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Neonatal bloodstream infections in a pediatric hospital in Vietnam: a cohort study

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Septicemia and bloodstream infections (BSIs) are major causes of neonatal morbidity and mortality in developing countries. We prospectively recorded all positive blood cultures (BSI) among neonates admitted consecutively to a tertiary pediatric hospital in Vietnam during a 12-month period. Among 5763 neonates, 2202 blood cultures were performed, of which 399 were positive in 385 neonates. Among these, 64 died, 62 in relation to septicemia. Of the BSI isolates, 56% was known pathogenic and 48% was gram-negative bacteria, most frequently Klebsiella spp. (n = 78), Acinetobacter spp. (n = 58) and Escherichia coli (n = 21). Only three Streptococcus spp. were identified, none group B. Resistance against antibiotics applied was common. The mortality was highest in neonates with gram-negative BSI compared with no confirmed BSI and gram-positive BSI (P
OriginalsprogEngelsk
TidsskriftJournal of Tropical Pediatrics
Vol/bind59
Udgave nummer6
Sider (fra-til)483-8
Antal sider6
ISSN0142-6338
DOI
StatusUdgivet - dec. 2013

ID: 42500089