortality worldwide, and previous data have reported the highest neonatal mortality rate in Pakistan. PURPOSE: The present study aimed to decipher the prevalence of group B Streptococcus (GBS)-associated sepsis, coinfections, and antibiotic susceptibility of isolated microbes in neonates. METHODS: Blood samples of 100 cases of neonatal sepsis were subcultured on blood agar, GBS agar, and MacConkey agar for isolation of GBS and suspected microbes. RESULTS: Of 100 neonatal blood samples, 85 blood samples were culture-positive, including mixed culture growth (n = 18), 25 samples as early-onset neonatal sepsis (EONS) and 60 as late-onset neonatal sepsis (LONS). Staphylococcus aureus showed high percent positivity (31.4%), followed by Candida sp (16.5%), GBS (14.1%), Klebsiella (14.1%), Staphylococcus epidermidis (11.8%), Pseudomonas (9.4%), Acinetobacter (9.4%), Esherichia coli (8.2%), and Enterococcus (5.9%). GBS was isolated more frequently from EONS than from LONS with 50% coinfections. Mode of delivery, gender, and respiratory distress in neonates were significantly associated with culture-positive sepsis. GBS isolates were highly (91.7%) susceptible to vancomycin, cefotaxime, and chloramphenicol, followed by penicillin (83.3%), ampicillin, and tetracycline (75%). GBS isolates were resistant to erythromycin, clindamycin, ciprofloxacin, and linezolid. IMPLICATIONS FOR PRACTICE: Our findings evidenced GBS-associated risk factors and antibiotic susceptibility pattern of neonatal sepsis, which will help clinicians in management, control, and treatment of neonatal sepsis. IMPLICATIONS FOR RESEARCH: The epidemiological evidence of GBS-associated neonatal sepsis, demographic characteristics, risk factor data analysis, and drug resistance pattern has disease prevention implications in neonates in low-income countries including Pakistan.
  • |*Neonatal Sepsis/drug therapy/epidemiology/microbiology[MESH]
  • |Anti-Bacterial Agents/*pharmacology[MESH]
  • |Coinfection/drug therapy/microbiology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Humans[MESH]
  • |Infant, Newborn[MESH]
  • |Pakistan/epidemiology[MESH]
  • |Risk Factors[MESH]
  • |Streptococcal Infections/*drug therapy/*epidemiology/microbiology[MESH]


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