Résumé
Neonatal septicaemia is a major cause of morbidity and mortality in developing countries. We studied 118 neonates admitted to the main referral hospital in Al-Anbar with positive blood cultures. The incidence of neonatal septicaemia for babies born at this hospital was 9.2 per 1000 live births, and mortality was 28%. Staphylococcus aureus [39%], Klebsiella pneumoniae [30%] and Escherichia coli [21%] constituted 90% of all isolates. The isolates showed in vitro susceptibility to cefotaxime, chloramphenicol and gentamicin, but resistance to more commonly used antibiotics such as ampicillin and cloxacillin. We recommend initial gentamicin/cefotaxime combined therapy while awaiting culture and sensitivity test results. Our study highlights the importance of understanding the local epidemiology of neonatal septicaemia in formulating a rational antibiotics policy
Sujets)
Femelle , Humains , Bactériémie/congénital , Céfotaxime , Résistance bactérienne aux médicaments , Infections à Escherichia coli/congénital , Gentamicine , Mortalité hospitalière , Incidence , Infections à Klebsiella/congénital , Klebsiella pneumoniae , Tests de sensibilité microbienne , Infections à staphylocoques/congénital , Staphylococcus aureusRésumé
Un recién nacido, hijo de una madre infectada con salmonella paratyphi B, evoluciona en el período neonatal inmediato, con una sepsis por salmonella paratyphi B. El contagio ocurre en el período intrauterino. La sepsis se confirma con hemocultivos (+) en la madre y el hijo al mismo germen