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Neonatal Sepsis in Dubai, United Arab Emirates
Department of Pediatrics, Department of Health & Medical Services Dubai, United Arab Emirates
Correspondence: Dr Ayman Koutouby, Consultant Neona tologist, Al WasI Maternity & Pediatric Hospital, P.O. Box 9115, Dubai, United Arab Emirates
The case records of all neonates admitted to the neonatal unit of Al Wasl Hospital (Dubai) in a period of 60 months (May 1987-April 1992) were analysed. One-hundred-and-six neonates had confirmed sepsis. The most common causative organisms were Group B Streptococci (23 per cent), E. coli (17 per cent), Staph. epidermidis (17 per cent), and Klebsiella pneunwniae (16 per cent). Group B Streptococcus presented as the most common organism in very early (
24 hours) and early onset (26 days) of sepsis (34 per cent, 21/61), Klebsiella pneumoniae (24 per cent), Staphylococcal epidermidis (18 per cent) and Candida (13 per cent) were most common organisms causing late onset of sepsis (730 days). Pseudomonas aeruginosa and Kiebsiella pneumoniae had highest mortality (71 per cent, 5/7; and 59 per cent 10/17, respectively). Lowest mortality (4 per cent, 1/25) was observed in Group B Streptococcus sepsis. Prematurity, low birth weight, and nosocomial sepsis were high risk factors associated with fatal outcome.
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