000			02954cam a2200349 a 4500
003			EG-GiCUC
005			20250223031859.0
008			171217s2017 ua h f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.28.M.Sc.2017.Sa.S
100	0		_aSalwa Elsayed Abdelhaseeb Abdelkader
245	1	0	_aSepsis profileinaneonatal intensivecare unitatcairouniversitychildren hospital / _cSalwa Elsayed Abdelhaseeb Abdelkader ; Supervised Iman Fathy Iskander , Salma Zohir Elhouchi , Miriam Magdy Aziz
246	1	5	_aالملف الميكروبى فى وحدة حديثى الولادة بمستشفى الأطفال جامعة القاهرة - المنيرة
260			_aCairo : _bSalwa Elsayed Abdelhaseeb Abdelkader , _c2017
300			_a85 P. : _bfacsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aIntroduction: Neonatal sepsis accounts for 26% of the total neonatal deaths. Neonatal sepsis is a clinical syndrome characterized by systemic signs of infection in first month of life. Its clinical presentation is non specific and the diagnosis is mainly based on laboratory tests. Objective: This cross-sectional study aimed to determine the prevalence, risk factors and commonest organism of sepsis in neonatal intensive care unit (NICU) at Cairo university children hospital (Almonira). Subjects and methods: The study was performed on all neonates admitted in NICU (Almonira) between January 2016 and June 2016. 159 neonates were studied; 108 were proven to have neonatal sepsis and 51 non septic neonates served as controls. Complete blood count with total leucocytic count, platelet count, Immature to total neutrophil ratio (I/T), C-reactive protein (CRP) and cultures were reported and compared between both control and sepsis groups. Results: Incidence of sepsis in NICU(AL Monira) was 67.9%.Starting enteral nutrition decreased risk of sepsis (P value0.005) but CVC insertion and mechanical ventilation were more in sepsis group. CVS manifestations were the most specific (P value 0.034). Leucopenia, thrombocytopenia, IT ratio > 0.2, positive CRP and positive cultures were common in sepsis group (P value<0.001). Mortality among septic neonates was 45.4%. Conclusions: Incidence of sepsis remains high. Risk factors include CVP insertion, mechanical ventilation but enteral nutrition decreased sepsis and mortality. Klebsiella MDR was the commonest organism
530			_aIssued also as CD
653		4	_aBacteriologic profile
653		4	_aNeonatal sepsis
653		4	_aRisk factors
700	0		_aIman Fathy Iskander , _eSupervisor
700	0		_aMiriam Magdy Aziz , _eSupervisor
700	0		_aSalma Zohir Elhouchi , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c64078 _d64078