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Acinetobacter sepsis in neonates

G G Christo1, V Shenoy, J Matthai

  • 1Department of Pediatrics, Kasturba Medical College and Hospital, Manipal, Karnataka.

Indian Pediatrics
|December 1, 1993
PubMed
Summary
This summary is machine-generated.

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Acinetobacter sepsis affected 26 neonates between 1986-90, with a high fatality rate of 42.3%. Antibiotic resistance was common, highlighting the need for vigilance in neonatal intensive care units.

Area of Science:

  • Neonatal Medicine
  • Infectious Diseases
  • Microbiology

Background:

  • Acinetobacter infections pose a significant threat to neonates.
  • Neonatal sepsis, particularly early-onset, requires prompt identification and management.

Purpose of the Study:

  • To analyze the epidemiological features and clinical outcomes of Acinetobacter sepsis in neonates.
  • To assess the antibiotic susceptibility patterns of Acinetobacter isolates in a neonatal intensive care unit.

Main Methods:

  • Retrospective review of neonatal cases diagnosed with Acinetobacter sepsis from 1986-1990.
  • Analysis of clinical data, including birth weight, gestational age, onset of sepsis, and mortality.
  • Evaluation of antibiotic susceptibility testing for isolated Acinetobacter strains.

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Main Results:

  • Twenty-six neonates (6.5% of all sepsis cases) had Acinetobacter sepsis; 19 were low birth weight (LBW) and 12 were small for gestational age (SGA).
  • The case-fatality rate was 42.3% (11 deaths), with multi-system involvement in all cases.
  • High rates of antibiotic resistance were observed, with only 15/25 isolates sensitive to gentamicin.

Conclusions:

  • Acinetobacter sepsis in neonates is associated with high mortality and significant antibiotic resistance.
  • Vigilance and precautionary measures are crucial for controlling Acinetobacter infections in neonatal settings.