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allied
academies
September 20-22, 2017 | Toronto, Canada
10
TH
AMERICAN PEDIATRICS HEALTHCARE &
PEDIATRIC INFECTIOUS DISEASES CONGRESS
Pediatric Healthcare & Pediatric Infections 2017
Introduction:
Micro-organism causing neonatal septicemia
varies from country to country and also region to region and
time to time. In many situations, conventional antibiotics are
not sensitive to causative micro-organism. Our aim of the
study was identify causative organism and sensitivity pattern
of micro-organism in Neonatal intensive Care Unit (NICU).
Methods & Subject:
Total 300 patients were enrolled in
this study with clinically diagnosed septicemia with prior
antibiotic treatment or not. This study was done in NICU of
tertiary Hospital, Chittagong Medical College, Bangladesh
during the period of January 2013 to July 2014. Blood culture
was done in Bact /Alerd 3D system and culture incubated in
Fractionated antibiotic neutralization (FAN).
Result:
Out of 300 cases, 204 cases were culture negative and
96 cases were culture positive. Klebsiella is the commonest
causative organism 52(54.17%), followed by Pseudomonas
16(16.67%), Acinetobactor 14(14.58%),
S.aureus
6(6.25%),
6(6.25%),
E. Coli
with other Coliform 2(2.08%). In this
study, sensitivity of Klebsiella was mostly to Ciprofloxacin,
Imipenem, Azithromycin, Co-trimoxazole, Piperaciline,
and Tazobactam. Sensitivity to Pseudomonas was mostly
to Amikacin, Imipenem, Ciprofloxacin, Azithromycin and
Cefoperazone+ Sulbactum. Sensitivity to Acinetobactor was
mostly to Amikacin, Imipenem, Ciprofloxacin, Netilmicin.
Sensitivity to Staph. Aureus was mostly to Vancomycine,
Amikacin, Imipenem, Meropenem. Sensitivity of
E.coli
was mostly to Amikacin, Ciprofloxacin, Ceftazidin. Most
of the culture positive organisms resistant to conventional
Ampicilin, Gentamycin.
Conclusion:
Conventional antibiotics Ampicillin and
Gentamycin are almost resistant to organism causes neonatal
sepsis in our NICU.
e:
barua.chiranjib@yahoo.comSensivity pattern of microorganisms of septicemia in neonatal intensive care unit of tertiary hospital,
Bangladesh
Chiranjib Barua Chowdhury
Chittagong Medical College, Bangladesh