000			03110cam a2200349 a 4500
003			EG-GiCUC
005			20250223032251.0
008			190424s2018 ua dh 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.Di.N
100	0		_aDina Mohamed Albasiouny
245	1	0	_aNeonatal sepsis : _bFrequency, causative organisms and prognosis in a NICU in Lower Egypt / _cDina Mohamed Albasiouny ; Supervised Khaled Mohamed Salama , Mohamed Mosaad Mahmoud , Sarah Samir Eltatawy
246	1	5	_aمعدل حدوث التسمم البكتيري بالدم في حديثي الولادة و مسبباته و مآله في وحدة رعاية مركزة بدلتا مصر
260			_aCairo : _bDina Mohamed Albasiouny , _c2018
300			_a177 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aIntroduction : Neonatal sepsis is a leading cause of morbidity and mortality among neonates worldwide, more so in developing countries (Schaffner et al., 2009). The correct and timely identification of infectious agents and their antibiotic sensitivity patterns are essential to guide the clinicians regarding both the empirical and definitive treatment (Thakur et al., 2016).Patients and methods: The study was performed on all neonates admitted to the neonatal intensive care unit of Damietta Specialized Hospital with suspected sepsis from August 2017 to January 2018 (46 neonates were studied). Complete blood count with total leucocytic count, platelet count, Immature to total neutrophil ratio (I/T), C-reactive protein (CRP) and cultures were done and data was reported.Results: Incidence of sepsis in our neonatal intensive care unit was 16.3%. Males were more commonly encountered. Preterm babies accounted for 67.4% of studied cases. Late onset sepsis was more common than early onset sepsis. The commonest clinical signs were lethargy, poor suckling, and respiratory distress. Blood cultures were positive in 50% of cases, the commonest isolated organism was Klebsiella (13%) followed by E-coli (10.9%) and MRSA (10.9%). Thrombocytopenia and I/T ratio>0.2 were more common with culture positive cases. Most of the bacterial isolates had low sensitivity to the commonly used empiric antibiotics. Rate of deaths among studied neonates was 19.6%.Conclusions: Determination of the neonatal sepsis incidence, risk factors, causative pathogens, and the patterns and rates of antibiotic resistance among neonates are necessary for proper management and preparation of center specific antibacterial protocols
530			_aIssued also as CD
653		4	_aKlebsiella
653		4	_aNeonatal sepsis
653		4	_aRisk factors
700	0		_aKhaled Mohamed Salama , _eSupervisor
700	0		_aMohamed Mosaad Mahmoud , _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			_c71681 _d71681