RESUMO
OBJECTIVE: The study was intended to evaluate the role of maternal genital bacteria and baby's surface colonization in early onset neonatal sepsis. METHODS: Babies (born in the hospital of Jawaharlal Institute of Postgraduate Medical Education and Research) who developed clinical signs of sepsis were studied. Swabs were collected for culture from baby's umbilicus, ear, throat in addition to gastric aspirate and blood culture. The genital tract of the mother was also studied for bacterial colonization. The organisms isolated from the maternal genital tract and baby's surface colonization were correlated with those isolated from blood culture by calculating Phi correlation coefficient. RESULTS: Esch coli was the most common organism isolated from maternal genital tract and surface cultures of babies, but Klebseilla-Spp was the most common organism isolated from blood. There was a significant correlation between surface colonization of babies and maternal genital bacteria, so also was baby's surface culture and blood culture. However, correlation between maternal genital bacteria and baby's blood culture was not significant. CONCLUSION: Surface colonizing bacteria and not maternal genital bacteria are important in early onset neonatal sepsis.
Assuntos
Infecções por Enterobacteriaceae/microbiologia , Infecções por Escherichia coli/microbiologia , Feminino , Ruptura Prematura de Membranas Fetais , Doenças dos Genitais Femininos/complicações , Humanos , Recém-Nascido , Doenças do Recém-Nascido/microbiologia , Infecções por Klebsiella/microbiologia , Gravidez , Sepse/etiologiaRESUMO
Necrotizing fasciitis (NF) is a life threatening soft tissue infection usually associated with the trauma and immunodeficiency. We report a case of necrotizing fasciitis spreading from the chest wall in a healthy infant with a history of betamethasone intake for a month. Coagulase negative Staphylococcus aureus (CONS) was isolated from the blood culture. Child succumbed to necrotizing fasciitis due to multi-organ dysfunction and spreading gangrene. Early debridement and appropriate antibiotic therapy in an intensive care setup may improve the outcome. Oral betamethasone drops sold over the counter without prescription in India may be make the children vulnerable to serious infections.