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Published on: July 24, 2016
Viral and bacterial pathogens of suspected sepsis in young infants
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.
Abstract:
Clinical and laboratory data of 27 previously normal, healthy infants 2 months of age or less who were hospitalized for suspected sepsis during a 1-year period were reviewed. Results of bacterial cultures and viral studies revealed enteroviruses (seven echoviruses, one coxsackievirus) to be the predominant pathogens identified. Other viruses identified were one each of adenovirus, untypeable hemadsorbing virus and respiratory syncytial virus. Group B streptococcal and enterococcal bacteremia and salmonellosis were diagnosed in one case each. Gram-negative bacillary urinary tract infections occurred in two patients. No pathogens were identified in 11 patients. Although these data indicate an important role for enteroviruses in this syndrome during summer and fall, we believe that the occult bacteremia found in 7% of our patients justifies initial antibiotic therapy in very young infants with suspected sepsis.
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