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J Pediatr Infect Dis 2015; 10(03): 076-081
DOI: 10.1055/s-0036-1579688
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Pattern and Antimicrobial Susceptibility of Neonatal Sepsis at a Tertiary Care Center in Western India

Sara Dhanawade
1   Department of Pediatrics and Neonatology, Bharati Vidyapeeth Deemed University Medical College & Hospital, Sangli, Maharashtra, India
,
Amit Tagare
1   Department of Pediatrics and Neonatology, Bharati Vidyapeeth Deemed University Medical College & Hospital, Sangli, Maharashtra, India
,
Ketan Gadre
1   Department of Pediatrics and Neonatology, Bharati Vidyapeeth Deemed University Medical College & Hospital, Sangli, Maharashtra, India
,
Shilpa Shah
2   Department of Microbiology, Bharati Vidyapeeth Deemed University Medical College & Hospital, Sangli, Maharashtra, India
› Author Affiliations
Further Information

Publication History

09 September 2015

15 January 2016

Publication Date:
06 March 2016 (online)

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Abstract

Changing trends in neonatal sepsis is documented worldwide. We reviewed blood culture reports over a 3-year period. Out of 1,020 blood cultures sent from 620 neonates with suspected sepsis, 127 (12.4%) were positive. Gram-negative and gram-positive pathogens constituted 68.2% and 31.78%, respectively. Klebsiella was the most common organism (37/127) followed by Staphylococcus aureus (25/127), Acinetobacter (18/127), Escherichia coli (18/127), and Enterococci spp. (12/127). Gram-negative organisms were highly resistant to ampicillin (84.8%), gentamicin (81.3%), and cefotaxime (71.3%). Carbapenem resistance was observed in 26.6% of gram-negative pathogens. Vancomycin resistance among enterococci was 40%, and 12% of S. aureus strains were methicillin resistant. Mortality rate was 29.13% and was highest (44.44%) in Acinetobacter sepsis.

Keywords

neonatal sepsis - Acinetobacter - antimicrobial resistance
 

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