Avtor/Urednik		Burja, S; Treiber, M; Dovnik, I; Žic, L
Naslov		Bakterijska sepsa novorojenčka: dvoletna analiza primerov v neonatalnih enotah za intenzivno nego in intenzivno zdravljenje v Mariboru
Prevedeni naslov		Bacterial neonatal sepsis: two-years analysis of cases in the neonatal intensive care units in Maribor
Tip		članek
Vir		Slov Pediatr
Vol. in št.		Letnik 5, št. Suppl 1
Leto izdaje		1998
Obseg		str. 157-63
Jezik		slo
Abstrakt		In a retrograde analysis of a two-year sample (1995 and 1996) of neonates treated for sepsis or suspected sepsis in the neonatal intensive care units (ICUs) of the Departments of Perinatology and Pediatrics at Maribor Teaching Hospital, we attemped to reveal the relationship between transitory bacteremias, sepses and syndromes of transitory or permanent dysfunction of various organ systems. We were also interested in the relationship between the pregnancy, delivery and postdelivery risk factors and the onset of early and late forms of neonatal sepsis. We analyzed 48 cases of neonatal sepsis - 38 were treated for sepsis, 7 for transitory bacteremia and suspected sepsis, 3 for dysfunction syndrome with simultaneous suspicion of sepsis. The incidence of neonatal sepsis established in our two-year sample is 8.5 cases per 1000 viable neonates and the incidence of neonatal sepsis in the neonatal ICU of the Dept. of Pediatrics is 4.3 per 100 neonates admitted to the unit. Gram positive bacteria (coagulase-negative staphylococcus 23x, group B streptococcus 2x, streptococcus from the Viridans group 5x) were found to be the cause of sepsis in 30 cases or 79%. Gram negative bacteria (Klebsiella pneumoniae 5x, Escherichia coli 1x and Hemophilus influenzae 2x) were discovered in 8 cases or 21 % of treated neonatal sepses. The coagulase-negative staphylococcus (CNS) prevails as the cause in the early neonatal sepsis (ENS) group with 63% and in the late neonatal sepsis (LNS) group with 61%. The connection between the pregnancy, delivery and post-delivery risk factors and the incidence of early neonatal sepsis is significantly positive. The same is true of the connection between prematurity and long-term treatment in the ICU and the incidence of LNS.
Deskriptorji		SEPSIS BACTERIAL INFECTIONS INTENSIVE CARE UNITS, NEONATAL INFANT, NEWBORN GRAM-POSITIVE BACTERIA GRAM-NEGATIVE BACTERIA