Maternal genital bacteria and surface colonization in early neonatal sepsis

被引：23

作者：

Kerur B.M. ^{[1
]}

Vishnu Bhat B. ^{[1
,4
]}

Harish B.N. ^{[2
]}

Habeebullah S. ^{[3
]}

Uday Kumar C. ^{[1
]}

机构：

[1] Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry

[2] Department of Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry

[3] Department of Obst and Gyanecology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry

[4] Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research

来源：

The Indian Journal of Pediatrics | 2006年 / 73卷 / 1期

关键词：

Maternal genital bacteria; Neonatal sepsis; Surface colonization;

D O I：

10.1007/BF02758256

中图分类号：

学科分类号：

摘要：

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.

引用

页码：29 / 32

页数：3

共 14 条

[1]

Klein J., Marcy M., Bacterial sepsis and meningitis, Infectious Diseases of the Fetus and Newborn Infant, Ed 4, pp. 835-890, (1995)

[2]

Beargie R., Priscilla L., Elon T., John D., Perinatal infection and vaginal flora, Am J Obstet Gynecol, 122, pp. 31-33, (1975)

[3]

Rao K., Ramji S., Thirupuram S., Prakash K., Clinical and bacteriological study of normal and inflamed neonatal conjunctivae, Indian Pediatr, 29, pp. 161-165, (1992)

[4]

Bhakoo O.N., Agarwal K.C., Mahajan M.C., Walia B.N., Septicemia in infants and children: A bacteriological study, Indian Pediatr, 5, pp. 518-523, (1968)

[5]

Choudhary P., Srivastava G., Agarwal D.S., Saini L., Gupta S., Bacteriological study of neonatal infections, Indian Pediatr, 11, pp. 519-528, (1975)

[6]

Mishra J.N., Rai M.G., Chakraborthy S., Prasad S., Study of neonatal septicemia, Indian Pediatr, 22, pp. 281-285, (1985)

[7]

Grace G.M., Nordin T., Myers M., Infections acquired by young infants, Am J Dis Child, 135, pp. 693-695, (1981)

[8]

Smith R.T., Platou E.S., Septicemia of new born, Pediatric, 17, pp. 549-553, (1956)

[9]

Schuchat A., Zywicki S.S., Dinsmoor M.J., Risk Factors and Opportunities for Prevention of early-onset Neonatal Sepsis: A multicenter Case-Control Study, Pediatric, 105, pp. 21-26, (2000)

[10]

Jefrerry H., Buth, Metchison, Wigleewert, Pamela J.S., Davious A., Early neonatal bacteremia, comparison of Group B Streptococcal, other gram positive and gram negative infection, Arch Dis Child, 52, pp. 683-685, (1977)

← 1 2 →