Viral and bacterial pathogens of suspected sepsis in young infants

Pediatric Infectious Disease
|July 1, 1983
PubMed

Insights

Enteroviruses were the most common cause of suspected sepsis in infants under two months old. Occult bacteremia in 7% of cases supports early antibiotic treatment for these young patients.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Virology

Background:

  • Neonatal sepsis is a serious condition in infants under two months.
  • Identifying pathogens is crucial for appropriate treatment.
  • Enteroviruses are common viral pathogens in infants.

Purpose of the Study:

  • To identify the predominant pathogens in infants hospitalized for suspected sepsis.
  • To determine the role of enteroviruses in neonatal sepsis.
  • To evaluate the need for empirical antibiotic therapy.

Main Methods:

  • Retrospective review of clinical and laboratory data.
  • Analysis of bacterial and viral culture results.
  • Inclusion of infants aged two months or younger hospitalized for suspected sepsis.

Main Results:

  • Enteroviruses were the most frequently identified pathogens (8 cases).
  • Other identified pathogens included adenovirus, RSV, group B Streptococcus, Enterococcus, and Salmonella.
  • Gram-negative bacillary urinary tract infections occurred in two patients.
  • No pathogens were identified in 11 patients (41%).

Conclusions:

  • Enteroviruses play a significant role in neonatal sepsis, particularly during summer and fall.
  • Occult bacteremia was found in 7% of patients.
  • Empirical antibiotic therapy is justified for very young infants with suspected sepsis due to potential occult bacteremia.

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