000			03037cam a2200349 a 4500
003			EG-GiCUC
005			20250223032247.0
008			190418s2018 ua d 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.2018.Am.S
100	0		_aAmira Ahmed Gad
245	1	0	_aSepsis profile, antibiotics given and outcomes of preterm neonates admitted in Kasr Al-Ainy Neonatal intensive care unit (NICU) / _cAmira Ahmed Gad ; Supervised Khaled Mohamed Salama , May Mohamed Sherif , Sarah Samir Eltatawy
246	1	5	_aمعاملات الالتهابات البكتيرية و المضادات الحيوية المستخدمة و النتائج لحالات الخدج المصابين بتسمم الدم بوحدة رعاية الاطفال حديثي الولادة بمستشفى القصر العيني ، جامعة القاهرة
260			_aCairo : _bAmira Ahmed Gad , _c2018
300			_a114 P. : _bcharts ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aIntroduction : Globally, sepsis is still one of the major causes of morbidity and mortality in neonates, in spite of recent advances in health care units. Objectives: This study aimed at studying risk factors and outcomes of neonatal sepsis in preterm infants, determining the efficacy of using hematological scoring system in diagnosis of sepsis and detecting common bacterial organisms in Neonatal intensive care unit (NICU) environment.Methods: The study included 153 cases of preterm neonates with suspected sepsis, admitted in Kasr Al-Ainy NICU over a period of 12 months. We studied the impact of different parameters on outcome, antibiograms and the value of blood culture in diagnosis of sepsis. In addition, we tested the efficacy of hematological score of Rodwell in detection of sepsis in culture-proven cases.Results: Late-onset sepsis cases were more common than early-onset sepsis (58.8% versus 41.2%) with better survival rates (57.8% versus 38.1%). Culture-positive cases represented 39.8% only. Klebsiella MDR was the most common organism in early-onset sepsis versus CONS in late-onset sepsis. All bacterial organisms showed high resistance against Amoxicillin-clavulanic, Gentamicin and Carbapenems (first and second lines of antibiotics used). Hematological score of Rodwell showed significant p-value (0.017) in association with culture-proven sepsis cases. Immature: mature PMNs ratio had the highest sensitivity (85.7%), high specificity (78.9%), PPV (80.5%) and NPV (84.5%)
530			_aIssued also as CD
653		4	_aBlood culture
653		4	_aNeonatal sepsis
653		4	_aPrematurity
700	0		_aKhaled Mohamed Salama , _eSupervisor
700	0		_aMay Mohamed Sherif , _eSupervisor
700	0		_aSarah Samir Eltatawy , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aEnas _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c71559 _d71559