Neonatal Bacterial Sepsis and Its Susceptibility Pattern in Neonatal Care Unit of Tertiary Care Hospital
Abdul Hameed Tunio *
Shaheed Mohtarma Benazir Bhutto Medical University, Pakistan.
Delijan Mugheri
Shaheed Mohtarma Benazir Bhutto Medical University, Pakistan.
Muhammad Khan
Pir Abdul Qadir Shah Jillani Institute of Medical Science Gambat, Pakistan.
Wasim Sarwar Bhatti
Pir Abdul Qadir Shah Jillani Institute of Medical Science Gambat, Pakistan.
Abdul Majeed Soomro
Pir Abdul Qadir Shah Jillani Institute of Medical Science Gambat, Pakistan.
Pir Bux Ghumro
Shah Abdul Latif University, Khairpur, Pakistan.
Sultan Othman Alolayan
Faculty of Pharmacy, University of Sindh Jamshoro, Pakistan. and College of Pharmacy, Taibah University, Al-Madinah Al-Munawarah, Saudi Arabia.
Waseem Abbas Malhani
Institute of Pharmacy, Shaheed Mohtarma Benazir Bhutto Medical University, Pakistan.
Nadeem Baloch
Institute of Pharmacy, Shaheed Mohtarma Benazir Bhutto Medical University, Pakistan.
Altaf Ali Mangi
Faculty of Pharmacy, Gomal University, DI Khan, Pakistan.
Zehra Ahraf
Faculty of Pharmacy, Jinnah University for Women Karachi, Pakistan.
Saika Lashari
Shah Abdul Latif University, Khairpur, Pakistan.
Kanwal Baloch
Institute of Pharmacy, Shaheed Mohtarma Benazir Bhutto Medical University, Pakistan.
Shumaila Parveen Arain
Faculty of Pharmacy, University of Sindh Jamshoro, Pakistan. and College of Pharmacy, Taibah University, Al-Madinah Al-Munawarah, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
Background: The drug resistance and pathogens are different in various Hospitals of any country. Very high resistance pattern is observed nowadays to the frequently used antibiotics. The important observation has been noted that most of the doctors do not obtain blood cultures before start of the antibiotics, which becomes competent source of resistance. For the same purpose, this study has been done to find out the responsible microbes causing ailment and their susceptibility towards antibiotics to plan early and effective management.
Materials and Methods: A number of 100 new borns admitted in the NICU CMC Children Hospital Larkana with signs and symptoms of sepsis were included in this research work. The study will help in provision of a comprehensive record on microorganisms causing sepsis in the neonates and their antibiotic sensitivity. The epidemiology and presence of neonatal sepsis in particular area makes it more easy and convenient to implement the rationale of empirical antibiotic strategy. Results: From100 neonatal blood samples taken for culture, only 21 proved to be positive which stands 21%. In majority gram positive bacteria were found in (85.71%=18 cases) and gram negative bacteria stood (14.28%=3 cases).Staphylococcus species were found on the large scale (52.38%=11 cases) secondly Streptococcus species (33.33%=7 cases) and the remaining were Escherichia species being least common (14.28%=3 cases).
Conclusion: Staphylococcus species provided major share as gram positive bacteria and Escherichia species were found to be major gram negative bacterial population responsible for neonatal sepsis. Profound resistance pattern is seen against widely used antibiotics. It is mandatory to have a routine check over the antibiotic resistance.
Keywords: Neonates, bacterial sepsis, antibiotics, susceptibility pattern.