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Journal of Tropical Pediatrics 1997 43(1):54-58; doi:10.1093/tropej/43.1.54
© 1997 by Oxford University Press
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brief-report

Risk Factors for Developing Neonatal Septicaemia at a Malaysian Hospital

N. A. C. S. Wong*, L. P. Hunt** and N. Marlow***,

*Department of Medicine, Bristol Royal Infirmary Bristol, UK
**Department of Child Health, University of Bristol, Institute of Child Health Bristol, UK
***Department of Child Health, University of Bristol, St Michael's Hospital Bristol, UK

Address for correspondence: Dr N. Marlow, Department of Child Health, University of Bristol, St Michael's Hospital, Southwell Street, Bristol BS2 8EG, UK. Tel: 0117 9285226; Fax: 0117 9285751

A case-control study of antecedents of neonatal septicaemia was performed using 50 cases of neonatal septicaemia and 73 comparison infants from a Malaysian hospital nursery. Multivariate analysis indicated the following independent risk factors: maternal primiparity, pre-eclampsia, prolonged rupture of membranes, twin pregnancy, prematurity, assisted ventilation, umbilical catheterization, and formula feeding. Although the spectrum of causative organisms varied between our study and past studies from Western countries, the risk facors for developing neonatal septicaemia were strikingly similar. Therefore, preventative guidelines based on risk factors described in Western countries, should help reduce the incidence of neonatal septicaemia at this Malaysian hospital.


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