14. Diagnosis of Neonatal Meningitis with early Onset Sepsis in Pakistan Institute of Medical Sciences Islamabad
Misbah Anjum1, Chetan Das2 and Devedass2
ABSTRACT
Objective: To see frequency of neonatal Meningitis in early onset of neonatal sepsis.
Study Design: Descriptive study
Place and Duration of Study: This study was conducted at the Children’s Hospital NICU and Neonatal Nursery of MCH Centre PIMS, Islamabad from February 2015 to August 2015
Materials and Methods: Total of 90 septic neonates were screened who fulfilled the inclusion criteria. All the information recorded in the proforma and data was entered in software SPSS version 18. The descriptive analysis were carried out and reported as mean with standard deviation for age. The level of significance was selected as 5% (p-value 0.05). The results are presented as tables and graphs.
Results: Total of 90 septic neonates were enrolled in this study. The mean (standard deviation) age of all septic neonates was 36.3 (± 20.2) hours and half of the neonates with sepsis 51 (56.7%) were preterm. The male to female ratio was 1.9 to 1 and intrapartum maternal high fever was present in only 4 (4.4%).The poor feeding which was present in 51 (57.0%) neonates with sepsis and irritability was significantly associated with septic neonates with meningitis (p-value 0.001).
Conclusion: We concluded in this study that there is low incidence of neonatal meningitis among neonates with early onset sepsis, but it is quite important to have lumbar puncture in all neonates with early onset sepsis because these 3.3 percent cases of meningitis would have been otherwise missed.
Key Words: Neonatal, meningitis, early onset, sepsis, Lumbar puncture
Citation of article: Anjum M, Das C, Devedass. Diagnosis of Neonatal Meningitis with early Onset Sepsis in Pakistan Institute of Medical Sciences Islamabad. Med Forum 2017;28(3):51-55.