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Updated: Jun 16, 2026

A Controlled Mouse Model for Neonatal Polymicrobial Sepsis
Published on: January 27, 2019
Risk factors and prevention of late-onset sepsis in premature infants
L Corbin Downey1, P Brian Smith, Daniel K Benjamin
1Department of Pediatrics, Children's Hospital of The King's Daughters, Norfolk, VA, USA.
Insights
Late-onset sepsis in premature infants poses significant risks. This review details risk factors and evidence-based prevention strategies for neonatal intensive care units.
Area of Science:
- Neonatal Medicine
- Infectious Diseases
- Pediatrics
Background:
- Late-onset sepsis is a critical concern in premature infants, leading to severe morbidity, mortality, and elevated healthcare expenses.
- Identified risk factors include low birth weight, premature gestational age, prior antibiotic use, inadequate hygiene, and central venous catheterization.
Purpose of the Study:
- To review the primary risk factors associated with the development of late-onset sepsis in preterm neonates.
- To examine the evidence supporting various preventive measures against late-onset sepsis in this vulnerable population.
Main Methods:
- Literature review of studies on risk factors for late-onset sepsis.
- Analysis of evidence for preventive strategies such as early nutrition, immune globulin therapy, prophylactic antibiotics, and enhanced hygiene protocols.
Main Results:
- Established risk factors contribute significantly to sepsis incidence.
- Preventive strategies show varying degrees of efficacy in reducing sepsis rates.
Conclusions:
- Understanding risk factors is crucial for targeted prevention.
- Implementing evidence-based preventive methods can mitigate the burden of late-onset sepsis in premature infants.
Abstract:
Late-onset sepsis in premature infants is a major cause of morbidity, mortality, and increased medical costs. Risk factors include low birth weight, low gestational age, previous antimicrobial exposure, poor hand hygiene, and central venous catheters. Methods studied to prevent late-onset sepsis include early feedings, immune globulin administration, prophylactic antimicrobial administration, and improved hand hygiene. In this review, we will outline the risk factors for development of late-onset sepsis and evidence supporting methods for prevention of late-onset sepsis in premature infants.
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