A clinical study on early diagnosis in neonatal sepsis
Journal of the Korean Pediatric Society
; : 49-56, 1993.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-122992
Responsible library:
WPRO
ABSTRACT
Neonatal sepsis is a major contributing factor for increased mortality and morbidity in the newbron and its successful outcome depends on early detection and prompt institution of an effective antimic robial therapy. Accurate diagnosis of the neonatal septicemia, however, is quite difficult because its early signs and symptoms are rather subtle. This study was conducted in an attempt to search for useful early markers for the clinical entity A total of 224 newborns, over a 17 month pcriod (1/90 5/91), who were evaluated for probable neonatal sepsis were analysed. The laboratory parameters that showed highest correlation with bacteriologically proves sopsis were as follows Total WBC counts (0.2), elevated ESR(>15mm/hr), CRP(>6ng/ml). Of the 224 study subjects, 41 had two or more parameters of which 12 subjects had positive blood cultures(positive predictive value29%), only 4 of the 183 newborns who had less than 2 parameters had positive blood cultures(false negative2%). It is concluded that the presence of two or more of the above parameters can be used as a strong indicator for neonatal sepsis and its sensitivity is 75% while specificity is 86%.
Full text:
Available
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.3 End transmission of communicable diseases
/
SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5
Health problem:
Target 3.2: Reduce avoidable death in newborns and children under 5
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Sepsis
/
Infections
Database:
WPRIM (Western Pacific)
Main subject:
Mortality
/
Sensitivity and Specificity
/
Sepsis
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Early Diagnosis
/
Diagnosis
Type of study:
Diagnostic study
/
Prognostic study
/
Screening study
Limits:
Humans
/
Infant, Newborn
Language:
Korean
Journal:
Journal of the Korean Pediatric Society
Year:
1993
Document type:
Article