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Indian Journal of Forensic Medicine & Toxicology
Year : 2019, Volume : 13, Issue : 1
First page : ( 224) Last page : ( 229)
Print ISSN : 0973-9122. Online ISSN : 0973-9130.
Article DOI : 10.5958/0973-9130.2019.00046.X

Gastric Aspirates Gram Stain in Early Detection of Neonatal Sepsis

Ata-Allah Ammar M., Al-Sadoon Emad R., Sarhat Ashoor R.

College of Medicine-Tikrit University, Iraq

Online published on 8 February, 2019.

Abstract

The aim of this study to evaluate role value of gastric aspirate gram stain as an early marker for diagnosis of neonatal sepsis in comparison with C-reactive protein and total white blood cell counts. The sample were taken from neonates admitted to the neonatal wards in Tikrit Teaching Hospital who were clinically diagnosed as sepsis. The study includes 50 cases each one was assessed clinically by prepared questionnaire including history, clinical assessment and laboratory parameters includes gastric aspirate, C-reactive protein (CRP) and total WBC count were done for all cases. Results revealed that, the number of probable sepsis was higher in males 30 (60%) than in females 20 (40%). Among all clinical manifestations, poor feeding had the highest proportion 39 (78%). Only 18 (36%) neonates were normal birth weight, while 32 (64%) were low and very low birth weight. Study of maternal risk factors revealed that the most frequent factor was maternal infection 30 (60%). In relation to positive results of investigations the cases with positive gram stain were more than cases with positive CRP and abnormal WBC count. The results of gastric aspirate showed that 19 (38%) of samples were positive.

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Keywords

Parameters in Early Detection of Neonatal Sepsis, early diagnosis of Neonatal Sepsis.

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